大学生疲劳与中医体质的相关性研究

Correlation of fatigue and traditional Chinese medicine constitution in college students

目的探讨中医体质与大学生疲劳发生的相关性。方法整群抽样抽取广州某大学6029名大学生,进行问卷调查了解疲劳状况及中医体质分型,进行卡方检验、多分类Logistic回归分析。结果疲劳发生情况为"总是"占3.3%(196)、"经常"占19.7%(1187)。男、女大学生发生疲劳的差异有统计学意义(χ2=44.725,P=0.000)。多分类Logistic回归分析显示,"总是"发生疲劳时平和质为保护因素,气虚质、瘀血质及湿热质为危险因素;"经常"发生疲劳时平和质为保护因素,气虚质、瘀血质为危险因素;"有时"发生疲劳时只有平和质密切相关,为保护因素;"很少"发生疲劳时各体质对模型无贡献。结论气虚质、瘀血质和湿热质是大学生发生疲劳的危险因素,而平和质是保护因素。

Objective To explore the correlation between different TCM constitution and fatigue in college students. Methods With cluster sampling method, 6 029 students were surveyed by self-administered questionnaire. Chi-square test and multiple logistic regression were employed for the analysis of the correlation of the constitution of TCM types and the fatigue conditions. Results The frequency of fatigue conditions were described as ＂always＂, ＂often＂, ＂sometimes＂, ＂few＂ and ＂never＂. The ＂always＂ accounted for 3.3% （n=196）, and the ＂often＂ 19.7% （n=l 187）, the ＂sometimes＂ 49.5%, （n=2 983）, the ＂few＂ 22.9% （n=l 381）, and the ＂never＂ 4.7% （n=282）. Female students were more vulnerable to fatigue than male students with a significant difference （X2=44.725,P=O.O00）. The multiple logistic regression models demonstrated the relation of TCM constitution types and the frequency of fatigue. When the frequency of fatigue was described as ＂always＂, blood-stasis type, Qi-deficiency type, and Dampness-heat type were the risk factors, while normal constitution was the protection factor. When the frequency of fatigue was described as ＂often＂, blood- stasis type and Qi-deficiency type were the risk factors, while normal constitution was protection factors. When the frequency of fatigue was described as ＂sometimes＂, only the normal constitution was positively correlated as a protection factors. When the frequency of fatigue was described as ＂few＂, none of the constitution type was contributive to the model. Conclusion The blood-stasis type, Qi-deficiency type, and Dampness-heat type were risk factors for fatigue in college students, while the normal constitution was the only protection factor.