“逆针灸”背俞穴干预人群亚健康状态的临床研究
|
摘要
研究目的：
1.通过调查300例亚健康状态就诊者,对亚健康状态人群的一般情况进行分析。
2.对不同影响因素下亚健康人群的生存质量进行评估,了解不同类别的单因素对亚健康人群生存质量各维度的影响。
3.运用统计分析影响亚健康状态人群生存质量的因素,筛选出对不同维度影响较大的因素类别。
4.从中医症候积分、匹兹堡睡眠质量指数量表、疲劳量表、生存质量评定量表、数位经络系统检测等方面全方位评价“逆针灸”背俞穴干预亚健康状态的疗效,为针灸干预亚健康状态提供新思路和新方法。
研究方法：
1.指导就诊者填写《中医体质及健康状况辨识问卷》,并将数据通过《中医体质辨识程序》录入电脑,对亚健康状态人群的一般情况进行分析。
2.应用SPSS21.0单因素方差分析,评估不同类别的单因素对亚健康人群生存质量各维度的影响。
3.运用多元线性回归分析,分析影响亚健康状态人群生存质量的因素,筛选出对不同维度影响较大的因素类别。
4.将120例亚健康状态就诊者按就诊顺序随机分入对照组和试验组。对照组进行健康宣教,一周为一个疗程,共进行4个疗程；试验组在健康宣教的基础上逆针灸背俞穴干预,每日治疗1次,5天一个疗程,休息2天,再行下一个疗程,共进行4个疗程。
5.在干预前后分别进行中医症候积分评定、匹兹堡睡眠质量指数量表评定、疲劳量表评定、生存质量量表评定、数位经络系统检测,观察干预前后两组中医症候、睡眠质量、疲劳状态、生存质量评分分值的变化。
6.观察干预前后两组经络能量指数、新陈代谢指数、精神状态指数、筋骨气血指数、甲状腺指数、自律神经指数异常率的变化。
研究结果：
1.亚健康状态人群在不同的性别、年龄、婚姻状况、职业分布、受教育程度、年收入、BMI指数、运动习惯、不良嗜好情况、睡眠习惯、体质分类、辨证分型方面生存质量各维度评分存在差异。
2.年龄、运动习惯、丧偶未婚、离婚未再婚、个体、脑力劳动、睡眠无规律、晚睡早起进入到影响生理机能因素的多元线性回归方程。年龄、教育程度、运动习惯、己婚、离婚已再婚、睡眠无规律、晚睡早起、阳虚质、平和质进入到影响生理职能因素的多元线性回归方程。年龄、运动习惯、退休、晚睡早起、离婚己再婚、丧偶再婚、平和质进入到影响躯体疼痛因素的多元线性回归方程。年龄、BMI指数、早睡早起、丧偶再婚、湿热质、平和质进入到影响总体健康因素的多元线性回归方程。年龄、运动习惯、早睡早起、晚睡早起、气虚质、平和质进入到影响精力因素的多元线性回归方程。学历、运动习惯、已婚、饮酒进入到影响社会功能因素的多元线性回归方程。性别、脑力劳动、晚睡早起、已婚、饮酒、气郁质进入到影响情感职能因素的多元线性回归方程。性别、脑力劳动、晚睡早起、已婚、饮酒、气郁质、血瘀质进入到影响精神健康因素的多元线性回归方程。
3.临床疗效比较：两组中医症状疗效比较有显著差别,试验组临床疗效明显好于对照组(P 4.量表分值变化：经过干预后两组中医症候积分均较干预前明显下降(P 5.数位经络系统检测：与对照组相比,试验组能明显降低亚健康人群经络能量指数、新陈代谢指数、精神状态指数、筋骨气血指数、自律神经指数异常率(P 研究结论：
1.亚健康人群在同一因素的不同类别下,生存质量各维度评分存在差异。
2.对亚健康人群生存质量不同维度影响较大的因素类别存在差异。
3.“逆针灸”背俞穴+健康宣教组的临床疗效明显好于单纯健康宣教组,“逆针灸”背俞穴能更好的改善亚健康人群中医症候积分、中医症候、睡眠情况、疲劳症状、生存质量,能更好的降低亚健康状态人群的经络能量指数、新陈代谢指数、精神状态指数、筋骨气血指数、自律神经指数的异常率。值得临床推广应用。
Objective
1.To analyse the general situation of sub-health population by the investigation of300cases of sub-health clients.
2.To evaluate the quality of life of sub-health population by different influence factors, and to approach the effect of single factor for different categories on various dimensions of quality of life of the sub-health population.
3. To analyse the factors influencing quality of life of sub-health population by statistics, and screen the major influence factor categories for different dimensions.
4.To comprehensively evaluate the curative effect of preventive acupuncture and Moxibustion at Back-shu points for intervention on the population of sub-health condition from the aspects of TCM syndrome integral, the Pittsburgh sleep quality index scale, fatigue scale, quality of life scale, numerical digit channel system detection, and to provide new ideas and new methods for intervention on sub-health state by acupuncture and moxibustion.
Methods
1.The clients were guided to fill in the questionnaire of TCM body constitution and health status identification, and the data were entered into the computer through the TCM body constitution identification program, the general situation of sub-health population was analyzed.
2.One-factor analysis of variance of SPSS21was applied to evaluate the effects of different types of single factor on sub-health population of various dimensions of quality of life.
3. Multiple linear regression analysis was used for analyze the factors affecting the quality of life of sub-health population, and the major influence factor categories for different dimensions were screened.
4.120cases of sub-health clients were randomly divided into control group and testing group by visit sequence. The health education was progressed in the control group, a week for a course of treatment, totally4courses of treatment progressed; The intervention of preventive acupuncture and moxibustion at Back-shu points was progressed in the testing group combined with health education, one time daily,5days for a course of treatment,2days for rest, and then the next course was proceeded,4weeks in total.
5. TCM syndrome integral, the Pittsburgh sleep quality index scale, fatigue scale, quality of life scale, numerical digit channel system detection were evaluated before and after the intervention respectively, variation of scores of TCM symptoms, sleep quality, fatigue condition, life quality were observed before and after the intervention in the two groups.
6. The abnormal rate of meridian nergy index, metabolism index, mental state index, bones and muscles-qi and blood index, thyroid index, autonomic nerve index were observed in the two groups before and after intervention.
Results
1.The scores of quality of life in various dimensions of sub-health population are different in different gender, age, marital status, occupation, education, income, BMI index, exercise habits, bad habits, sleeping habits, body constitution classification, differentiation of symptoms and signs for classification of syndrome.
2.Age, exercise habits, widowed not remarried, divorced not remarried, self-employed, mental labor, irregular sleep, sleep late and wake up early enter into the multiple linear regression equation of factors effected physiological functioning. Age, education degree, exercise habits, married, divorced remarried, irregular sleep, sleep late and wake up early, Yang asthenia constitution, gentleness constitution enter into the multiple linear regression equation of factors effected role-physical. Age, exercise habits, retirement, sleep late and wake up early, divorced remarried, widowed remarried, gentleness constitution enter into the multiple linear regression equation of factors effected bodily pain. Age, BMI index, early to bed and early to rise, widowed remarried, damp-heat constitution, gentleness constitution enter into the multiple linear regression equation of factors effected general health. Age, exercise habits, early to bed and early to rise, Qi deficiency constitution, gentleness constitution enter into the multiple linear regression equation of factors effected vitality. Educational background, exercise habits, married, drinking enter into the multiple linear regression equation of factors effected social functioning. Gender, mental work, sleep late and wake up early, married, drinking, qi-stagnation constitution entered into multiple linear regression equation of factors effected role-emotional. Gender, mental work, sleep late and wake up early, married, drinking, qi-stagnation constitution, blood-stasis constitution entered into multiple linear regression equation of factors effected mental health.
