207例疲劳性亚健康状态者疲劳状况分析

Analysis of Fatigue Status in 207 Fatigue Sub-health States

目的对厦门市207例疲劳性亚健康状态者应用疲劳量表-14(FS-14)进行调查分析,并初步了解不同中医证候及体质类型的疲劳状况。方法采取调查问卷的方法,方便选取于2015年6月—2017年3月对在厦门大学附属第一医院及厦门大学附属中山医院就诊的207例疲劳性亚健康状态者,进行疲劳量表-14(FS-14)评分及分析。得分按疲劳总分(TF)、躯体疲劳(PF)、脑力疲劳(MF)分别记录。结果 (1)不同性别比较:男性TF(8.34±2.61)分,女性TF(8.23±2.63)分;不同性别的FS-14评分差异无统计学意义(t=0.302,P>0.05)。(2)不同婚姻状况者比较:已婚者TF(8.44±2.64),未婚者TF(7.69±2.45)分;不同婚姻状况者FS-14评分差异无统计学意义(t=1.800,P>0.05)。(3)不同体检结果者比较:体检结果部分指标异常者TF(8.82±2.07)分,MF(2.88±1.26)分高于体检结果完全正常者TF(8.01±2.81)分,MF(2.22±1.69),差异无统计学意义(t=2.336,3.177,P<0.05)。(4)不同受教育程度者比较:受教育程度初中及以下者TF(10.53±2.29)分,PF(6.73±1.10)分,MF(3.80±1.66)分,得分最高,与其他受教育程度者得分差异有显著性(F=5.719,F=4.159,F=4.656;P<0.01)。(5)不同季节比较:春季TF(8.58±2.90)分,PF(5.96±1.66)分,MF(2.64±1.81)分,春季得分最高,但四季差异无显著性(F=0.562,F=0.634,F=0.705,P>0.05)。(6)不同中医证型比较:心脾两虚型TF、PF最高(10.10±2.96)分,(6.90±1.10)分,肺脾气虚型MF最高(4.00±1.00)分,但各证型得分差异无统计学意义(P>0.05)。(7)不同偏颇体质比较:特禀质MF(4.00±0.82)分,湿热质MF(3.35±1.41)分,阳虚质MF(3.20±1.92)分,这3项高于其他体质,差异有统计学意义(F=2.001,P<0.05)。结论体检结果部分指标异常者,虽未达到疾病的诊断标准,机体已出现机能失调,疲劳的症状更为明显。与中医学认为亚健康状态是"机体阴阳失衡、气血失调、脏腑功能失和"的观点是一致的。不同教育程度及不同偏颇体质的疲劳特点有所不同,可以通过提高人群健康素养、调理中医体质等方面进行疲劳性亚健康干预。

Objective To investigate the fatigue condition of different TCM syndromes and constitution types in 207 fatigue sub-health states in Xiamen City using fatigue scale-14 （FS-14）. Methods From June 2015 to March 2017, the fatigue scale-14 （FS-） was performed on 207 fatigue sub-health status patients were convenient selected and attending the First Affiliated Hospital of Xiamen University and the Zhongshan Hospital affiliated to Xiamen University. The scores were recorded by total fatigue score （TF）, physical fatigue （PF）, and mental fatigue （MF）. Results 1.Different gender comparisons： male TF （8.34±2.61）points and female TF （8.23_±2.63）; there was no difference in FS-14 scores between different genders （t=0.302, P〉0.05）. 2.Comparison of different marital status： married TF （8.44±2.64）points, unmarried TF （7.69±2.45）points; FS-14 scores were not different in different marital status （t=1.800, P〉0.05）. 3.Comparison of different physical examination results： TF（8.82±2.07）分＇, MF（2.88±1.26）分in some abnormalities of physical examination results was higher than TF （8.01± 2.81）,MF （2.22±1.69）分 with complete physical examination results, the difference was significant. （t=2.336,3.177,P〈0.05）.4.Compared with different education levels： TF （10.53.± 2.29）pointsPF （6.73.±1.10）pointsMF （3.80±1.66） with the highest level of education and the highest level of educa- tion, the score was the highest, and the scores of other e- ducation levels were significantly different.（F=5.719, F= 4.159, F= 4.656;P〈0.01）. 5.Comparison of different sea- sons： Spring TF （8.58±2.90）pointsPF（5.96±1.66）pointsMF （2.64±1.81）points, the highest score in spring, but thedifference in four seasons was not significant （F=0.562, F=0.634, F=0.705, P〉0.05）. 6.Comparison of different TCM syn- drome types： TF and PF of the heart and spleen deficiency type were the highest （10.10±2.96）points, （6.90±1.10）points, and the MF of the lung and spleen deficiency type was the highest （4.00_±l.00）points, but the scores of each syndrome type were not statistically different （F=1.300, P〉0.05）. 7.different biased physical comparison： special mites MF （4.00±0.82）points, moist heat MF （3.35±1.41）, yang deficiency MF （3.20±1.92）points, these three items are higher than other physique, the difference is significant （F=2.001, P〈0.05）. Conclusion 1.Some abnomal indicators of physical examination results, although not meeting the diagnostic criteria of the disease, the body has developed dysfunction, the symptoms of fatigue are more ob- vious. It is consistent with the view that Chinese medicine believes that the sub-health state is ＂the body＇s yin and yang imbalance, qi and blood disorders, and visceral dysfunction. 2.The fatigue characteristics of different educational levels and different biased constitutions are different. Fatigue sub-health interventions can be carried out by improving the health liter- acy of the population and regulating the physical fitness of Chinese medicine.