某外资企业工人亚健康状态的临床亚型分析

目的了解工人亚健康状态的常见临床表现及临床亚型。方法运用流行病学横断面调查的方法,对东莞市某外资企业的2580名工人进行整群抽样,采用自行设计的亚健康中医证候调查表,以文献回顾、专家讨论的方法确立亚健康的诊断标准,对调查结果进行频数分析及因子分析。结果亚健康状态现患率为72.7%,其临床表现涉及到躯体、心理及社会等多种症状,其中疲倦乏力、头痛、头晕、容易感冒、怕热、情绪低落、时常叹气、腰背酸痛、失眠多梦等为亚健康状态的常见临床表现;根据亚健康的临床表现应用因子分析,可将亚健康分为疲劳型亚健康、失眠型亚健康、疼痛型亚健康、二便异常型亚健康、眼涩咽干型亚健康、妇女经带不调型亚健康、性亚健康、体质偏颇型亚健康、社会型亚健康、心理型亚健康等10个亚型。结论亚健康状态的临床表现非常复杂,存在多种临床亚型。

Clinical Manifestations of Sub-Heath of Workers Working in Overseas-Funded Enterprises

Objective To study the clinical manifestations and the sub-health status of the workers. Methods 2 580 workers of overseas-funded enterprises in Dongguan were studied. Cross-sectional study method and cluster sampling were used. Survey was conducted using our own designed sub-health TCM Syndrome questionnaire,and the diagnostic criteria on the sub-health status were decided based on the literature review and discussion among experts. Results were analyzed by frequency analysis and factor analysis. Results The total sub-health incidence rate was 72.7%. Clinical manifestations included the various symptoms of the body,psychology and society. The frequent clinical manifestations were weary,headache,dizzy,common cold,afraid of heat,aching pain of waist and back,depression,sigh,insomnia and dreamful sleep. There were ten clinical subtypes. These included fatigue type ,insomnia type,pain type,urine and stool abberant type,dry eye and pharynx type,irregular menses and leucorrhea type,sex type,constitutional type,social pattern and psychological pattern. Conclusion Clinical manifestations of the sub-health status are complex and have many clinical subtypes.