CAJ | 학술논문

亚健康儿指的是一种临界状态，处于亚健康状态的人，虽然没有明确的疾病，但却出现精神活力和适应能力的下降，如果这种状态不能得到及时的纠正，非常容易引起心身疾病。亚健康即指非病非健康状态，这是一类次等健康状态，是界乎健康与疾病之间的状态，故又有“次健康”、“第三状态”、“中间状态”、“游移状态”、“灰色状态”等的称谓。世界卫生组织将机体无器质性病变，但是有一些功能改变的状态称为“第三状态”，我国称为“亚健康状态”。目的探讨在城镇社区儿童中施行中医保健干预管理模式的方法及效果。方法选取2013年1月-2015年1月间于“区妇幼保健院+社区卫生服务中心”联动中医保健干预管理模式中转诊我院的1228例0-3岁亚健康儿作为临床研究对象，使用随机数字列表将所有亚健康儿随机分为研究组和对照组，每组各614例。对照组儿童采用常规健康体检，研究组儿童在对照组的基础上加用中医保健干预管理模式进行干预。观察和比较两组儿童的干预效果。结果经干预后，本次研究中研究组614例亚健康儿中共有551例转为正常，转归率为(89.74%)，对照组614例亚健康儿中共有356例转为正常，转归率为(57.98%)。研究组亚健康儿的转归率明显高于对照组，(P<0.05)差异均有统计学意义。结论中医保健干预管理模式在城镇社区亚健康儿的干预防治方面具有良好的效果，值得在城镇社区儿童保健管理工作中进一步推广。
아건강인지적시일충림계상태，처우아건강상태적인，수연몰유명학적질병，단각출현정신활력화괄응능력적하강，여과저충상태불능득도급시적규정，비상용역인기심신질병。아건강즉지비병비건강상태，저시일류차등건강상태，시계호건강여질병지간적상태，고우유“차건강”、“제삼상태”、“중간상태”、“유이상태”、“회색상태”등적칭위。세계위생조직장궤체무기질성병변，단시유일사공능개변적상태칭위“제삼상태”，아국칭위“아건강상태”。목적탐토재성진사구인동중시행중의보건간예관리모식적방법급효과。방법선취2013년1월-2015년1월간우“구부유보건원+사구위생복무중심”련동중의보건간예관리모식중전진아원적1228례0-3세아건강인작위림상연구대상，사용수궤수자렬표장소유아건강인수궤분위연구조화대조조，매조각614례。대조조인동채용상규건강체검，연구조인동재대조조적기출상가용중의보건간예관리모식진행간예。관찰화비교량조인동적간예효과。결과경간예후，본차연구중연구조614례아건강인중공유551례전위정상，전귀솔위(89.74%)，대조조614례아건강인중공유356례전위정상，전귀솔위(57.98%)。연구조아건강인적전귀솔명현고우대조조，(P<0.05)차이균유통계학의의。결론중의보건간예관리모식재성진사구아건강인적간예방치방면구유량호적효과，치득재성진사구인동보건관리공작중진일보추엄。
The sub healthy children refers to a critical state, the people in sub-health state, although no specific disease, but mental activity and decreased ability to adapt, if it cannot be corrected in a timely manner, very easily lead to psychosomatic dis-ease. Sub health refers to the non disease health status, it is a kind of inferior health, is between health and disease state, and therefore "health", "third state", "intermediate state", "unstable", "gray state" and other titles. WHO body no organic disease, but there are some functional changes of the state is referred to as the"third state", China called the"sub healthy state". Objective To investigate the effect of management mode of traditional Chinese medicine health care intervention in children and the effect of ur-ban community. Methods From 2013 January-2015 year in January in the"District Maternal and child health care and communi-ty health service center" of traditional Chinese medicine health management mode of linkage intervention referral in our hospital 1228 cases of 0-3 years old healthy children as the study object, using a random number list will all sub healthy infants were ran-domly divided into study group and control group, each group in 614 cases. Children in the control group with routine health ex-amination, the children of group intervention combined with traditional Chinese medicine health management model on the basis of the control group. Intervention effects were observed and compared between the two groups of children. Results After the interven-tion, the study group and 614 cases of healthy children in a total of 551 cases returned to normal, turnover rate was (89.74%), 614 cases in the control group of healthy children in a total of 356 patients returned to normal, turnover rate was (57.98%). The out-come of sub healthy infants visible group was significantly higher than that of control group (P<0.05), the differences were statisti-cally significant. At the same time, the survey found that the theory of traditional Chinese medicine has gained widespread popular-ity in the study group of children and their families in sub health. Conclusion The management mode of traditional Chinese medicine health care intervention has a good effect in the prevention and intervention of urban community health of children, it is worthy of further promotion in community child health care management.