健脾疏肝方调治防震减灾工作者疲劳性亚健康临床观察

Clinical Observation of Jianpi Shugan Decoction Treatment on Fatigability Sub-health with Seismic Prevention and Disaster Mitigation Workers

摘要:

目的：探讨健脾疏肝方干预防震减灾工作者疲劳性亚健康的临床疗效。方法：将125例疲劳性亚健康采用随机按数字法分为对照组62和观察组63例。对照组根据体质情况进行膳食起居指导，观察组在对照组治疗的基础上加服健脾疏肝方，1剂/d。疗程均为8周。记录疲劳量表-14（FS-14）评分，记录肝郁脾虚证主要症状记分，进行治疗前后体质辨识，采用世界卫生组织生存质量测定量表简表（WHOQOL—BRIEF）评价生存质量。结果：治疗后观察组FS-14躯体疲劳、精神疲劳及总分均低于对照组（P<0.01）；观察组FS-14评分疗效总有效率为92.06%，对照组为77.42%，观察组优于对照组（P<0.05）；治疗后观察组疲乏无力，困倦，胸胁胀满，情绪低落，腹部胀满，食欲不振等主要症状评分均低于对照组（P<0.01）；观察组肝郁脾虚积分疗效总有效率为90.48%，对照组为72.58%，观察组优于对照组（P<0.05）；治疗后对照组平和体质占37.1%，观察组平和体质占69.8%，高于对照组（P<0.05）；观察组生理、心理，社会关系、生存质量主观感觉及健康状况主观感觉评分均明显高于对照组（P<0.01）。结论：健脾疏肝方能降低抗震减灾工作者疲劳性亚健康（肝郁脾虚型）FS-14躯体疲劳、精神疲劳及总分，降低肝郁脾虚主要症状评分，能促使疲劳性亚健康者体质向平和体质转变，提高患者的生活质量。

Abstract:

Objective: Discussed the clinical effects of Jianpi Shugan decoction to treat fatigability sub-health with seismic prevention and disaster mitigation workers. Method: One hundred and twenty five cases with fatigability sub-health were randomly divided into control group (62 cases) and observation group (63 cases) by random number table.The patients in the control group were accepted dietary daily life guidance according to physical situation. Patients in the observation group added Jianpi Shugan decoction on the basis of the control group therapy, 1 does/day.Treatment courses continued 8 weeks.Record fatigue scale-14 (FS-14) scores and cardinal symptom scores of liver depression spleen insufficiency. Besides conduct physical identification before and after treatment.Evaluate life quality according the world health organization quality of life brief scale (WHOQOL—BRIEF). Result: After treatment, by FS-14 score, the total effective rate of the observation group was 92.06% superior to 77.42% of the control group (P<0.05).And the total effective rate of liver depression and spleen deficiency of the observation group was 90.48% superior to 72.58% of the control group (P<0.05).For the observation group, the score of FS-14 body tired, mental fatigue and total score were all lower than that of the control group (P<0.01).Besides the scores of the main symptoms such as lassitude, sleepy, fullness chest and hypochondrium in observation group were lower than those in the control group (P<0.01).And the mild physical in observation group was 69.8% which higher than 37.1% in control group (P<0.05).Scores of subject feeling of physiology, mentality, social relations, life quality and physical condition in the observation group were higher than the scores in control group (P<0.01). Conclusion: Jianpi Shugan decoction can reduce the earthquake rescue workers health (liver stagnation and spleen deficiency type) FS-14 fatigue, mental fatigue and score of main symptoms, reduce liver stagnation and spleen deficiency syndrome score. To promote Fatigue sub healthy physique xiang ping and qualitative change, improve the quality of life of patients.