3.Comparison of the clinical therapeutic effect:there are significant difference in the therapeutic effect of TCM symptoms between control group and testing group, and the clinical efficacy of testing group is better than that of control group (P<0.01).
4.Score changes of measuring scale:The scores of TCM symptoms are significantly decreased after the intervention in the two groups (P<0.01), the scores of TCM symptoms of sub-health population in the testing group are better improved than those in the control group,and have statistical significances (P<0.01). Every score of TCM symptom is significantly different before and after the intervention in the testing group (P<0.01); after the intervention, the difference of the symptom score in the testing group has statistical significance compared with the control group(P<0.05), the scores of easy weary and other11symptoms have significant differences (P<0.01). After the intervention, compared with the control group, the difference of the scores of6sleep factors and the total score in the testing group is statistically significant (P<0.05), which, the score of daytime function and total scores have significant difference (P<0.01). the score of FS-14decrease more significantly in the testing group than that before intervention (P<0.01); the difference of the score of FS-14between the two groups is statistically significant after the intervention (P<0.05). The score of each dimension has statistical significance before and after the intervention in the testing group(P<0.05), which is significantly different in physiological functioning, role-physical, bodily pain, general health, vitality, social functioning (P<0.01); after the intervention, compared with the control group, the difference of the score of each dimension in the testing group is statistically significant (P<0.05), which, the scores of physiological functioning and role-physical have significant difference (P<0.01).
5.Numerical digit channel system detection:compared with the control group, the abnormal rate of meridian nergy index, metabolism index, mental state index, bones and muscles-qi and blood index, autonomic nerve index in the sub-health population has significantly reduced in the testing group (P<0.05), but the difference of the abnormal rate of thyroid index has no statistical significance.
Conelusion
1.The score of each dimension of quality life in sub-health population is different under the different kinds of the same factor.
2. There are different in the factor categories which are the major influences on the different dimensions of quality life in sub-health population.
3. The clinical curative effect of preventive acupuncture and moxibustion back-shu points plus health education group is significantly better than the simple health education group.And preventive acupuncture and moxibustion back-Shu points can better improve the scores of TCM syndromes, TCM syndromes, sleep quality, fatigue symptom, quality life in sub-health population, also it can better degrade the abnormal rate of meridian nergy index, metabolism index, mental state index, bones and muscles-qi and blood index, autonomic nerve index in the sub-health population. It is worthy of clinical application.
1.通过调查300例亚健康状态就诊者,对亚健康状态人群的一般情况进行分析。
2.对不同影响因素下亚健康人群的生存质量进行评估,了解不同类别的单因素对亚健康人群生存质量各维度的影响。
3.运用统计分析影响亚健康状态人群生存质量的因素,筛选出对不同维度影响较大的因素类别。
4.从中医症候积分、匹兹堡睡眠质量指数量表、疲劳量表、生存质量评定量表、数位经络系统检测等方面全方位评价“逆针灸”背俞穴干预亚健康状态的疗效,为针灸干预亚健康状态提供新思路和新方法。
研究方法：
1.指导就诊者填写《中医体质及健康状况辨识问卷》,并将数据通过《中医体质辨识程序》录入电脑,对亚健康状态人群的一般情况进行分析。
2.应用SPSS21.0单因素方差分析,评估不同类别的单因素对亚健康人群生存质量各维度的影响。
3.运用多元线性回归分析,分析影响亚健康状态人群生存质量的因素,筛选出对不同维度影响较大的因素类别。
4.将120例亚健康状态就诊者按就诊顺序随机分入对照组和试验组。对照组进行健康宣教,一周为一个疗程,共进行4个疗程；试验组在健康宣教的基础上逆针灸背俞穴干预,每日治疗1次,5天一个疗程,休息2天,再行下一个疗程,共进行4个疗程。
5.在干预前后分别进行中医症候积分评定、匹兹堡睡眠质量指数量表评定、疲劳量表评定、生存质量量表评定、数位经络系统检测,观察干预前后两组中医症候、睡眠质量、疲劳状态、生存质量评分分值的变化。
6.观察干预前后两组经络能量指数、新陈代谢指数、精神状态指数、筋骨气血指数、甲状腺指数、自律神经指数异常率的变化。
研究结果：
1.亚健康状态人群在不同的性别、年龄、婚姻状况、职业分布、受教育程度、年收入、BMI指数、运动习惯、不良嗜好情况、睡眠习惯、体质分类、辨证分型方面生存质量各维度评分存在差异。
2.年龄、运动习惯、丧偶未婚、离婚未再婚、个体、脑力劳动、睡眠无规律、晚睡早起进入到影响生理机能因素的多元线性回归方程。年龄、教育程度、运动习惯、己婚、离婚已再婚、睡眠无规律、晚睡早起、阳虚质、平和质进入到影响生理职能因素的多元线性回归方程。年龄、运动习惯、退休、晚睡早起、离婚己再婚、丧偶再婚、平和质进入到影响躯体疼痛因素的多元线性回归方程。年龄、BMI指数、早睡早起、丧偶再婚、湿热质、平和质进入到影响总体健康因素的多元线性回归方程。年龄、运动习惯、早睡早起、晚睡早起、气虚质、平和质进入到影响精力因素的多元线性回归方程。学历、运动习惯、已婚、饮酒进入到影响社会功能因素的多元线性回归方程。性别、脑力劳动、晚睡早起、已婚、饮酒、气郁质进入到影响情感职能因素的多元线性回归方程。性别、脑力劳动、晚睡早起、已婚、饮酒、气郁质、血瘀质进入到影响精神健康因素的多元线性回归方程。
3.临床疗效比较：两组中医症状疗效比较有显著差别,试验组临床疗效明显好于对照组(P
1.亚健康人群在同一因素的不同类别下,生存质量各维度评分存在差异。
2.对亚健康人群生存质量不同维度影响较大的因素类别存在差异。
3.“逆针灸”背俞穴+健康宣教组的临床疗效明显好于单纯健康宣教组,“逆针灸”背俞穴能更好的改善亚健康人群中医症候积分、中医症候、睡眠情况、疲劳症状、生存质量,能更好的降低亚健康状态人群的经络能量指数、新陈代谢指数、精神状态指数、筋骨气血指数、自律神经指数的异常率。值得临床推广应用。
Objective
1.To analyse the general situation of sub-health population by the investigation of300cases of sub-health clients.
2.To evaluate the quality of life of sub-health population by different influence factors, and to approach the effect of single factor for different categories on various dimensions of quality of life of the sub-health population.
3. To analyse the factors influencing quality of life of sub-health population by statistics, and screen the major influence factor categories for different dimensions.
