疲劳性亚健康不同中医证候人群疲劳特点的研究

Study on fatigue characteristics in people with fatigue-predominant sub-health based on different TCM syndromes

[目的]探讨疲劳性亚健康不同中医证候人群的疲劳特点。[方法]依据相关标准对疲劳性亚健康人群进行中医辨证,并按照一定原则对辨证结果进行归类;采用疲劳自评量表(FSAS)对不同证候类型的疲劳性亚健康人群的疲劳进行量化评定,并通过统计软件对其测量结果进行分析[。结果]躯体疲劳分值、总体疲劳分值各组无统计学差异,精神疲劳分值、疲劳后果、疲劳对睡眠/休息的反应、疲劳的情境性分组各组人群均有统计学差异(P<0.05)。[结论]1)疲劳性亚健康不同证候人群的疲劳状况存在差异。2)肝郁脾虚证人群的躯体疲劳表现、精神疲劳和总体疲劳较其他证候人群明显,尤其精神疲劳表现较其他人群突出,疲劳对其生活、工作的影响也较为明显;阴虚证类精神疲劳、总体表现及疲劳对生活、工作造成的影响均不明显。3)疲劳特征方面:阳气虚证类人群的睡眠/休息不能缓解疲劳的状况最为突出;肝气郁结证人群的疲劳最易受到环境和情绪的影响而加重或减轻。

[Objective] To explore the fatigue characteristics in people with fatigue-predominant sub-health based on TCM syndrome.[Methods] Referring to related standards of TCM,the differentiations of TCM was performed and in accordance with the definite principle the differentiated results were classified.Using self-evaluating criteria（FSAS） the fatigue degree for fatigue was quantified in each patient with fatigued sub-health status.Fatigue was assessed in all of people using fatigue self-assessment scale and fatigue characteristics were analyzed among different people by statistics software.[Results] In addition to physical fatigue factor score,fatigue consequences factor score,and other factors scores are different among different people based on TCM syndromes（P0.05）.[Conclusion] 1）Different people with fatigue-predominant sub-health based on different TCM syndromes have different fatigue characteristics.2）Physical fatigue,mental fatigue and total fatigue are more obvious in liver-Qi stagnation and spleen-Qi deficiency in TCM than in other syndromes.Mental fatigue,total fatigue,fatigue consequences are less obvious in Yin deficiency syndrome than in other syndromes.3）It is most obvious that sleep or rest cannot reduce fatigue in Yang-qi deficiency syndrome.The characteristics of fatigue on situation specificity is most obvious in liver-Qi stagnation.