济南市城镇居民亚健康人群分布特征与中医体质相关调查研究
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摘要
目的：本研究基于中西医健康观的改变、西医三级预防与中医“治未病”理论的指导,研究亚健康状态和中医九种体质类型在济南市城镇居民中的分布状况,确定亚健康状态的人群筛选标准,探讨中医体质与亚健康状态的相关性,为济南市城镇居民亚健康状态的准确诊断、有效预防、合理调治和健康管理提供理论依据。
方法：从济南市槐荫区、历下区的9个街道办事处或单位中随机抽取1350名符合纳入与排除标准的城镇居民作为被调查对象进行包括个人社会人口学资料、亚健康状态自测、中医体质类型自测的调查,筛选出亚健康人群,建立亚健康状态人群资料库,根据分类资料和数值资料作相应的统计分析,描述济南市城镇居民人群中亚健康状态及中医体质的分布状况,用非条件logistic回归分析的方法,研究亚健康状态及其亚型与九种中医体质分类的相关性。
结果：本研究共调查1350例研究对象,收回问卷1310份；有效问卷1290份,占全部问卷的95.56%。人群中亚健康人群占70.23%,具有偏颇体质的人群占61.32%；亚健康状态及其亚型与中医体质关系密切,亚健康人群中偏颇体质所占比例更高,达81.90%。非条件Logistic回归模型假设检验具有高度统计学意义(P<0.001),亚健康状态与阳虚质、阴虚质、气郁质正相关,与平和质负相关；躯体型亚健康与阳虚质、阴虚质、气虚质、气郁质正相关,与平和质负相关；心理型亚健康与阳虚质、痰湿质、气郁质正相关；社会适应型亚健康与阴虚质、气郁质正相关。
结论：1、济南市城镇居民人群亚健康状态发生率较高。
2、济南市城镇居民人群亚健康状况不容乐观,应采取各种干预措施加以改善。
3、初步证明了中医体质对亚健康的重要影响,为人群的亚健康调治研究提供理论依据。
Objective:The study based on the theoretical directions of health concept change of traditional Chinese and western medicine, western medicine three-level prevention and traditional Chinese medicine(TCM)'prevention of disease, To study the screening standard for sub-health population, and construct sub-health subtype, and the distribution of sub-health and constitution in population in Jinan, to explore the correlation between sub-health and TCM Physical Type,which can offer theoretical line of diagnosis,Prevention, medical care and health management.
Method:Designed the sub-healthy questionnaire, used the approach of cross-sectional study, adopted the on-the-spot investigation method,1350 people were surveyed by Sub-health Self-rating Scale and the Constitution in Chinese Medicine Questionnaire, to screen sub-health population, Established a data bank of the sub-healthy crowd, which was used to have statistical analysis according to their belonging to measurement data or numeration data. Then tried to describe the distribution characters of sub-health condition and the distribution characters of TCM Physical Type in Jinan City. Applied non-conditional logistic regression to study the correlation between the 4 sub-healthy subtypes and 9 constitutions.
Results:This study investigated 1350 cases,1310 were qualified; the sub-health population accounted for70.23%, while the people of Physical bias accounted for 61.32%; sub-health state and its subtypes have a close correlation with the TCM Physical Type, sub-health among Jinan City has a higher proportion of body mass bias, which accounted for 81.90%.The hypothesis test of Logistic regression was statistically significant (P<0.001), sub-health status has positive correlation with yang-deficiency type,yin-deficiency type and qi-depression type, sub-health status has negative correlation with gentleness type; body-type sub-health has positive correlation with yang-deficiency type, yin-deficiency type, qi-deficiency type and qi-depression type; psychological-type has positive correlation with yang-deficiency type, phlegm-wet type and qi-depression type; while social adaptive-type has positive correlation with yin-deficiency type and qi-depression type.
Conclusion:1、The rate of sub-health status positive of urban residents in Jinan city were higher.
2、The rate of sub-health status positive of urban residents in Jinan city were not ideal, we should interfere in different means.
3、To elementarily prove TCM Physical Type has major influence on sub-health.
方法：从济南市槐荫区、历下区的9个街道办事处或单位中随机抽取1350名符合纳入与排除标准的城镇居民作为被调查对象进行包括个人社会人口学资料、亚健康状态自测、中医体质类型自测的调查,筛选出亚健康人群,建立亚健康状态人群资料库,根据分类资料和数值资料作相应的统计分析,描述济南市城镇居民人群中亚健康状态及中医体质的分布状况,用非条件logistic回归分析的方法,研究亚健康状态及其亚型与九种中医体质分类的相关性。
结果：本研究共调查1350例研究对象,收回问卷1310份；有效问卷1290份,占全部问卷的95.56%。人群中亚健康人群占70.23%,具有偏颇体质的人群占61.32%；亚健康状态及其亚型与中医体质关系密切,亚健康人群中偏颇体质所占比例更高,达81.90%。非条件Logistic回归模型假设检验具有高度统计学意义(P<0.001),亚健康状态与阳虚质、阴虚质、气郁质正相关,与平和质负相关；躯体型亚健康与阳虚质、阴虚质、气虚质、气郁质正相关,与平和质负相关；心理型亚健康与阳虚质、痰湿质、气郁质正相关；社会适应型亚健康与阴虚质、气郁质正相关。
结论：1、济南市城镇居民人群亚健康状态发生率较高。
2、济南市城镇居民人群亚健康状况不容乐观,应采取各种干预措施加以改善。
3、初步证明了中医体质对亚健康的重要影响,为人群的亚健康调治研究提供理论依据。
Objective:The study based on the theoretical directions of health concept change of traditional Chinese and western medicine, western medicine three-level prevention and traditional Chinese medicine(TCM)'prevention of disease, To study the screening standard for sub-health population, and construct sub-health subtype, and the distribution of sub-health and constitution in population in Jinan, to explore the correlation between sub-health and TCM Physical Type,which can offer theoretical line of diagnosis,Prevention, medical care and health management.