4.To comprehensively evaluate the curative effect of preventive acupuncture and Moxibustion at Back-shu points for intervention on the population of sub-health condition from the aspects of TCM syndrome integral, the Pittsburgh sleep quality index scale, fatigue scale, quality of life scale, numerical digit channel system detection, and to provide new ideas and new methods for intervention on sub-health state by acupuncture and moxibustion.
Methods
1.The clients were guided to fill in the questionnaire of TCM body constitution and health status identification, and the data were entered into the computer through the TCM body constitution identification program, the general situation of sub-health population was analyzed.
2.One-factor analysis of variance of SPSS21was applied to evaluate the effects of different types of single factor on sub-health population of various dimensions of quality of life.
3. Multiple linear regression analysis was used for analyze the factors affecting the quality of life of sub-health population, and the major influence factor categories for different dimensions were screened.
4.120cases of sub-health clients were randomly divided into control group and testing group by visit sequence. The health education was progressed in the control group, a week for a course of treatment, totally4courses of treatment progressed; The intervention of preventive acupuncture and moxibustion at Back-shu points was progressed in the testing group combined with health education, one time daily,5days for a course of treatment,2days for rest, and then the next course was proceeded,4weeks in total.
5. TCM syndrome integral, the Pittsburgh sleep quality index scale, fatigue scale, quality of life scale, numerical digit channel system detection were evaluated before and after the intervention respectively, variation of scores of TCM symptoms, sleep quality, fatigue condition, life quality were observed before and after the intervention in the two groups.
6. The abnormal rate of meridian nergy index, metabolism index, mental state index, bones and muscles-qi and blood index, thyroid index, autonomic nerve index were observed in the two groups before and after intervention.
Results
1.The scores of quality of life in various dimensions of sub-health population are different in different gender, age, marital status, occupation, education, income, BMI index, exercise habits, bad habits, sleeping habits, body constitution classification, differentiation of symptoms and signs for classification of syndrome.
2.Age, exercise habits, widowed not remarried, divorced not remarried, self-employed, mental labor, irregular sleep, sleep late and wake up early enter into the multiple linear regression equation of factors effected physiological functioning. Age, education degree, exercise habits, married, divorced remarried, irregular sleep, sleep late and wake up early, Yang asthenia constitution, gentleness constitution enter into the multiple linear regression equation of factors effected role-physical. Age, exercise habits, retirement, sleep late and wake up early, divorced remarried, widowed remarried, gentleness constitution enter into the multiple linear regression equation of factors effected bodily pain. Age, BMI index, early to bed and early to rise, widowed remarried, damp-heat constitution, gentleness constitution enter into the multiple linear regression equation of factors effected general health. Age, exercise habits, early to bed and early to rise, Qi deficiency constitution, gentleness constitution enter into the multiple linear regression equation of factors effected vitality. Educational background, exercise habits, married, drinking enter into the multiple linear regression equation of factors effected social functioning. Gender, mental work, sleep late and wake up early, married, drinking, qi-stagnation constitution entered into multiple linear regression equation of factors effected role-emotional. Gender, mental work, sleep late and wake up early, married, drinking, qi-stagnation constitution, blood-stasis constitution entered into multiple linear regression equation of factors effected mental health.
3.Comparison of the clinical therapeutic effect:there are significant difference in the therapeutic effect of TCM symptoms between control group and testing group, and the clinical efficacy of testing group is better than that of control group (P<0.01).
4.Score changes of measuring scale:The scores of TCM symptoms are significantly decreased after the intervention in the two groups (P<0.01), the scores of TCM symptoms of sub-health population in the testing group are better improved than those in the control group,and have statistical significances (P<0.01). Every score of TCM symptom is significantly different before and after the intervention in the testing group (P<0.01); after the intervention, the difference of the symptom score in the testing group has statistical significance compared with the control group(P<0.05), the scores of easy weary and other11symptoms have significant differences (P<0.01). After the intervention, compared with the control group, the difference of the scores of6sleep factors and the total score in the testing group is statistically significant (P<0.05), which, the score of daytime function and total scores have significant difference (P<0.01). the score of FS-14decrease more significantly in the testing group than that before intervention (P<0.01); the difference of the score of FS-14between the two groups is statistically significant after the intervention (P<0.05). The score of each dimension has statistical significance before and after the intervention in the testing group(P<0.05), which is significantly different in physiological functioning, role-physical, bodily pain, general health, vitality, social functioning (P<0.01); after the intervention, compared with the control group, the difference of the score of each dimension in the testing group is statistically significant (P<0.05), which, the scores of physiological functioning and role-physical have significant difference (P<0.01).
5.Numerical digit channel system detection:compared with the control group, the abnormal rate of meridian nergy index, metabolism index, mental state index, bones and muscles-qi and blood index, autonomic nerve index in the sub-health population has significantly reduced in the testing group (P<0.05), but the difference of the abnormal rate of thyroid index has no statistical significance.
Conelusion
1.The score of each dimension of quality life in sub-health population is different under the different kinds of the same factor.
2. There are different in the factor categories which are the major influences on the different dimensions of quality life in sub-health population.
3. The clinical curative effect of preventive acupuncture and moxibustion back-shu points plus health education group is significantly better than the simple health education group.And preventive acupuncture and moxibustion back-Shu points can better improve the scores of TCM syndromes, TCM syndromes, sleep quality, fatigue symptom, quality life in sub-health population, also it can better degrade the abnormal rate of meridian nergy index, metabolism index, mental state index, bones and muscles-qi and blood index, autonomic nerve index in the sub-health population. It is worthy of clinical application.
引文
[1]赵瑞芹,宋振峰.亚健康问题的研究进展[J].国外医学·社会医学分册,2002,19(1)：10—13.
[2]王育学.亚健康状态[M].南昌：江西科学技术出版社,2002：18.
[3]马宁,刘民.亚健康状态的流行病学研究进展[J].中国预防医学杂志,2012,13(7)：556-559.
[4]武留信,张雁歌,黄靖.亚健康的现代概念与干预策略[C].世界中医药学会联合会亚健康专业委员会首届世界亚健康学术大会.北京.中国.2006.
[5]WHO.世界卫生组织亚健康调查结果[EM/BL]. http://blog. sina. com. cn/s/blog_629ded730100ub8t. Html.20110523.20110616.
[6]ROWE K. Natural history and functional outcomes of 200 young people with chronic fatigue syndrome[J].J Paediatr Child Health,2002,38 (5):A15.
[7]李万林,黄靖宇.亚健康状态中医学干预研究进展[J].辽宁中医药大学学报,2011,13(6)：254.
[8]黄彦,黄袆,张太君,等.亚健康状态人群的中医辨识及影响因素[J].中国中医急症,2012,21 (2)： 178-179.
[9]孙晓敏,黄少慧.600例香港人群亚健康状态的流行病学调查[J].热带医学杂志,2012,12(1)：83-86.
[10]陈瑞玲,王蕾,刘玉霞,等.沧州市高校教师亚健康现状调查与分析[J].实用预防医学,2012,19(3)：341-343.
[11]杨素娟,郭逸星,梅彩玲,等.三所综合医院护士亚健康状态调查分析[J].赣南医学院学报,2012,32(2)：276-277.
