乌鲁木齐市亚健康人群2026例中医证候分析  

TCM Syndrome Analysis of 2 026 Cases of Sub-Health in Urumqi

作　　者：胡晓灵 付玲 杜少华[2] 杜帅 刘涛 

机构地区：[1]新疆维吾尔自治区中医医院 [2]乌鲁木齐市中医院

出　　处：《中医杂志》2013年第3期231-235,共5页Journal of Traditional Chinese Medicine

基　　金：乌鲁木齐市科学技术计划资助项目(Y08231009)

摘　　要：目的调查了解乌鲁木齐市亚健康人群分布情况及其中医证候特点。方法对乌鲁木齐市天山区、沙依巴克区、新市区采取随机整群抽取调查人群为样本,采用健康调查问卷收集资料进行亚健康筛查,并对亚健康人群进行中医证候特点分析。结果在2550例被调查者中亚健康状态者2026例,占79.45%。亚健康人群排前10位的症状为疲倦、目涩、头晕、心悸、咽干、胸闷、气短、失眠多梦、四肢困重、情志抑郁易怒。中医证候分布由高到低为:肝肾阴虚证、心脾两虚证、肝郁化火证、肝气郁结证、肝脾虚证、脾虚湿阻证、肺脾气虚证、痰热内扰证。女性以肝肾阴虚证及肝气郁结证多见,男性以肝肾阴虚证、心脾两虚证为主;汉族以肝肾阴虚、心脾两虚为主,少数民族以肝肾阴虚、脾虚湿阻、痰热内扰为主。肝肾阴虚证多集中在40～49岁。各证型在年龄、性别、民族方面差异均有统计学意义(P<0.05)。结论乌鲁木齐市居民亚健康状态有其特点,性别、年龄、民族对亚健康均有影响。Objective To investigate the distribution and TCM syndrome characteristics of sub-health population in Urumqi. Methods A cluster sample method was used to select the sub-health population in Tianshan, Sha and Xinshi Districts in Urumqi. The data was collected with health questionnaires and sub-health was screened. The TCM syndrome characteristics of sub-health population were analyzed. Results There were＇2026 cases of sub-health in 2 550 respondents, accounting for 79. 45%. The top 10 symptoms in sub-health population were fatigue, dry eyes, dizziness, palpitations, dry throat, chest tightness, short of breath, insomnia, heaviness of limbs, depression and irritability. The distribution of TCM Syndrome from high to low was： liver-kidney yin deficiency syndrome, heart-spleen deficiency syndrome, liver depression transforming into fire syn- drome, liver qi binding and depression syndrome, liver-spleen deficiency syndrome, spleen deficiency and damp obstruction syndrome, lung-spleen qi deficiency syndrome and phlegm-heat harassing the inner body syndrome. The distribution of liver- kidney yin deficiency syndrome and liver qi binding and depression syndrome was common in female. The distribution of liverkidney yin deficiency syndrome and heart-spleen deficiency syndrome was common in male. The distribution of liver-kidney yin deficiency syndrome and heart-spleen deficiency syndrome was common in Han people. The distribution of liver-kidney yin deficiency syndrome, spleen deficiency and damp obstruction syndrome and phlegm-heat harassing the inner body syndrome was common in the ethnic minorities. The distribution of liver-kidney yin deficiency syndrome was common in the age from 40 to 49 group. There were significant differences betweeri syndromes in age, gender and ethnicity （P〈0.05）. Conlcusion The suhealth state in Urumqi has its own characteristics and is influenced by gender, age and ethnicity.

关 键 词：乌鲁木齐市 亚健康 中医证候 流行病学调查 

分 类 号：R241[医药卫生—中医诊断学]