肝郁脾虚型疲劳性亚健康人群的疲劳特征研究

Research on fatigue characteristics of sub-health with the TCM syndrome of liver-qi stagnation and spleen-qi deficiency

目的:探讨肝郁脾虚型疲劳性亚健康人群的疲劳性质、程度及特征,为其有效干预提供依据。方法:采用疲劳自评量表(FSAS)对425例疲劳性亚健康受试者进行测评,通过肝郁脾虚组与其他证候组的比较,分析疲劳性亚健康人群肝郁脾虚组的疲劳性质、程度及特征。结果:肝郁脾虚组与其他证候组的躯体疲劳、疲劳后果,有统计学差异(P<0.05),疲劳程度以轻度为主;疲劳特征中肝郁脾虚证组休息/睡眠后疲劳程度表现有点明显75例(61.9%),比较明显29例(23.9%),明显5例(4.1%);疲劳情境中肝郁脾虚证组疲劳程度表现有点明显35例(28.9%),比较明显55例(45.5%),明显25例(20.7%),非常明显占5(4.1%);肝郁脾虚证组时间模式中疲劳在1d中不同时间点疲劳程度比其他证候组重。结论:通过与其他证候类型比较,肝郁脾虚型疲劳性亚健康状态在疲劳类型、程度、特征及时间模式方面表现与其他证候不同,为肝郁脾虚型疲劳性亚健康状态的中医药干预提供依据。

Objective： To explore the type,severity of fatigue,and characteristics in cases with sub-health of fatigue type and the TCM syndrome of liver-qi stagnation and spleen-qi deficiency.Methods： The fatigue of 425 cases with sub-health of fatigue type and the TCM syndrome of liver-qi stagnation and spleen-qi deficiency were measured with Fatigue Self-assessment Scale（FSAS）.The type,severity of fatigue,and characteristics were analyzed through the comparison with other syndromes.Results： There were statistical differences between the two groups（P〈0.05）.The severity of fatigue of sub-health of fatigue type and the TCM syndrome of liver-qi stagnation and spleen-qi deficiency was mild.The percents of three degrees（less conspicuous,more conspicuous,conspicuous） of unrelieved fatigue after sleep and rest of fatigue in people with sub-health of fatigue type and the TCM syndrome of liver-qi stagnation and spleen-qi deficiency were 61.9%,23.9%,4.1%.The percents of four degrees（less conspicuous,more conspicuous,conspicuous,very conspicuous） of situation of fatigue in people with sub-health of fatigue type and the TCM syndrome of liver-qi stagnation and spleen-qi deficiency were 28.9%,45.5%,20.7%,4.1%.The degree of fatigue change in a day was heavier than those in other syndromes.Conclusion： The fatigue state in cases with sub-health of fatigue type and the TCM syndrome of liver-qi stagnation and spleen-qi deficiency are different from other syndromes in the type,severity of fatigue,and characteristics（such as unrelieved fatigue after sleep and rest,situation of fatigue）.It will provide the evidence for the further study of the intervention of sub-health of fatigue type and the TCM syndrome of liver-qi stagnation and spleen-qi deficiency.