基于临床流行病学调查的亚健康人群一般特征的探析  

Exploration on the Common Characters of Sub-healthy People Based on Clinical Epidemiology

作　　者：谢雁鸣[1] 刘保延[1] 朴海垠[1] 何丽云[1] 李文泉[2] 胡镜清[3] 高荣林[3] 何良志[4] 高颖[5] 冯兴中[6] 

机构地区：[1]中国中医科学院,北京100700 [2]首都医科大学附属北京朝阳医院 [3]中国中医科学院广安门医院 [4]中国中医科学院西苑医院 [5]北京中医药大学东直门医院 [6]北京世纪坛医院

出　　处：《中国中西医结合杂志》2006年第7期612-616,共5页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：北京市科技计划项目(No.H010910160119)

摘　　要：目的研究亚健康人群一般特征。方法采用问卷方式对亚健康人群进行临床流行病学调查。结果亚健康人群中发生频数及均数较高的症状:疲劳78·7%,睡眠质量差73·4%,健忘59·9%,疲劳在休息后不能缓解59·1%,咽干59·0%,头昏58·6%,眼睛干涩58·3%,眼睛酸胀57·8%,身体疼痛56·4%,早醒52·7%,入睡困难52·5%,易怒51·8%等;常见危险因素:缺乏休闲活动60·4%,缺乏体育锻炼58·0%,经常加班56·7%,空气污染56·2%,噪音51·3%等;亚健康人群中常见中医证候:脾气虚证10·2%,肝郁脾虚证10·1%,心脾两虚证9·7%,脾虚湿困证7·4%,气虚证4·2%等。结论亚健康人群一般特征以疲劳、睡眠障碍、健忘、口咽不适、头昏、眼睛疲劳、疼痛、情绪不稳为常见症状;加班、缺乏体育锻炼、居住环境污染等为常见危险因素;以脾气虚证、肝郁脾虚证、心脾两虚证、脾虚湿困证、气虚证等为常见中医基本证候,为中医预防及干预亚健康提供了依据。Objective To study the common characters of sub-healthy people. Methods Questionnaire of clinical epidemiological investigation was adopted in the sub-healthy people. Results The commonest symptoms and their frequency in sub-healthy people were fatigue 78.7 %, poor quality of sleep 73.4 %, amnesia 59.9 %, fatigue irrelievable after rest 59.1%, dry throat 59.0 %, dizziness 58.6 %, dry and xerotic eyes 58.3 %, ache with distension eyes 57.8 %, ache 56.4 %, early awakening 52.7 %, difficulty in falling asleep 52.5 %, irritability 51.8%, etc. The commonest risk factors were lack of relaxation 60.4%, lack of physical exercise 58.0%, working with frequent extra shifts 56.7%, air pollution 56.2%, noise pollution 51.3%, etc. The commonest syndrome types in sub-healthy people were insufficiency of Pi-qi type 10.2 %, Gan-qi stagnation and Pi deficiency type 10.1%, deficiency of Xin and Pi type 9.7 %, retention of dampness due to Pi-deficiency type 7.4 % and qi deficiency type 4.2 %, et al. Conclusion The commonest symptoms in sub-healthy people are fatigue, poor quality of sleep, amnesia, irrelievable fatigue after taking rest, dry throat, dizziness, dry and xeritic eyes, ache with distension in eyes, ache, early awakening, difficulty in falling asleep, irritability, etc. The commonest risk factors are lack of relaxation and physical exercise, working with frequent shift, air and noise pollution. The commonest syndromes of sub-healthy people are insufficiency of Pi-qi type, Gan qi stagnation and Pi deficiency type, deficiency of Xin and Pi type, retention of dampness due to Pi deficiency type, qi deficiency type. These provides evidence for prevention and treatment of sub-health with TCM.

关 键 词：亚健康 临床流行病学 一般特征 中医基本证候 

分 类 号：R181.3[医药卫生—流行病学]