辨证施灸对亚健康状态大学生生活质量的影响  

Study on Effects of Selecting Acupoints Based on Syndrome Differentiation of Moxibustion for Life Quality of College Students with Sub-health State

作　　者：徐长青[1] 冯华[1] 邢小燕[1] 李昱[1] 孟园[1] 米婧[1] 付小燕[2] XU Chang-qing;FENG Hua;XING Xiao-yan;LI Yu;MENG Yuan;MI Jing;FU Xiao-yan(Xianyang Vocational and Technical College,Xianyang 712000,China;The Second Affiliated Hospital of Shaanxi University of Traditional Chinese Medicine,Xianyang 712000,China)

机构地区：[1]咸阳职业技术学院,陕西咸阳712000 [2]陕西中医药大学第二附属医院,陕西咸阳712000

出　　处：《中国中医药信息杂志》2018年第10期27-30,共4页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：陕西省中医药管理局项目(2017-LCMS034)

摘　　要：目的基于中医"治未病"理念,评价辨证施灸对亚健康状态大学生生活质量的影响,并探讨其作用机制。方法采用随机数字表法将120例亚健康状态大学生分为观察组和对照组各60例。2组均予健康宣教,科学饮食,生活规律,劳逸结合及心理疏导。观察组并予辨证施灸,每穴灸20 min,隔日灸。2组均连续治疗1个月。观察2组治疗前后生活质量综合评估问卷(GQOL-74)、亚健康量表评分,检测血清促肾上腺皮质激素释放激素(CRH)、促肾上腺皮质激素(ACTH)、皮质酮(CORT)水平。结果与本组治疗前比较,2组GQOL-74中角色功能、躯体功能、心理功能和社会功能评分明显升高(P<0.05);观察组治疗后各项评分均高于对照组(P<0.05)。与本组治疗前比较,2组治疗后亚健康量表评分明显降低(P<0.05);2组治疗后比较,观察组睡眠、疲劳、皮肤、躯体不适、消化功能、负性情绪、能力、社会关系评分明显低于对照组(P<0.05)。与本组治疗前比较,2组治疗后血清CRH、ACTH、CORT水平明显下降(P<0.05);2组治疗后比较,观察组血清CRH、ACTH、CORT水平低于对照组(P<0.05)。结论辨证施灸可明显改善亚健康状态大学生临床症状,提高其生活质量,其机制可能与降低血清CRH、ACTH、CORT水平有关。Objective To evaluate the effects of selecting acupoints based on syndrome differentiation of moxibustion for life quality of college students with sub-health state based on the TCM concept of ＂preventive treatment of diseases＂; To discuss its mechanism of action. Methods Totally 120 college students with sub-health state were divided into observation group and control group according to random number table method, with 60 cases in each group. Both groups were given health education, scientific diet, life rule, work and leisure combination and psychological counseling. Observation group was given selecting acupoints based on syndrome differentiation of moxibustion, 20 min each time, every other day. The treatment for both groups lasted for 1 month. The Generic Quality of Life Inventory-74（GQOL-74） and sub-health scale were observed; the serum CRH, ACTH and CORT levels were detected. Results Compared with before treatment, the scores of role functions, physical functions, mental functions and social functions of GQOL-74 in both groups were significantly higher（P〈0.05）. The scores in observation group were higher than those of the control group（P〈0.05）. Compared with before treatment, the scores of sub-health scale in both groups were lower after treatment（P〈0.05）; After treatment, the scores of sleep, fatigue, skin, body discomfort, digestive functions, negative emotion, ability and social relationship of observation group were lower than those of control group（P〈0.05）; Compared with before treatment, levels of serum CRH, ACTH and CORT in both groups decreased after treatment（P〈0.05）; After treatment, levels of serum CRH, ACTH and CORT in the observation group were lower than those in the control group（P〈0.05）. Conclusion Selecting acupoints based on syndrome differentiation of moxibustion can obviously improve the discomfort symptoms of college students with sub-health state and improve their life quality, and the possible mechanism is related to decreasing the levels o

关 键 词：亚健康状态 大学生 艾灸 辨证 生活质量 

分 类 号：R245.8[医药卫生—针灸推拿学]