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2823 Cases Of Healthy Check-up Crowd Of Fatigue Situation And Its Correlation With Physical Indicators

Posted on:2014-01-19Degree:DoctorType:Dissertation
Country:ChinaCandidate:G R LiFull Text:PDF
GTID:1224330398953247Subject:Diagnostics of Chinese Medicine
Abstract/Summary:PDF Full Text Request
As a symptom of subjective feeling, fatigue is complex reflect of physiological, psychological and pathological phenomena of weaken or loss of physical or mental energy. Therefore, fatigue can be found in healthy people. And also can be used as a symptom in many physical and mental diseases. The study found that there still exist a sub-health state between health and disease in addition to health and disease in the mid1980s. In recent years, with the competition pressure increasing and the diversity of living environment changing, the people in the state of sub-health have the trend of increasing year by year. Fatigue is the common performance of the sub-health status. In general, the whole life process of the human body is mutual transformation of health, sub-health and disease three states. No matter what kind of state may appear a certain degree of fatigue. Therefore, fatigue is the very common phenomenon or symptom. It has larger influence on people’s daily life, especially the fatigue of sub-health state. But at present our country still lack of systematic research and the corresponding data reports about fatigue incidence and fatigue characteristics of different people.The basic characteristics of traditional Chinese medicine are the overall concept and differentiation and treatment. There are many advantages in TCM intervention of fatigue, especially for which mechanism is not clear. Therefore, the investigation of sub-fatigue in the crowd of medical examinations from medical center were carried out. The fatigue status of the crowd of health,sub-health and different disease were analyzed.The relationship between medical examination indexes and the fatigue characteristics were discussed. This study may provide the basis for further study about incidence, characteristics of fatigue type,possible occurrence mechanism and traditional Chinese medicine intervention study of fatigue.Research one:the incidence of fatigue symptoms among the crowd of healthy medical examinations.Objective:Through the investigation of fatigue state in the crowd of healthy medical examinations, the incidence of the fatigue symptom in the crowd of health, sub-health and the disease were analyzed.Methods:Through the method of field investigation, common international fatigue scale (FS-14) was applied. The investigation of fatigue in the crowd of medical examination were carried out in Beijing xiaotangshan hospital medical center from March2011to March2012. The crowd were divided into three groups of health, sub-health and illness in accordance with fatigue symptom judgment standard (FS or3) this research protocol, criteria of subordinate state in the health check-up crowd, process and medical report from physical examination center. The occurrence of fatigue in all kinds of the crowd were analyzed. The database was established by using Epdata3.1software. The related physical examination data was input. All kinds of descriptive analysis were done by using SPSS17.0.Results:1General healthy people and healthy state distribution1.12823cases of healthy people healthy state.Meet the surveyed population inclusion criteria, a total of2823cases, Age range19to60years old, with an average age of39.84±9.51years; males and1398(49.5%), the average age of40.23±9.72years old, women,1425cases (50.5%), with an average age of39.92±9.80years.2823cases of population, belong to the healthy population,204cases (7.23%), Standard healthy population of13patients (0.46%), the quasi-healthy population of191cases (6.77%); Is a sub-health population in1053cases (37.30%), symptomatic sub-health population,324cases (11.48%), indicative of sub-health population of the52cases (1.84%), symptoms-indicators the sexual subhealth crowd of677cases (23.98%); belongs disease crowd of1,566cases (55.47%), which appear frequency among the top ten by high blood pressure, chronic pharyngitis, fatty liver (more moderate), hyperplasia (more moderate), Hypertension, chronic pharyngitis, fatty liver (more moderate), hyperplasia (more moderate), high cholesterol, uterine fibroids, diabetes, allergic rhinitis, thyroid nodules, cervical spondylosis.2. Fatigue incidence of different health status examination crowd2.1Healthy population of fatigue204healthy people (including the standard of health and prospective health crowd),167cases of fatigue and fatigue incidence of81.86%.2.2Fatigue occurrence of sub-health population1053cases of sub-health population(Include Symptomatic sub-health、indicator sub-health, symptoms-indicators sub-health),881cases exist fatigue, Fatigue incidence of83.67%;The symptoms of sub-health fatigue incidence89.50%, the symptoms-indicative sub-health fatigue