中医体质健康教育干预的效果评价  

Evaluation of intervention effect of TCM constitution health education

作　　者：成杰辉[1] 吴芷兴[1] 朱燕波[2] 袁丽萍[1] 黄庆仪[1] 何小萍[1] 曾永红[1] 

机构地区：[1]广东省中医院珠海医院,广东519015 [2]北京中医药大学管理学院

出　　处：《北京中医药大学学报》2016年第6期511-515,共5页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划(973计划)资助项目(No.2011CB505403)

摘　　要：目的探讨中医体质健康教育干预对体质及相关健康指标的效果。方法采用不设对照组的前后测试评价方案,募集自愿参加中医体质健康教育干预（情志、饮食、起居、运动、经络5个方面）的对象595例,收集干预前、干预3个月、干预6个月中医体质量表、健康状况调查问卷（MOS SF-36）以及实验室指标的数据。结果获得有效数据509例。干预3个月后与干预前比较,平和质得分提高3.67分（P〈0.05）,7种偏颇体质（气虚质、阴虚质、痰湿质、湿热质、血瘀质、气郁质、特禀质）得分显著降低（P〈0.05）,标准反应均数（SRM）绝对值在0.10~0.51范围内;干预6个月后与干预前比较,平和质得分升高5.22分（P〈0.05）,8种偏颇体质得分均显著降低（P〈0.05）,标准反应均数（SRM）绝对值在0.23~0.75范围内。干预3个月和干预6个月后,MOS SF-36的生理领域（PCS）和心理领域（MCS）得分均显著升高（P〈0.05）,干预3个月后,收缩压、舒张压、餐后2 h血糖、总胆固醇显著下降（P〈0.05）,高密度脂蛋白胆固醇显著升高（P〈0.05）;干预6个月后,收缩压、舒张压、餐后2 h血糖、总胆固醇、甘油三酯、低密度脂蛋白胆固醇显著下降（P〈0.05）,高密度脂蛋白胆固醇显著升高（P〈0.05）。结论中医体质健康教育干预可以改善偏颇体质,增进体质平和状态,提高生命质量,改善有关临床异常指标,提升人体健康水平。但干预效应普遍较低,说明体质具有相对稳定性的特点,体质干预促进健康需要长期坚持。Objective To explore the intervention effect of TCM constitution health education on constitution and relevant health indicators.Methods The research design was adopted with nocontrol group before and after the test evaluation.A total of 595 subjects were recruited.Interventions of emotion,diet,sleeping and living,exercise,and meridian and acupoint massage were concluded in the TCM constitution health education interventions.Investigated their constitution,health related quality of life（MOSSF-36）and laboratory indexes before and after the intervention of 3 months and 6 months. Results 509 subjects were available.After 3 months intervention,the score of gentleness type was sig-nificantly increased by 3.67 points （P〈0.05）while scores of pathological constitutions except yang-de-ficiency type were significantly decreased （P〈0.05）.All of the absolute values of standardized response mean （SRM）ranged from 0.10 to 0.5 1 .After 6 months intervention,the score of gentleness type was significantly increased by 3.67 points （P〈0.05）while scores of all pathological constitutions were sig-nificantly decreased （P〈0.05）.All of the absolute values of SRMranged from 0.23 to 0.75.Physical component summary （PCS ）scores and mental component summary （MCS ）scores of MOS SF-36 were significantly increased （P〈0.05 ）after 3 months and 6 months intervention.After 3 months interven-tion,systolic pressure （SP）,diastolic pressure （DP）,2-hour postprandial glucose （2hPG）,and total cholesterol （TC）decreased significantly （P〈0.05）,but high density lipoprotein-cholesterol （HDL-C） was significantly increased （P〈0.05 ）.After 6 months intervention,SP,DP,2hPG,TC,triglyceride （TG）and low density lipoprotein-cholesterol （LDL-C）were significantly decreased （P〈0.05 ）,but HDL-Cwassignificantlyincreased（P〈0.05）.Conclusion TCMconstitutionHealtheducationinter-vention can improve the constitutional conditions,clinical abnormal indexes,and the quality of life resu

关 键 词：中医体质干预 健康教育 健康指标 效果评价 

分 类 号：R212[医药卫生—中医学]