148例阳虚质/倾向阳虚质医务人员2年体质状况干预追踪调查  

Intervention tracking investigation of 2-year physical condition of medical staff with Yang deficiency/tending to Yang deficiency in 148 cases

作　　者：梁克几[1] 庄艳姗 LIANG Keji;ZHUANG Yanshan(Department of Acupuncture and Moxibustion,Maoming People's Hospital in Guangdong Province,Maoming 525000,China;Department of Traditional Chinese Medicine,Maoming Health Vocational College,Maoming 525400,China)

机构地区：[1]广东省茂名市人民医院中医针灸科,广东茂名525000 [2]广东茂名健康职业学院中医教研室,广东茂名525400

出　　处：《中国现代医生》2019年第31期119-123,共5页China Modern Doctor

基　　金：广东省中医药局科研项目（20161281）

摘　　要：目的探讨实施中医辨证干预措施后中医体质变化的相关因素。方法选取2017年1月在广东省茂名市中医针灸科体检的799例本院医护人员中209例阳虚质、倾向阳虚质的医护人员,对入选人员从2017年1月~2019年1月进行为期2年的生活起居、精神调摄、形体运动及饮食调养等多方面建议进行体质干预,并在干预措施后再次进行中医体质调查与类型判定,分析引起中医体质变化的相关因素。结果本次调查共发放问卷209份,最后回收有效问卷148份,有效回收率为70.8%。男16例(10.8%),女132例(89.2%);平均年龄(34.23±8.84)岁。阳虚质/倾向阳虚质113例(76.4%);平和质11例(7.4%);其余体质类型分别为痰湿质、湿热质、阴虚质、血瘀质、气郁/倾向气郁质、气虚/倾向气虚质等5种偏颇体质共24例(17.3%),中医体质类型的变化(以转化为平和质为有效转变)提示干预措施有效(P<0.05);影响中医体质变化的因素与睡眠习惯相关(P<0.05);与性格、饮食习惯等无明显相关(P>0.05)。结论中医辨证对阳虚体质进行干预能改变原来的体质状况,睡眠习惯与平和质的形成影响明显,提示在进行体质调控时一定要注意睡眠的因素,加强睡眠的管理。Objective To explore the related factors of TCM physical changes after the implementation of TCM syndrome differentiation interventions. Methods A total of 209 medical staff with yang deficiency/tending to yang deficiency were selected from the 799 medical staff of the Chinese Academy of Acupuncture and Moxibustion in Maoming City, Guangdong Province in January 2017. The two-year life, mental adjustment, physical exercise and diet and other aspects of the body of the selected personnel are recommended for physical intervention from January 2017 to January2019. And after the intervention measures, TCM physical fitness investigation and type determination were performed.The factors that caused changes in TCM physical changes were analyzed. Results A total of 209 questionnaires were distributed in this survey. Finally, 148 valid questionnaires were collected, and the effective recovery rate was 70.8%.There were 16 males(10.8%) and 132 females(89.2%), with the average age of(34.23±8.84) years old. There were 113 cases(76.4%) of Yang deficiency/tending to yang deficiency, and 11 cases(7.4%) of pinghe condition. The rest of the physical types were phlegm dampness, damp heat, yin deficiency, blood stasis, qi stagnation/tending to qi stagnation,with a total of 24 cases(17.3%).The change of TCM constitution type(transforming into a pinghe condition as an effective transition) suggested that the intervention was effective(P<0.05). The sleep habits were related to the factors affecting the TCM physical condition(P<0.05). There was no significant correlation with personality and eating habits(P>0.05).Conclusion The intervention of TCM syndrome differentiation on yang deficiency can change the physical condition of the body. The influence of sleep habits on the formation of pinghe condition is obvious. It is suggested that the factors of sleep must be paid attention to when the body constitution is regulated, and the management of sleep should be strengthened.

关 键 词：中医干预措施 体质变化 相关因素 睡眠习惯 

分 类 号：R256.2[医药卫生—中医内科学]