incidence of87.30%.2.3The disease populations fatigue happens1566cases of disease groups (including all populations of suffering from various diseases),1448cases exist where fatigue, fatigue incidence92.46%.The number of cases and the incidence of the top10diseases in patients with fatigue order, Hypertension in480cases (93.00%), fatty liver,277cases (92.00%), the chronic pharyngitis 272cases (89.77%), high cholesterol,262cases (92.58%), breast hyperplasia in353cases (92.88%),150cases of uterine fibroids (88.34%), diabetes in148cases (91.92%), allergic rhinitis,100cases (90.91%), thyroid nodules,89cases (89.90%), cervical spondylosis75cases (96.15%),Fatigue of patients with cervical spondylosis incidence was highest the fatigue between disease incidence was no statistical difference.Conclusion:According to the research methods used in this study is preliminary draw:Examination of the different health status of populations, have fatigue symptoms occur, its incidence descending order of diseases, sub-health and the health of populations, reflecting extensive fatigue.二、Research two:research on fatigue characteristics of different crowds of healthy medical examination Objective:To evaluate of fatigue type, degree and characteristics among the crowd of health, sub health, diseaseMethod:Through the on-site survey methods, the use of a common international fatigue scale (FS-14) and self-developed research group fatigue self-rating scale (FSAS), Healthy people to Beijing xiaotangshan Hospital Medical Center from March2011to March2012examination, and to accept voluntary survey fatigue status of the investigation; Criteria (Annex1) in accordance with the healthy population belongs to the state of the study and draw the physical examination population health, sub-health and disease three categories, analysis, fatigue type, extent and characteristics of all types of people; to use Epdata3.1software to establish a database entry surveyed the crowd fatigue and physical examination data; use SPSS17.0various analysis.Result:The Institute’s analysis of the object from" Research a "Physical examination population selected with fatigue(FS-14≥3)2496cases of people, male and1,284cases (51.44%), with an average age of40.40±9.70, and1212cases of women (48.56%), the average age to39.67±9.46; belong to the health status of167patients (6.69%) prevail healthy) belongs to the sub-health state,881cases (35.30%), which symptomatic sub-health the290cases (11.62%), symptoms-indicator sub-health crowd of591cases (23.68%); belongs disease crowd of1448cases (58.01%).1Based on the fatigue characteristics of the fatigue scale (FS-14)The three groups of health, sub-health, diseases fatigue score, the score of physical fatigue and mental fatigue scores were4.86±1.96,2.57±1.65,2.28±1.39;5.88±3.13,3.53± 2.25,2.35±1.71;5.52±2.78,3.35±2.11,2.17±1.59. The two physical fatigue scores and fatigue illness crowd highest among comparison.1.1Fatigue characteristics of the healthy population (quasi-healthy people)167cases of quasi-health crowd, Male and female body, brain and overall fatigue scores were2.60±1.63VS2.55±1.68.2.23±1.46VS2.34±1.30,4.83±1.94VS4.89±1.99, Higher in women than in men, but no significant difference; Fatigue scores from different ages,41to50-year-old age body, brain and overall fatigue scores the highest body of51to60years of age and overall fatigue scores lowest, to31~40-year-old mental ages fatigue lowest score, No significant difference between different ages (P>0.05); Distribution from the entry of the Fatigue Scale, mental fatigue"Did you feel the memory decline it?", The frequency of occurrence of the highest (60.37%), physical fatigue in"Do you feel the need to get more rest?" The frequency of occurrence of the highest (47.56%).1.2The fatigue characteristics of the sub-health populationThe881cases subhealth population (including symptoms of sub-health and symptoms-indicators of sub-health population), physical fatigue and general fatigue score of41to50-year-old age group is the highest, the lowest ages of51to60years old; mental fatiguethe highest score the ages of21to30-year-old,41to50years old age minimum; From the scale of entry distribution, in symptomatic subhealth crowd in "Do you feel the need to get more rest?" The frequency of occurrence as the highest(73.10%);Symptoms-indicative of sub-health population"Are you bothered by fatigue it?" The frequency of occurrence as the highest(53.64%).The symptoms of sub-health population’s physical, mental, and overall fatigue scores were higher than the symptoms-indicative of sub-health population, fatigue scores were4.37±2.14VS3.14±2.14N2.60±1.86VS2.20±1.61、6.94±3.22VS5.34±2.88, And significant difference (P<00.05)。