[12]万生芳.甘肃省高校教师亚健康人群中医体质类型调查与分析[J].甘肃中医学院学报,2012,29(3)：52-55.
[13]张小荣,康楠,张谦.甘肃省公务员亚健康状态中医症候分型调查[J].卫生职业教育,2011,29(4)：103-104.
[14]袁萍,唐亚丽,于雪芳.江门市居民亚健康状况及其影响因素分析[J].中国公共卫生,2012,28(6)：844-847.
[15]闫力,刘兴山,姜杰,等.应用Delphi法评价女性亚健康状况的研究[J].中国妇幼保健,2011,26(13)：1941-1942.
[16]武留信.亚健康的概念急待澄清[N].人民日报,2005-05-19(15).
[17]殷淑珍.亚健康与QT离散度[J].中国全科医学杂志,1999,2(3)：227-228.
[18]董玉整.亚健康及其产生的三个主要原因[J].中华流行病学杂志,2003,24(9)：758.
[19]孙涛,王天芳,武留信.亚健康学[M].中国中医药出版社,北京,2007,6.
[20]BALLARDKA. The impact of the environment on health[J]. Nurs Adm Q,2010,34 (4):346.
[21]SHARPEM. Chronic fatigue syndrome:neurological, mental or both[J].J Psychosom Res, 2011,70 (6):498.
[22]ROTHENBERGER A. Environment for the better, environment for the worse-new evidence to inform players in public mental health[J].Eur Child Adolesc Psychiatry,2010,19 (7):547.
[23]袁萌,王宁,袁冬莹,等.不同婚姻状况对健康状态的影响研究[J].中华中医药学刊,2001,29(7)：]535-1537.
[24]林少炜,吴思英,李煌元,等.临床医生亚健康状态高阶因子模型分析[J].中国公共卫生,2012,28(1)：83-84.
[25]蒋德勤,姚荣英,袁长江,等.大学生亚健康状态和健康危险行为的相关性[J].南方医科大学学报,2011,31(1)：61-64.
[26]蔡旭玲,张冠群,苏宁,等.亚健康现状及相关因素研究[J].中国初级卫生保健,2004,18(5)：35—36.
[27]邹玉峰,张良,王成进,等.大学生亚健康与社会支持的关系研究[J].中国全科医学,2012,15(2)：430-433.
[28]朱嵘.《亚健康中医临床指南》解读[J],中国中医药现代远程教育,2009,7(2)：Ⅴ-Ⅵ.
[29]季新强,刘志民Delphi法及其在医学研究和决策中的应用[J].中国药物依赖性杂志,2006,15(6)：422-426.
[30]陈青山,王声湧,荆春霞,等.应用Delphi法评价亚健康的诊断标准[J].中国公共卫生,2003,19(12)：1467-1468.
[31]沈佩莉,徐勇.亚健康筛选方法与标准探讨[J].职业与健康,2009,25(19)：2072-2074.
[32]马宁,刘民.应用改良Delphi法建立亚健康状态评价指标体系[J].中华疾病控制杂志,2013,17(1)：77-81.
[33]邹杰,石鹤峰,蔡永敏,等.亚健康评价及治疗研究进展[J].中医研究,2009,22(2)：62-64.
[34]马海鹰,雷呈祥.亚健康的定义、分类及其鉴别[J].解放军预防医学杂志,2012,30(2)：143-146.
[35]赵晖,陈家旭,熊卫红,等.亚健康状态中医证候调查问卷的研制[J].北京中医药大学学报,2011,34(1)：38-41.
[36]赵晖,陈家旭,熊卫红,等.“亚健康状态中医证候调查问卷”的信度和效度评价[J].中华中医药杂志,2011,26(1)：61-65.
[37]许军,冯丽仪,罗仁,等.亚健康评定量表的信度效度研究[J].南方医科大学学报,2011,31(1)：33-38.
[38]许军.心理评定量表手册[M].郑州：郑州大学出版社,2011：455-465.
[39]李秀英,陆艳,张跃华,等.亚健康评定量表评价广州白云区护理人员亚健康状况的信效度研究[J].护理学报,2012,19(6A)：8-12.
[40]王正惠,李继铭，刘云昆.超高倍显微仪(MDI)健康评估在部队亚健康防治中的重要作用[J].中国疗养医学,2011,20(1)：74-75.
[41]赵瑞芹,宋振峰.亚健康问题的研究进展[J].国外医学·社会医学分册,2002,19(1)：10-13.
[42]赵宇,陈宇飞,张燕,等.超高倍显微分析仪在人体亚健康状况评估中的应用[J].内蒙古科技与经济,2012,252(2)：99-100.
[43]丛雪,李成红,何维,等.LBPs及MIC分子在亚健康状态诊断及评价中的作用[J].基础医学与临床,2012,32(5)：516-519.
[44]许家佗,屠立平,张利,等.基于图像处理的大学生亚健康状态面色特征分析[J].中华中医药杂志,2012,27(3)：567-571.
[45]郭继鸿,张海澄.动态心电图最新进展[M].北京：北京大学医学出版社,2005：86-92.
[46]别怀玺,刘小娟,李笑,等.亚健康人群心率变异性特点的研究[J].中国健康心理学杂志,2011,19(7)：796-798.
[47]Gunn W J, Connell DB, Randal] B, etal. Epidemiology of chronic fatigue syndrome: the Centers for Disease[J]. Control Study Ciba Found Symp,1993,173:83-93.
[48]姚俊.中西医结合治疗代谢综合征的临床疗效[J].中国医药导报,2013,1O(1)：85-87.
[49]蔡菁菁,黄志军,袁洪.亚健康诊断、评估、防治进展[J].实用预防医学,2007,14(2)：590-593.
[50]张金华,许军,黄季萌,等.亚健康测量的定量化研究[J].广东医学,2009,30(11)：1746-1748.
[51]马作峰,张六通,姜瑞雪,等.亚健康状态与中医学肝脏关系的分析[J].新中医,2008,40(2) ：4.
[52]马作峰,张六通,姜瑞雪,等.论疲劳源于肝脏[J].广西中医药,2008,31(1)：31.
[53]崔晓峰.肝郁与亚健康状态的关系[J].吉林中医药,2012,32(3)：226-227.
[54]黄美,陈列红,吴文忠,等.不同中医膏方治疗亚健康人群的临床疗效分析[J].护理实践与研究,2012,9(18)：145-146.
[55]刘保延,何丽云,谢雁鸣,等.北京地区亚健康人群中医基本证候特征的流行病学研究[J].北京中医药大学学报,2007,30(2)：130-134.
[56]王红玉.亚健康状态378例40项症状分析述评[J].中医药学刊,2004,22(4)：624-625.
[57]刘静,年莉,于春泉.亚健康人群常见症状及证型的文献评价研究[J].天津中医药大学学报,2011,30(1)：11-13.
[58]黄雅男,丁永芳,罗宇慧,等.辨体施膳益气方对免疫功能失调疲劳小鼠免疫力的影响[J].现代预防医学,2012,39(1)：104-106.
