主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2016, Vol. 39 ›› Issue (6): 511-515.doi: 10.3969/j.issn.1006-2157.2016.06.015

• 临床研究 • 上一篇    下一篇

中医体质健康教育干预的效果评价*

成杰辉1,吴芷兴1,朱燕波2#,袁丽萍1,黄庆仪1,何小萍1,曾永红1   

  1. 1 广东省中医院珠海医院 广东 519015;
    2 北京中医药大学管理学院
  • 收稿日期:2015-10-10 出版日期:2016-06-30 发布日期:2016-06-30
  • 通讯作者: 朱燕波,女,博士,教授,博士生导师,研究方向:中医体质学、健康管理与健康评价,E-mail:yanbo0722@sina.com
  • 作者简介:成杰辉,男,硕士,主任医师
  • 基金资助:
    *国家重点基础研究发展计划(973计划)资助项目(No.2011CB505403)

Evaluation of intervention effect of TCM constitution health education*

CHENG Jiehui1, WU Zhixing1, ZHU Yanbo2#, YUAN Liping1, HUANG Qingyi1, HE Xiaoping1, ZENG Yonghong1   

  1. 1 Zhuhai Hospital, Guangdong Hospital of Traditional Chinese Medicine, Guangdong 519015;
    2 School of Management, Beijing University of Chinese Medicine
  • Received:2015-10-10 Online:2016-06-30 Published:2016-06-30

摘要: 目的 探讨中医体质健康教育干预对体质及相关健康指标的效果。方法 采用不设对照组的前后测试评价方案,募集自愿参加中医体质健康教育干预(情志、饮食、起居、运动、经络5个方面)的对象595例,收集干预前、干预3个月、干预6个月中医体质量表、健康状况调查问卷(MOS SF-36)以及实验室指标的数据。结果 获得有效数据509例。干预3个月后与干预前比较,平和质得分提高3.67分(P<0.05),7种偏颇体质(气虚质、阴虚质、痰湿质、湿热质、血瘀质、气郁质、特禀质)得分显著降低(P<0.05),标准反应均数(SRM)绝对值在0.10~0.51范围内;干预6个月后与干预前比较,平和质得分升高5.22分(P<0.05),8种偏颇体质得分均显著降低(P<0.05),标准反应均数(SRM)绝对值在0.23~0.75范围内。干预3个月和干预6个月后,MOS SF-36的生理领域(PCS)和心理领域(MCS)得分均显著升高(P<0.05),干预3个月后,收缩压、舒张压、餐后2 h血糖、总胆固醇显著下降(P<0.05),高密度脂蛋白胆固醇显著升高(P<0.05);干预6个月后,收缩压、舒张压、餐后2 h血糖、总胆固醇、甘油三酯、低密度脂蛋白胆固醇显著下降(P<0.05),高密度脂蛋白胆固醇显著升高(P<0.05)。结论 中医体质健康教育干预可以改善偏颇体质,增进体质平和状态,提高生命质量,改善有关临床异常指标,提升人体健康水平。但干预效应普遍较低,说明体质具有相对稳定性的特点,体质干预促进健康需要长期坚持。

关键词: 中医体质干预, 健康教育, 健康指标, 效果评价

Abstract: Objective To explore the intervention effect of TCM constitution health education on constitution and relevant health indicators. Methods The research design was adopted with no control group before and after the test evaluation. A total of 595 subjects were recruited. Interventions of emotion, diet, sleeping and living, exercise, and meridian and acupoint massage were concluded in the TCM constitution health education interventions. Investigated their constitution, health related quality of life(MOSSF-36) and laboratory indexes before and after the intervention of 3 months and 6 months. Results 509 subjects were available. After 3 months intervention, the score of gentleness type was significantly increased by 3.67 points (P<0.05) while scores of pathological constitutions except yang-deficiency type were significantly decreased (P<0.05). All of the absolute values of standardized response mean (SRM) ranged from 0.10 to 0.51. After 6 months intervention, the score of gentleness type was significantly increased by 3.67 points (P<0.05) while scores of all pathological constitutions were significantly decreased (P<0.05). All of the absolute values of SRM ranged from 0.23 to 0.75. Physical component summary (PCS) scores and mental component summary (MCS) scores of MOS SF-36 were significantly increased (P<0.05) after 3 months and 6 months intervention. After 3 months intervention, systolic pressure (SP), diastolic pressure (DP), 2-hour postprandial glucose (2hPG), and total cholesterol (TC) decreased significantly (P<0.05), but high density lipoprotein-cholesterol (HDL-C) was significantly increased (P<0.05). After 6 months intervention, SP, DP, 2hPG, TC, triglyceride (TG) and low density lipoprotein-cholesterol (LDL-C) were significantly decreased (P<0.05), but HDL-C was significantly increased (P<0.05). Conclusion TCM constitution Health education intervention can improve the constitutional conditions, clinical abnormal indexes, and the quality of life resulting in the improvement of health. However, the intervention effects were generally low, which indicates that the constitution is relatively stable. Therefore, a long-term of TCM constitution intervention is necessary for health promotion.

Key words: TCM constitution intervention, health education, health indicators, effect evaluation

中图分类号: 

  • R212