CAJ | 학술논문

目的：在治未病理念指导下，应用中医体质辨识对亚健康状态人群分类后给予个体化的健康指导干预，观察亚健康状态改善情况，探讨中医药调治亚健康的优势及意义。方法将80例亚健康体检者，随机分为观察组和对照组各40例。对照组常规西医体检后给予常规健康指导干预，观察组在常规西医体检基础上增加中医体质辨识并根据体质类型给予个体化的健康指导干预。两组初次体检结束1年后再次参加体检。在2次体检过程中，护理人员协助受试者填写亚健康状况评价问卷，评估受试者的亚健康状态。结果通过1年健康指导干预，观察组疲劳、精神、免疫力、胃肠道、心血管症状评分及总分均较干预前降低，经比较差异有统计学意义（P<0.05），而对照组只有胃肠道、心血管症状评分及总分较干预前降低，经比较差异有统计学意义（P<0.05）；组间比较中，观察组疲劳、精神、免疫力症状评分及总分均低于对照组，经比较差异有统计学意义（P<0.05）。且观察组40例亚健康状态人群中有17例（43%）恢复到健康状态，而对照组40例中只有5例（13%），观察组疗效优于对照组（χ2=5.206，P=0.023）。结论中医体质辨识后的个体化健康指导有助于缓解亚健康状态，尤其在改善疲劳、精神症状，增强免疫力方面，较常规健康教育干预有更加明显的优势。
목적：재치미병이념지도하，응용중의체질변식대아건강상태인군분류후급여개체화적건강지도간예，관찰아건강상태개선정황，탐토중의약조치아건강적우세급의의。방법장80례아건강체검자，수궤분위관찰조화대조조각40례。대조조상규서의체검후급여상규건강지도간예，관찰조재상규서의체검기출상증가중의체질변식병근거체질류형급여개체화적건강지도간예。량조초차체검결속1년후재차삼가체검。재2차체검과정중，호리인원협조수시자전사아건강상황평개문권，평고수시자적아건강상태。결과통과1년건강지도간예，관찰조피로、정신、면역력、위장도、심혈관증상평분급총분균교간예전강저，경비교차이유통계학의의（P<0.05），이대조조지유위장도、심혈관증상평분급총분교간예전강저，경비교차이유통계학의의（P<0.05）；조간비교중，관찰조피로、정신、면역력증상평분급총분균저우대조조，경비교차이유통계학의의（P<0.05）。차관찰조40례아건강상태인군중유17례（43%）회복도건강상태，이대조조40례중지유5례（13%），관찰조료효우우대조조（χ2=5.206，P=0.023）。결론중의체질변식후적개체화건강지도유조우완해아건강상태，우기재개선피로、정신증상，증강면역력방면，교상규건강교육간예유경가명현적우세。
Objective To observe the effect of preventive treatment of disease on improving sub-healthy status and to discuss the advantages and significance of traditional Chinese medicine in recuperating sub-health status. Methods 80 sub-healthy cases in health examination were randomly divided into observation group and control group with 40 cases in each group. After conventional western medical health examination and Chinese constitution identification, subjects in observation group were given individual health guidance according to different constitutions, while those in control group only participated in conventional western medical health examination and were given conventional health guidance. Subjects took part in the health examination again after the initial examination one year later and Sub-health Status Questionnaire (SHSQ-25) was applied to assess the subjects ’ sub-health status. Results After one year of health guidance, the scores of fatigue, cardiovascular system, digestive tract, immune system, and mental status and the total score of observation group were lower and the difference was statistically significant ( P<0.05), while in control group, only scores of cardiovascular system, digestive tract and the total score were lower and the difference was statistically significant (P<0.05); intergroup comparison indicated that scores of fatigue, immune system, and mental status and the total score of observation group were lower than those of control group which was statistically significant( P<0.05). 17 cases recovered in observation group while only 5 in control group and chi-square test showed there was good effect of in observation group ( χ2=5.206, P=0.023). Conclusion The health guidance based on Chinese constitution identification helps to improve sub-health status especially to improve fatigue and mental status and enhance immunity, which is worth to be promoted clinically.