[59]马作峰,姜瑞雪,张六通,等.补肝方对亚健康大鼠模型下丘脑单胺类神经递质含量及海马脑区谷氨酸受体基因表达的影响[J].中国实验方剂学杂志,2011,17(15)：221-224.
[60]马作峰,姜瑞雪,张六通,等.复合刺激对亚健康大鼠模型耐疲劳能力及血清SOD、MDA的影响[J].云南中医中药杂志,2011,32(8)：54-55.
[61]刘瑶,刘伟.藿香正气散对湿困脾胃型亚健康大鼠胃肠功能的影响[J].江苏中医药,2011,43(6)：89-90.
[62]刘瑶,刘伟.藿香正气散对湿困脾胃型亚健康动物免疫及代谢功能的影响[J].时珍国医国药,2011,22(5)：1190-1192.
[63]严美花,谭为,刘艳艳,等.石菖蒲防治小鼠疲劳型亚健康的实验研究[J].中药材,2012,35(6)：970-973.
[64]李玉萍,孙晓敏,靳文.维康颗粒对疲劳型亚健康大鼠血浆蛋白谱的影响[J].山东医药,2012,52(24)： 32-34.
[65]徐孝平,潘永明,刘瑞敏,等.亚健康状态大鼠的神经-免疫-内分泌机制的研究[J].中国比较医学杂志,2012，22(8)：33—39.
[66]崔海珍,陈家旭.亚健康肝郁证尿液代谢组学研究[J].山东中医杂志,2011,30(8)：537—539.
[67]王琦.中国体质学[M].北京：人民卫生出版社,2008：2.
[68]邓卫,谭晓军,邱玉明,等.公务员亚健康中医体质特征分析[J].广东医学,2012,33(1)：32-34.
[69]杨志敏,黄鹂,杨小波,等.亚健康人群的中医体质特点分析[J].广州中医药大学学报,2009,26(6)：589-592.
[70]黄彦,黄袆,张太君,等.亚健康状态人群的中医辨识及影响因素[J].中国中医急症,2012,21(2)： 1 78—179.
[71]徐学功.10440例亚健康人群中医体质分型调查分析[J].光明中医,2010,23(3)：54.
[72]欧爱华,麦润汝,原嘉民,等.亚健康状态分型与中医体质类型相关性的对应分析[J].广东医学,2012,33(1)：11—14.
[73]王世勋.《黄帝内经》中的亚健康思想[J].中华中医药学刊,2007,25(7)：1443-1444.
[74]赵歆,陈家旭,王利敏,等.亚健康状态常用评估方法[J].中华中医药学刊,2011,29(4)：707-709.
[75]王天芳,薛晓琳,张雅静,等.“消疲怡神”配方颗粒干预肝郁脾虚型疲劳性亚健康状态的前瞻性随机双盲安慰剂对照试验[J].中西医结合学报,2011,9(5)：519-524.
[76]刘端勇,赵海梅.从滋阴入手,以二至丸调治亚健康的理论解析[J].时珍国医国药,2012,23(1)：217-219.
[77]李月红,马玲,高昌杰.二陈汤加减治疗亚健康状态77例临床观察[J].新疆医科大学学报,2012,35(8)：1059-1061.
[78]马卫,张沁园,王晓红.桂枝四逆散治疗亚健康人群426例临床观察及90项症状清单测评结果分析[J].实用中西医结合临床,2012,12(1)：60-62.
[79]雷晓荥,柴乐易.补益肝肾法治疗中老年亚健康状态47例[J].四川中医,2010,28(12)：74-75.
[80]陈列红,黄美,邵铭,等.中医膏方治疗亚健康状态的临床疗效及组方特点研究[J].江苏中医 药,2011,43(9)：29—31.
[81]王继红,刘佳霭,黄麟.灵龟八法推拿调治亚健康躯体症状的临床研究[J].中华中医药学刊,2012,30(8)：1785—1787.
[82]宋鸿权,魏晖,徐勇刚,等.经络点穴推拿对人类亚健康状态的临床研究[J].浙江中医药大学学报,2011,35(2)：261-262.
[83]黄麟,王继红,刘佳霭.灵龟八法推拿对亚健康人群IgA卧及血液流变的影响[J].新中医,2012,44(1)：91-92.
[84]徐侥,蓝岚,李川,等.循膀胱经弹拨法干预亚健康状态方案的优化研究.华西医学,2011,26(4)：485-489.
[85]王雪峰,王丽.电针配合中药治疗亚健康状态50例[J].上海针灸杂志,2012,31(8)：599-600.
[86]何静.刮痧、艾灸配合丹栀逍遥丸治疗亚健康临床观察[J].亚太传统医药,2012,8(1)：78—79.
[87]于竹力.温针灸配合耳压治疗大学生亚健康临床观察[J].针灸临床杂志,2011,27(1)：43—44.
[88]袁曙光,邢潇,陈春彦,等.五行保健养生功结合针刺疗法调治亚健康临床观察[J].辽宁中医杂志,2012,39(7)：1379-1380.
[89]王春如,王小宁,方志军,等.辨体施膳对亚健康疲劳状态干预的临床与安全性研究分析[J].中国医药指南,2012,10(2)：217—219.
[90]蒋石益,罗霞,陈睿,等.耳穴保健操对亚健康躯体症状的疗效观察[J].上海医药,2012,33(14)： 43—45.
[91]廖艳,林殷,张聪,等.习练八段锦对疲劳性亚健康人群生活质量改善作用的队列研究[J].北京中医药大学学报,2011,34(3)：209—212.
[92]代金刚,张聪,廖艳,等.习练八段锦对疲劳性亚健康者基本体质体能改善作用的队列研究[J].中国中医基础医学杂志,2011,17(2)：186-188.
[93]罗永芬,吴俊梅.针灸学基础[M].成都：四川大学出版社,2007.54.
[94]苑家敏,钟兰.背俞穴概述[J].实用中医药杂志,2012,28(3)：236—237.
[95]金末淑,陈思宇,徐杉,等.背俞穴研究进展[J].中国中医药信息杂志,2009,16(5)：106—109.
[96]陈兴华,杨海涛,唐纯志,等.艾灸五脏背俞穴对慢性疲劳模型大鼠海马神经元形态结构的影响[J].辽宁中医杂志,2009,36(5)：822—824.
[97]陈兴华,杨海涛,唐纯志,等.艾灸五脏背俞穴对慢性疲劳模型大鼠行为学的影响[J].四川中医,2009,27(8)：16-18.
[98]杨序宏,黄慧.背部走罐对亚健康疲劳状态患者60例疗效观察[J].内蒙古中医药,2 O12,3：33-34.
[99]晋松,苗润青,梁繁荣.背俞穴杵针疗法调治亚健康状态30例临床体会[J].四川中医,2010,28(11)：116-117.
[100]刘晓琴.背俞穴为主埋线调治亚健康临床观察[J].上海针灸杂志,2008,27(10)：30-31.
[101]王曼苏,岳延荣,李建强.温针背俞穴加耳穴法治疗亚健康失眠状态疗效观察[J].新中医, 2011,43(10)：98-99.
[102]王洪彬,李晓泓,宋晓琳,等.“逆针灸”溯源[J].中华中医药学刊,2009,27(6)：1205-1206.
