中医体质辨识在大学生体质健康干预中的应用效果分析

Analysis on the Application Effect of TCM Constitution Identification in College Students’ Physical Health Intervention

目的:研究中医体质辨识在大学生体质健康后期干预的应用效果,探讨个性化的中医体质类型在学生体质健康干预中的优势及意义。方法:选取上海中医药大学2015级学生722名,在2015年9月~10月和2016年3月~4月进行了2次中医体质类型测试和身体健康状态测试。运用9类中医体质类型大学生健康处方,调整饮食和起居、运动、情志等干预方案。通过课内外一体化教学,运用填写健康日志,手机APP在线签到、关注微健康和健康知识的推送,对大学生进行生活方式及体育锻炼进行监督,干预指导时间为6个月,并将干预前后进行比较。结果:大学生中医体质类型干预前后相比,体质健康状态向好效果较明显;8种偏颇体质中均值都有不同程度的下降,其中痰湿质、湿热质下降更为明显,均值分别下降了10.05、10.64分,差异具有统计学意义(P<0.05);干预前后大学生身体健康状态在疲劳、消化、失眠和便秘等方面第二次比第一次测试均值有明显下降,差异具有统计学意义(P<0.05),另外身体健康状态总分也有较明显改善。结论:采用中医体质辨识对大学生进行个体化的体质健康进行干预的效果较好,在促进学生体质健康的干预指导中有较高的应用价值。

Objective:To study the application effect of TCM constitution identification in college students'physical health interventions,and to explore the advantages and significance of personalized TCM constitution in students'physical health interventions.Methods:A total of 722students of 2015class were selected from the Shanghai University of Traditional Chinese Medicine.They took TCM constitution tests and physical health tests from September to October 2015and from March to April 2016respectively.According to the health prescription of college students with 9types of TCM constitutions,the intervention plans of diet,living,exercise and emotion were formulated.Through the internal and external integration of teaching,using the health log,mobile phone APP online check-in,and pay attention to micro health and health knowledge push,supervise college students'life style and physical exercise.The intervention time was 6months,and the test data before and after the intervention were compared.Results:Compared the before and after intervention of TCM constitution type,the physical health status of college students showed good results,and the average values of 8kinds of biased constitution all decreased to different extents,among which the decline of phlegm and damp-heat quality was more obvious,with a decrease of 10.05and 10.64respectively,the difference was statistically significant(P<0.05);The mean values of fatigue,digestion,insomnia and constipation of college students'physical health also decreased significantly,the difference was statistically significant(P<0.05);The total score of physical health was also significantly improved.Conclusion:The use of TCM constitution identification has a good effect on individual physical health interventions for college students,and has a high application value in promoting intervention guidance for students'physical health.