1.3The disease populations fatigue characteristics1448cases of the disease population, male and female body and overall fatigue scores were3.31±2.10VS3.39±2.12.5.49±2.81VS5.55±2.76, Women than men, but no significant difference; Physical fatigue and general fatigue score of31to40-year-old age group is the highest, the lowest ages of51to60years old; ages of21to30-year-old was the highest score of mental fatigue, ages41to50years oldminimum; distribution from scale entry "Do you feel the need to get more rest?" Occurs at a frequency up to57.2%.1.4Fatigue characteristics of common diseasesFrequency of occurrence of the top10of the disease, according to the fatigue score in descending order of the following order: ①physical fatigue:Cervical disease (3.79±2.43), high cholesterol(3.45±2.16) thyroid nodules (3.43±1.88), breast hyperplasia (3.41±2.17), diabetes (3.39±2.25) Allergic rhinitis (3.38±2.11), Hypertension(3.30±2.07), uterine fibroids (3.27±2.04) fatty liver (3.23±2.11), Chronic pharyngitis (3.21±2.12)②Mental fatigue:Diabetes (2.31±1.67), Cervical disease (2.31±1.75), Chronic pharyngitis (2.28±1.62)、Breast hyperplasia (2.23±1.70)、Allergic rhinitis (2.19±1.67)、Uterine fibroids (2.18±1.66)、Hypertension (2.14±1.56)、thyroid nodules (2.13±1.72)、high cholesterol (2.11±1.57)、fatty liver (2.11±1.53)。③Overall fatigue:Cervical disease (6.09±3.22)、diabetes (5.70±3.20)、breast hyperplasia (5.64±2.81)、high blood cholestero (5.56±2.81)、 thyroid nodules (5.56±2.85). allergic rhinitis (5.55±3.02)、chronic pharyngitis (5.49±2.83)、 uterine fibroids (5.47±2.80)、hypertension (5.44±2.76)、 fatty liver (5.33±2.70)The distribution of specific entries, Hypertension, fatty liver, chronic pharyngitis, high cholesterol, diabetes, allergic rhinitis, thyroid nodules, cervical patients"Do you feel the need to get more rest?" the frequency of occurrence as the highest, Mental fatigue type are"Did you feel the memory decline it?" the frequency of occurrence is the highest.Further analysis found that hypertension、diabetes、fatty liver:①physical examination, abnormal blood pressure in hypertensive patients3fatigue scores were higher than normal blood pressure in hypertensive patients;②physical examination, abnormal blood glucose levels in diabetic patients3fatigue scores were higher than normal blood sugar levels of diabetic patients, including physical fatigue score has a statistically significant difference between the two (P<0.05);③Fatty liver in patients with moderate to severe mental and overall fatigue scores were higher than in patients with moderate fatty liver;④Hypertension and diabetes, and high cholesterol patients physical, mental and overall fatigue scores were higher than mere hypertensive patients, including mental fatigue is a significant difference between the two groups;㏑elatively simple fatigue scores of the three groups of high blood pressure, high cholesterol and diabetes, physical fatigue scores for the highest mental fatigue and overall fatigue scores in patients with high cholesterol diabetes patients the highest.2Fatigue characteristics based fatigue self-rating scale (FSAS)Three groups of healthy (Quasi health), sub-health, diseases "physical fatigue" factor scores were27.67±22.21、30.81±23.31、33.86±23.62;"Fatigue on sleep the rest of the reaction" Factor scores, respectively29.79±27.21、26.08±26.35,28.51±27.13, two factor scores were significantly different in the three groups(P<0.05)。2.1Healthy population fatigue characteristics of the (quasi-healthy people) Gender fatigue characteristics of scores of female physical fatigue than men, mental fatigue, fatigue consequences, the degree of fatigue score, the rest of the reaction of fatigue on sleep, fatigue situational five factor scores men than women.(1) The fatigue the type and extent of167cases of fatigue type of quasi-healthy people score the same degree of fatigue to mild,56.71%physical fatigue, mental fatigue away from64.02%to63.41%, fatigue consequences.(2) Characteristics of fatigueQuasi-healthy people in the rest/sleep, unable to relieve fatigue response,29.07%of the people after a rest or sleep, fatigue can be alleviated; fatigue situational, only0.37%of the people is not obvious.2.2Fatigue characteristics of sub-health population881cases of sub-health population, male and female gender for the main types of physical fatigue score was30.47±23.26,31.16±23.38women than men, but no significant difference; between ages31to40years oldphysical fatigue, mental fatigue, fatigue consequences for the highest score,41to50-year-old mental fatigue, the highest score of the degree of fatigue, the score was no statistical difference between the highest score of51to60-year-old situational fatigue, different ages (P>0.05).(1) The fatigue the type and extent ofThe symptomatic sub-health and symptoms-indicators of sub-health fatigue type are the types of physical fatigue, the score of31.37±23.87,30.36±23.74, and there is a statistically significant difference, the symptomatic sub-health physical fatigue most obvious.