[103]莫捷,李晓泓,郑玲,等.逆针灸关元穴对自然更年期大鼠子宫雌激素受体。和热休克蛋白70表达的影响[J].中医杂志,2010,51(8)：711-712.
[104]李晓泓,王洪彬,莫捷,等.逆针灸关元穴对自然更年期大鼠下丘脑及腹部脂肪胰岛素受体表达的影响[J].中华中医药杂志,2011,26(10)：2354-2356.
[105]莫捷,李晓泓,何玉伟,等.逆针灸关元穴对12月龄自然更年期大鼠[J].天津中医药,2010,27(5)：383—385.
[106]李虹霖,孙远征.头穴透刺对运动性疲劳影响的临床研究[J].针灸临床杂志,201O,26(4)：16-18.
[107]黄秀容.逆针灸预防运动员关节损伤应用研究.硕士论文.中国优秀硕士学位论文全文数据库,广州中医药大学,2010.
[108]张敏,李之光,孙宝良.超重、肥胖与代谢综合征的探讨[J].新疆医学,2006,36(3)：93-94.
[109]孙振球.医学统计学[M].北京：人民卫生出版社,2002：253.
[110]黄鹂,原嘉民,欧爱华,等.亚健康状态的中医特征聚类研究[J].广东医学,2012,33(1)：25-28.
[111]陈秀华,王聪,林燕钊.经络热度感测和背俞穴针刺调养技术对60例慢性疲劳综合征的干预作用[J].辽宁中医杂志,2008,36(8)：1226—1228.
[112]黄鹂,原嘉民,欧爱华,等.亚健康状态的中医特征聚类研究[J].广东医学,2012,33(1)：25-28.
[113]陈以国.背俞穴的椎体间力学相关性研究[J].北京生物医学工程,2004,23(2)：122,
[114]王燕平,秦立新,刘亚亚.从三焦俞的定位认识三焦的部位与功能[C].2011中国针灸学会年会论文集,中国,2011,17-22.
[115]国兰琴,陈汉平,吴焕淦,等.肾俞穴延缓衰老的应用与研究[J].辽宁中医杂志,2007,34(6)：732—734.
[116]Gandek B, Ware J E Jr. Methods for Validating and Norming Translations of Health Status Questionnaires:the IQOLA Project Approach. International Quality of Life Assessment[J]. J Clin Epidemiol,1998,51(11):953-959.
[117]李春波,何燕玲.健康状况调查问卷SF-36的介绍[J].国外医学精神病学分册,2002,29(2)：116-119.
[118]Guillemin F, Bombardier C, Beaton D. Cross-culture adaptation of health-related quality of life measures:literature review and proposed guidelines [J]. J Clin Epidemiol, 1993,46(12):1417-1432.
[119]Gandek B, Ware JE Jr. Methods for validating and norming translations of health status questionnaires:the IQOLA Project approach [J].J Clin Epidemiol,1998,51(11): 953-959.
[2]王育学.亚健康状态[M].南昌：江西科学技术出版社,2002：18.
[3]马宁,刘民.亚健康状态的流行病学研究进展[J].中国预防医学杂志,2012,13(7)：556-559.
[4]武留信,张雁歌,黄靖.亚健康的现代概念与干预策略[C].世界中医药学会联合会亚健康专业委员会首届世界亚健康学术大会.北京.中国.2006.
[5]WHO.世界卫生组织亚健康调查结果[EM/BL]. http://blog. sina. com. cn/s/blog_629ded730100ub8t. Html.20110523.20110616.
[6]ROWE K. Natural history and functional outcomes of 200 young people with chronic fatigue syndrome[J].J Paediatr Child Health,2002,38 (5):A15.
[7]李万林,黄靖宇.亚健康状态中医学干预研究进展[J].辽宁中医药大学学报,2011,13(6)：254.
[8]黄彦,黄袆,张太君,等.亚健康状态人群的中医辨识及影响因素[J].中国中医急症,2012,21 (2)： 178-179.
[9]孙晓敏,黄少慧.600例香港人群亚健康状态的流行病学调查[J].热带医学杂志,2012,12(1)：83-86.
[10]陈瑞玲,王蕾,刘玉霞,等.沧州市高校教师亚健康现状调查与分析[J].实用预防医学,2012,19(3)：341-343.
[11]杨素娟,郭逸星,梅彩玲,等.三所综合医院护士亚健康状态调查分析[J].赣南医学院学报,2012,32(2)：276-277.
[12]万生芳.甘肃省高校教师亚健康人群中医体质类型调查与分析[J].甘肃中医学院学报,2012,29(3)：52-55.
[13]张小荣,康楠,张谦.甘肃省公务员亚健康状态中医症候分型调查[J].卫生职业教育,2011,29(4)：103-104.
[14]袁萍,唐亚丽,于雪芳.江门市居民亚健康状况及其影响因素分析[J].中国公共卫生,2012,28(6)：844-847.
[15]闫力,刘兴山,姜杰,等.应用Delphi法评价女性亚健康状况的研究[J].中国妇幼保健,2011,26(13)：1941-1942.
[16]武留信.亚健康的概念急待澄清[N].人民日报,2005-05-19(15).
[17]殷淑珍.亚健康与QT离散度[J].中国全科医学杂志,1999,2(3)：227-228.
[18]董玉整.亚健康及其产生的三个主要原因[J].中华流行病学杂志,2003,24(9)：758.
[19]孙涛,王天芳,武留信.亚健康学[M].中国中医药出版社,北京,2007,6.
[20]BALLARDKA. The impact of the environment on health[J]. Nurs Adm Q,2010,34 (4):346.
[21]SHARPEM. Chronic fatigue syndrome:neurological, mental or both[J].J Psychosom Res, 2011,70 (6):498.
[22]ROTHENBERGER A. Environment for the better, environment for the worse-new evidence to inform players in public mental health[J].Eur Child Adolesc Psychiatry,2010,19 (7):547.
[23]袁萌,王宁,袁冬莹,等.不同婚姻状况对健康状态的影响研究[J].中华中医药学刊,2001,29(7)：]535-1537.
[24]林少炜,吴思英,李煌元,等.临床医生亚健康状态高阶因子模型分析[J].中国公共卫生,2012,28(1)：83-84.
[25]蒋德勤,姚荣英,袁长江,等.大学生亚健康状态和健康危险行为的相关性[J].南方医科大学学报,2011,31(1)：61-64.
[26]蔡旭玲,张冠群,苏宁,等.亚健康现状及相关因素研究[J].中国初级卫生保健,2004,18(5)：35—36.
[27]邹玉峰,张良,王成进,等.大学生亚健康与社会支持的关系研究[J].中国全科医学,2012,15(2)：430-433.
[28]朱嵘.《亚健康中医临床指南》解读[J],中国中医药现代远程教育,2009,7(2)：Ⅴ-Ⅵ.
[29]季新强,刘志民Delphi法及其在医学研究和决策中的应用[J].中国药物依赖性杂志,2006,15(6)：422-426.
[30]陈青山,王声湧,荆春霞,等.应用Delphi法评价亚健康的诊断标准[J].中国公共卫生,2003,19(12)：1467-1468.