Method:Designed the sub-healthy questionnaire, used the approach of cross-sectional study, adopted the on-the-spot investigation method,1350 people were surveyed by Sub-health Self-rating Scale and the Constitution in Chinese Medicine Questionnaire, to screen sub-health population, Established a data bank of the sub-healthy crowd, which was used to have statistical analysis according to their belonging to measurement data or numeration data. Then tried to describe the distribution characters of sub-health condition and the distribution characters of TCM Physical Type in Jinan City. Applied non-conditional logistic regression to study the correlation between the 4 sub-healthy subtypes and 9 constitutions.
Results:This study investigated 1350 cases,1310 were qualified; the sub-health population accounted for70.23%, while the people of Physical bias accounted for 61.32%; sub-health state and its subtypes have a close correlation with the TCM Physical Type, sub-health among Jinan City has a higher proportion of body mass bias, which accounted for 81.90%.The hypothesis test of Logistic regression was statistically significant (P<0.001), sub-health status has positive correlation with yang-deficiency type,yin-deficiency type and qi-depression type, sub-health status has negative correlation with gentleness type; body-type sub-health has positive correlation with yang-deficiency type, yin-deficiency type, qi-deficiency type and qi-depression type; psychological-type has positive correlation with yang-deficiency type, phlegm-wet type and qi-depression type; while social adaptive-type has positive correlation with yin-deficiency type and qi-depression type.
Conclusion:1、The rate of sub-health status positive of urban residents in Jinan city were higher.
2、The rate of sub-health status positive of urban residents in Jinan city were not ideal, we should interfere in different means.
3、To elementarily prove TCM Physical Type has major influence on sub-health.
引文
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[3]王琦.调治亚健康状态是中医学在21世纪对人类的新贡献[J].北京中医药大学学报,2001,24(2)：1-4.
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[6]宋为民.“未病”现代观[J].南京中医学院学报,1995,11(1)：4-5.
[7]龚婕宁等主编.新编未病学[M].北京：人民卫生出版社,2005,4：8.
[8]世界中医药学会联合会亚健康专业委员会,首届世界亚健康学术大会资料汇编[C],地点：北京.时间2006.1.
[9]王育学.亚健康问题纵横谈[J].解放军健康,2005,1：6-9.
[10]王育学.亚健康：21世纪健康新概念[M].南昌：江西科学技术出版社,2002.3-14：18-19.
[11]范存欣,王声勇,马绍斌.广东省高校教师心理亚健康影响因素分析[J].疾病控制杂志,2004,8(6)：522.
[12]范存欣.王声勇,马绍斌.高校教师心理亚健康及影响因素的回归分析[J].现代预防医学,2004,31(3)：320.
[13]李勇杰,苟定邦,严欣等.我国七所重点高校学生亚健康现状调查与对策研究[J].第四军医大学学报2008,29(4)：334-337.
[14]李军.大学生亚健康状态的相关因素分析及转化干预对策[J].闽江学院学报,2004,25(2)：117-121.
[15]许韵民,李新立,刘群才等.豫南地区企事业体检人群亚健康调查分析[J].临床军医杂志2007,35(2)：272-273.
[16]黄萁春.亚健康的产生及解决对策[J].广西中医学院学报,2002,5(3)：6-8.
[17]赵瑞芹,宋振峰等.中国居民亚健康状态的分析研究[J].医学研究通讯,2001,30(4)：55-56.
[18]何以蓓,刘鲁明.中西医结合防治亚健康研究展望[J].浙江中西医杂志,2001,11(12)：791-793.
[19]杜朝辉.谨防“亚健康”状态发展为躯体疾病及预防对策[J].渝州大学学报,2001,18(2)：79-81.
[20]Freed K, King MB, Floydg M, et al. Counsellingin primary care.1997, (3):305-316.
[21]董玉整.“亚健康”初探[J].广州医学院学报,1998,26(3)：77-78.
[22]马云枝.亚健康状态与中医药防治[J].河南中医,2001,21(3)：11-12.
[23]周英,尤黎明,张兵碚等.产生亚健康状态的原因及应对措施[J].中国健康教育,2002.18(11)：714-715.
[24]赵瑞芹,宋振峰.亚健康状态研究进展[J].国外医学社会医学分册,2002,19(1)：10-13.
[25]郑恒,崔丽萍.亚健康评价方法的研究进展[J].华南预防医学.2007,33(1)：32-35.
[26]Holmes GP, Kaplan JE, Gantz NM, et al. Chronic fatigue syn-drome:a working case definition[J].Ann Intern Med,1988,108(3):387-389.
[27]Fukudal. Complete tux to frevised case definition[J]. Annalsof Internal Medicine,1994 ,121(12):953-959.
[28]陈青山,王声湧,荆春霞,等.应用Delphi法评价亚健康的诊断标准[J].中国公共卫生.2003,19(12)：1467-1468.
[29]赵永光,张艺军,王菡红.边海防地区军人SCL-90及亚健康调查分析[J].临床军医杂志.2005,33(1)：85-86.
[30]李惠荣,林丕海,邓凯莹等.音乐疗法对飞行人员亚健康状态的治疗分析[J].中华护理杂志,1998,21(5)：304.
[31]韩玉芹,张伟,王丹影,等.综合康复治疗亚健康儿童27例[J].中华护理杂志,1999,22(6)：328-329.
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