自拟补气调脾代茶饮治疗120例脾气虚质亚健康状态临床研究

Clinical Study on Self-made Buqi Tiaopi Tea Decoction in Treating 120 Cases of Sub-health with Spleen Qi Deficiency Syndrome

目的:观察自拟补气调脾代茶饮调理脾气虚质亚健康状态人群的临床疗效,探索该代茶饮是否改善此体质人群的脾气虚症状。方法:选取2017年1月至2018年12月在北京中医医院顺义医院治未病科及体检中心体检人群120例作为研究对象,采用随机分组的方法,分为治疗组和对照组,每组60例。给予补气调脾代茶饮调理体质,口服800 m L/d,共30 d。门诊随访观察,根据疗效标准评价治疗效果、中医临床症状评分、疲劳评定量表(FAI)及焦虑自评量表评分SAS及PSQI指标评分。结果:患者服用补气调脾代茶饮30 d后的总有效率分别为98. 3%、86. 7%。治疗后2组入选人群的中医临床症状积分比治疗前有所降低(P <0. 05);且观察组服用补气调脾代茶饮后评分明显低于对照组,数据差异有统计学意义(P <0. 05)。经过补气调脾后,亚健康人群的FAI、SAS评分均较调理前有明显降低(P <0. 05)。经过调理后,2组人群PSQI指标(入睡时间、睡眠时间、睡眠效率等)评分比调理前均明显降低(P <0. 05);观察组经过口服补气调脾代茶饮后上述评分均低于对照组,差异有统计学意义(P <0. 05)。结论:补气调脾代茶饮联合体质干预能够调整亚健康状态人群的气虚症状,提高患者生命质量,且未发现不良反应,值得进一步深入研究,并可用于临床推广。

Objective: To observe the clinical efficacy of self-made Buqi Tiaopi Tea Decoction to regulate the spleen qi deficiency and sub-health status,and to explore whether this generation of tea can improve the spleen deficiency symptoms of this physique. Methods: A total of 120 patients who underwent physical examination at Physical Examination Center and Department of Preventive Treatment in Beijing Hospital of Traditional Chinese Medicine Shunyi Hospital from January to February 2017 in December 2008 were enrolled.The Buqi Tiaopi Tea Decoction was given to regulate the physique,with oral administration of 800 mL daily for 30 days.Through outpatient follow-up observation,according to the efficacy criteria,the treatment effects,TCM clinical symptom score,Fatigue Assessment Integral(FAI)and anxiety self-rating scale score SAS and PSQI index score were evaluated. Results: The total effective rate of patients taking Buqi Tiaopi Tea Decoction after 30 days was 98.3% and 86.7%,respectively.After treatment,the scores of TCM clinical symptoms in the 2 groups were lower than those before treatment( P <0.05);and the scores of the treatment group after taking Buqi Tiaopi Tea Decoction were significantly lower than the control group,and the data were statistically significant( P <0.05).After taking Buqi Tiaopi Tea Decoction,the FAI and SAS scores of the sub-healthy population were significantly lower than those before conditioning( P <0.05).After conditioning,the scores of PSQI(sleeping time,sleep time,sleep efficiency,etc.)were significantly lower than those before conditioning( P <0.05).The above scores of the treatment group were lower than those of the control group after conditioning,and the data were statistically significant( P <0.05). Conclusion: The combination of Buqi Tiaopi Tea Decoction combined with physical intervention can adjust the symptoms of qi deficiency in sub-health population,improve the quality of life of patients,and no adverse reactions are found.It is worthy of further research and can be used for clinical promotion.