[31]沈佩莉,徐勇.亚健康筛选方法与标准探讨[J].职业与健康,2009,25(19)：2072-2074.
[32]马宁,刘民.应用改良Delphi法建立亚健康状态评价指标体系[J].中华疾病控制杂志,2013,17(1)：77-81.
[33]邹杰,石鹤峰,蔡永敏,等.亚健康评价及治疗研究进展[J].中医研究,2009,22(2)：62-64.
[34]马海鹰,雷呈祥.亚健康的定义、分类及其鉴别[J].解放军预防医学杂志,2012,30(2)：143-146.
[35]赵晖,陈家旭,熊卫红,等.亚健康状态中医证候调查问卷的研制[J].北京中医药大学学报,2011,34(1)：38-41.
[36]赵晖,陈家旭,熊卫红,等.“亚健康状态中医证候调查问卷”的信度和效度评价[J].中华中医药杂志,2011,26(1)：61-65.
[37]许军,冯丽仪,罗仁,等.亚健康评定量表的信度效度研究[J].南方医科大学学报,2011,31(1)：33-38.
[38]许军.心理评定量表手册[M].郑州：郑州大学出版社,2011：455-465.
[39]李秀英,陆艳,张跃华,等.亚健康评定量表评价广州白云区护理人员亚健康状况的信效度研究[J].护理学报,2012,19(6A)：8-12.
[40]王正惠,李继铭，刘云昆.超高倍显微仪(MDI)健康评估在部队亚健康防治中的重要作用[J].中国疗养医学,2011,20(1)：74-75.
[41]赵瑞芹,宋振峰.亚健康问题的研究进展[J].国外医学·社会医学分册,2002,19(1)：10-13.
[42]赵宇,陈宇飞,张燕,等.超高倍显微分析仪在人体亚健康状况评估中的应用[J].内蒙古科技与经济,2012,252(2)：99-100.
[43]丛雪,李成红,何维,等.LBPs及MIC分子在亚健康状态诊断及评价中的作用[J].基础医学与临床,2012,32(5)：516-519.
[44]许家佗,屠立平,张利,等.基于图像处理的大学生亚健康状态面色特征分析[J].中华中医药杂志,2012,27(3)：567-571.
[45]郭继鸿,张海澄.动态心电图最新进展[M].北京：北京大学医学出版社,2005：86-92.
[46]别怀玺,刘小娟,李笑,等.亚健康人群心率变异性特点的研究[J].中国健康心理学杂志,2011,19(7)：796-798.
[47]Gunn W J, Connell DB, Randal] B, etal. Epidemiology of chronic fatigue syndrome: the Centers for Disease[J]. Control Study Ciba Found Symp,1993,173:83-93.
[48]姚俊.中西医结合治疗代谢综合征的临床疗效[J].中国医药导报,2013,1O(1)：85-87.
[49]蔡菁菁,黄志军,袁洪.亚健康诊断、评估、防治进展[J].实用预防医学,2007,14(2)：590-593.
[50]张金华,许军,黄季萌,等.亚健康测量的定量化研究[J].广东医学,2009,30(11)：1746-1748.
[51]马作峰,张六通,姜瑞雪,等.亚健康状态与中医学肝脏关系的分析[J].新中医,2008,40(2) ：4.
[52]马作峰,张六通,姜瑞雪,等.论疲劳源于肝脏[J].广西中医药,2008,31(1)：31.
[53]崔晓峰.肝郁与亚健康状态的关系[J].吉林中医药,2012,32(3)：226-227.
[54]黄美,陈列红,吴文忠,等.不同中医膏方治疗亚健康人群的临床疗效分析[J].护理实践与研究,2012,9(18)：145-146.
[55]刘保延,何丽云,谢雁鸣,等.北京地区亚健康人群中医基本证候特征的流行病学研究[J].北京中医药大学学报,2007,30(2)：130-134.
[56]王红玉.亚健康状态378例40项症状分析述评[J].中医药学刊,2004,22(4)：624-625.
[57]刘静,年莉,于春泉.亚健康人群常见症状及证型的文献评价研究[J].天津中医药大学学报,2011,30(1)：11-13.
[58]黄雅男,丁永芳,罗宇慧,等.辨体施膳益气方对免疫功能失调疲劳小鼠免疫力的影响[J].现代预防医学,2012,39(1)：104-106.
[59]马作峰,姜瑞雪,张六通,等.补肝方对亚健康大鼠模型下丘脑单胺类神经递质含量及海马脑区谷氨酸受体基因表达的影响[J].中国实验方剂学杂志,2011,17(15)：221-224.
[60]马作峰,姜瑞雪,张六通,等.复合刺激对亚健康大鼠模型耐疲劳能力及血清SOD、MDA的影响[J].云南中医中药杂志,2011,32(8)：54-55.
[61]刘瑶,刘伟.藿香正气散对湿困脾胃型亚健康大鼠胃肠功能的影响[J].江苏中医药,2011,43(6)：89-90.
[62]刘瑶,刘伟.藿香正气散对湿困脾胃型亚健康动物免疫及代谢功能的影响[J].时珍国医国药,2011,22(5)：1190-1192.
[63]严美花,谭为,刘艳艳,等.石菖蒲防治小鼠疲劳型亚健康的实验研究[J].中药材,2012,35(6)：970-973.
[64]李玉萍,孙晓敏,靳文.维康颗粒对疲劳型亚健康大鼠血浆蛋白谱的影响[J].山东医药,2012,52(24)： 32-34.
[65]徐孝平,潘永明,刘瑞敏,等.亚健康状态大鼠的神经-免疫-内分泌机制的研究[J].中国比较医学杂志,2012，22(8)：33—39.
[66]崔海珍,陈家旭.亚健康肝郁证尿液代谢组学研究[J].山东中医杂志,2011,30(8)：537—539.
[67]王琦.中国体质学[M].北京：人民卫生出版社,2008：2.
[68]邓卫,谭晓军,邱玉明,等.公务员亚健康中医体质特征分析[J].广东医学,2012,33(1)：32-34.
[69]杨志敏,黄鹂,杨小波,等.亚健康人群的中医体质特点分析[J].广州中医药大学学报,2009,26(6)：589-592.
[70]黄彦,黄袆,张太君,等.亚健康状态人群的中医辨识及影响因素[J].中国中医急症,2012,21(2)： 1 78—179.
[71]徐学功.10440例亚健康人群中医体质分型调查分析[J].光明中医,2010,23(3)：54.
[72]欧爱华,麦润汝,原嘉民,等.亚健康状态分型与中医体质类型相关性的对应分析[J].广东医学,2012,33(1)：11—14.
[73]王世勋.《黄帝内经》中的亚健康思想[J].中华中医药学刊,2007,25(7)：1443-1444.
[74]赵歆,陈家旭,王利敏,等.亚健康状态常用评估方法[J].中华中医药学刊,2011,29(4)：707-709.
[75]王天芳,薛晓琳,张雅静,等.“消疲怡神”配方颗粒干预肝郁脾虚型疲劳性亚健康状态的前瞻性随机双盲安慰剂对照试验[J].中西医结合学报,2011,9(5)：519-524.
[76]刘端勇,赵海梅.从滋阴入手,以二至丸调治亚健康的理论解析[J].时珍国医国药,2012,23(1)：217-219.
[77]李月红,马玲,高昌杰.二陈汤加减治疗亚健康状态77例临床观察[J].新疆医科大学学报,2012,35(8)：1059-1061.
[78]马卫,张沁园,王晓红.桂枝四逆散治疗亚健康人群426例临床观察及90项症状清单测评结果分析[J].实用中西医结合临床,2012,12(1)：60-62.
[79]雷晓荥,柴乐易.补益肝肾法治疗中老年亚健康状态47例[J].四川中医,2010,28(12)：74-75.
[80]陈列红,黄美,邵铭,等.中医膏方治疗亚健康状态的临床疗效及组方特点研究[J].江苏中医 药,2011,43(9)：29—31.
[81]王继红,刘佳霭,黄麟.灵龟八法推拿调治亚健康躯体症状的临床研究[J].中华中医药学刊,2012,30(8)：1785—1787.
[82]宋鸿权,魏晖,徐勇刚,等.经络点穴推拿对人类亚健康状态的临床研究[J].浙江中医药大学学报,2011,35(2)：261-262.
[83]黄麟,王继红,刘佳霭.灵龟八法推拿对亚健康人群IgA卧及血液流变的影响[J].新中医,2012,44(1)：91-92.
[84]徐侥,蓝岚,李川,等.循膀胱经弹拨法干预亚健康状态方案的优化研究.华西医学,2011,26(4)：485-489.
[85]王雪峰,王丽.电针配合中药治疗亚健康状态50例[J].上海针灸杂志,2012,31(8)：599-600.
[86]何静.刮痧、艾灸配合丹栀逍遥丸治疗亚健康临床观察[J].亚太传统医药,2012,8(1)：78—79.
[87]于竹力.温针灸配合耳压治疗大学生亚健康临床观察[J].针灸临床杂志,2011,27(1)：43—44.
[88]袁曙光,邢潇,陈春彦,等.五行保健养生功结合针刺疗法调治亚健康临床观察[J].辽宁中医杂志,2012,39(7)：1379-1380.
[89]王春如,王小宁,方志军,等.辨体施膳对亚健康疲劳状态干预的临床与安全性研究分析[J].中国医药指南,2012,10(2)：217—219.
[90]蒋石益,罗霞,陈睿,等.耳穴保健操对亚健康躯体症状的疗效观察[J].上海医药,2012,33(14)： 43—45.
[91]廖艳,林殷,张聪,等.习练八段锦对疲劳性亚健康人群生活质量改善作用的队列研究[J].北京中医药大学学报,2011,34(3)：209—212.
[92]代金刚,张聪,廖艳,等.习练八段锦对疲劳性亚健康者基本体质体能改善作用的队列研究[J].中国中医基础医学杂志,2011,17(2)：186-188.
[93]罗永芬,吴俊梅.针灸学基础[M].成都：四川大学出版社,2007.54.
[94]苑家敏,钟兰.背俞穴概述[J].实用中医药杂志,2012,28(3)：236—237.
[95]金末淑,陈思宇,徐杉,等.背俞穴研究进展[J].中国中医药信息杂志,2009,16(5)：106—109.
[96]陈兴华,杨海涛,唐纯志,等.艾灸五脏背俞穴对慢性疲劳模型大鼠海马神经元形态结构的影响[J].辽宁中医杂志,2009,36(5)：822—824.
[97]陈兴华,杨海涛,唐纯志,等.艾灸五脏背俞穴对慢性疲劳模型大鼠行为学的影响[J].四川中医,2009,27(8)：16-18.
[98]杨序宏,黄慧.背部走罐对亚健康疲劳状态患者60例疗效观察[J].内蒙古中医药,2 O12,3：33-34.
[99]晋松,苗润青,梁繁荣.背俞穴杵针疗法调治亚健康状态30例临床体会[J].四川中医,2010,28(11)：116-117.
[100]刘晓琴.背俞穴为主埋线调治亚健康临床观察[J].上海针灸杂志,2008,27(10)：30-31.
[101]王曼苏,岳延荣,李建强.温针背俞穴加耳穴法治疗亚健康失眠状态疗效观察[J].新中医, 2011,43(10)：98-99.
[102]王洪彬,李晓泓,宋晓琳,等.“逆针灸”溯源[J].中华中医药学刊,2009,27(6)：1205-1206.
[103]莫捷,李晓泓,郑玲,等.逆针灸关元穴对自然更年期大鼠子宫雌激素受体。和热休克蛋白70表达的影响[J].中医杂志,2010,51(8)：711-712.
[104]李晓泓,王洪彬,莫捷,等.逆针灸关元穴对自然更年期大鼠下丘脑及腹部脂肪胰岛素受体表达的影响[J].中华中医药杂志,2011,26(10)：2354-2356.
[105]莫捷,李晓泓,何玉伟,等.逆针灸关元穴对12月龄自然更年期大鼠[J].天津中医药,2010,27(5)：383—385.
[106]李虹霖,孙远征.头穴透刺对运动性疲劳影响的临床研究[J].针灸临床杂志,201O,26(4)：16-18.
[107]黄秀容.逆针灸预防运动员关节损伤应用研究.硕士论文.中国优秀硕士学位论文全文数据库,广州中医药大学,2010.
[108]张敏,李之光,孙宝良.超重、肥胖与代谢综合征的探讨[J].新疆医学,2006,36(3)：93-94.
[109]孙振球.医学统计学[M].北京：人民卫生出版社,2002：253.
[110]黄鹂,原嘉民,欧爱华,等.亚健康状态的中医特征聚类研究[J].广东医学,2012,33(1)：25-28.
[111]陈秀华,王聪,林燕钊.经络热度感测和背俞穴针刺调养技术对60例慢性疲劳综合征的干预作用[J].辽宁中医杂志,2008,36(8)：1226—1228.
[112]黄鹂,原嘉民,欧爱华,等.亚健康状态的中医特征聚类研究[J].广东医学,2012,33(1)：25-28.
[113]陈以国.背俞穴的椎体间力学相关性研究[J].北京生物医学工程,2004,23(2)：122,
[114]王燕平,秦立新,刘亚亚.从三焦俞的定位认识三焦的部位与功能[C].2011中国针灸学会年会论文集,中国,2011,17-22.
[115]国兰琴,陈汉平,吴焕淦,等.肾俞穴延缓衰老的应用与研究[J].辽宁中医杂志,2007,34(6)：732—734.
[116]Gandek B, Ware J E Jr. Methods for Validating and Norming Translations of Health Status Questionnaires:the IQOLA Project Approach. International Quality of Life Assessment[J]. J Clin Epidemiol,1998,51(11):953-959.
[117]李春波,何燕玲.健康状况调查问卷SF-36的介绍[J].国外医学精神病学分册,2002,29(2)：116-119.
[118]Guillemin F, Bombardier C, Beaton D. Cross-culture adaptation of health-related quality of life measures:literature review and proposed guidelines [J]. J Clin Epidemiol, 1993,46(12):1417-1432.
[119]Gandek B, Ware JE Jr. Methods for validating and norming translations of health status questionnaires:the IQOLA Project approach [J].J Clin Epidemiol,1998,51(11): 953-959.