(2) Characteristics of fatigueAbove symptoms of sub-health symptoms-indicator sub-health in the reaction can not alleviate the fatigue of rest/sleep,36.58%of the people think that obvious; only31.09%of the people can alleviate the symptoms of fatigue performance; fatigue situational analysis found that the degree of mainly to more obvious symptoms of sub-health above symptoms-indicators sub-health40.64%40.85%.2.3Disease populations fatigue characteristics.1448cases of the disease population, male and female gender for the main types of physical fatigue score of33.64±32.19,33.67±32.25; higher in women than in men, but no significant difference; different between the ages of31to50years oldbetween fatigue type, extent and characteristics of the highest score, score no statistically significant difference (p>0.05).(1) The fatigue the type and extent of Disease populations belong to the physical fatigue score of33.86±23.62degree moderate physical fatigue moderate accounted for61.17%, the mental fatigue moderate (68.42%), the fatigue consequences moderate accounted for68.79%of overall fatigue moderate accounted for71.15%(2) Characteristics of fatigueDisease population, only29.07%of the people think, rest/sleep can ease the symptoms of fatigue; fatigue situational only0.37%of people think that is not obvious.2.4Fatigue characteristics of the populations of the common diseasesThe survey appears most long to see the10diseases were Hypertension, breast hyperplasia, fatty liver, chronic pharyngitis, high cholesterol, uterine fibroids, diabetes, allergic rhinitis, thyroid nodules, cervical spondylosis.①Physical fatigue scores in descending order, cervical spondylosis> thyroid nodules>allergic rhinitis>chronic pharyngitis>high cholesterol> hypertension> breast hyperplasia> fatty liver> uterine fibroids> Diabetes.②Mental fatigue scores, high to low for High cholestero> allergic rhinitis> hyperplasia>thyroid nodules> fatty liver>cervical spondylosis> hypertension>chronic pharyngitis> diabetes>uterine fibroids.③Rest/sleep reaction to low Cervical disease> fatty liver> diabetes> high cholesterol>chronic pharyngitis> hypertension> thyroid nodules>allergic rhinitis> uterine fibroids>breast hyperplasia.④Fatigue situational lowest is Cervical disease>high cholesterol> chronic pharyngitis>diabetes> hypertension> fatty liver> allergic rhinitis>hyperplasia>uterine fibroids> thyroid nodules.⑤Fypertension blood pressure in patients with abnormal fatigue consequences and the degree of fatigue scores were higher than normal blood pressure, and both have a statistically significant difference (P<0.05); diabetes blood glucose in patients with abnormal fatigue situational score to56.92±25.11highnormal, with a significant difference (P<0.05).Conclusion:1Based on the fatigue characteristics of the fatigue scale (FS-14)1.1Health (quasi-health) crowd fatigue characteristics:41to50-year-old age people prone to fatigue troubled, need more rest, memory loss and other performance, while the older body and overall fatigue will decrease.1.2Sub-health population fatigue characteristics:male body fatigue than women obviously, is prone to need more rest and fatigue plagued discomfort performance, especially in sub-health population symptomatic than the symptoms-indicative of sub-health population prone to discomfort symptoms, resulting infatigue worse.1.3Disease populations fatigue characteristics:the fatigue characteristics of women than men is more obvious, especially in the31to40-year-old, and need more than the rest of the body prone to fatigue performance.1.4Common diseases fatigue characteristics:cervical spondylosis and physical examination, blood pressure, abnormal blood pressure, blood sugar of diabetics occurs when fatigue distress, need more rest, not enough energy, muscle strength decreases when hypertensive patients with diabetes and highlipids variety of diseases, fatigue symptoms are aggravated and simple hypertension, high cholesterol, diabetes three diseases are again more obvious symptoms of high blood cholesterol fatigue; severe fatty liver patients, inattention appears, the mind is not clear, memorydecline, mental fatigue performance significantly.2Fatigue self-rating scale (FSAS)-based study of2.1Comparison of health, sub-health, disease populations fatigue self-rating scale factorscoresHealthy population Fatigue Scale (FSAS) fatigue characteristics①physical fatigue score low disease> sub-health> quasi health rigor exhaustion, tired consciously debilitating diseases the performance crowdsignificantly, followed by sub-health and prospective health.②fatigue reaction to rest on sleep scores in descending order of disease> Health> sub-health, disease populations due to the presence of their disease, and lead to the emergence of symptoms of fatigue can not be relieved by rest/sleep, can be seen symptoms of fatigue nothing to do with the rest/sleep, but related to the disease itself.2.2Self-rating scale fatigue characteristics of the three groups of fatigue2.2.1Fatigue types, extent and characteristics of quasi-healthy peopleQuasi-healthy people to physical fatigue were mild, extent, prone to rigor, fatigue, weakness, mind unresponsive, depressed and tired of things do not want to do it anymore, and reduce the learning efficiency performance performance; anddepression, noisy, hot and stuffy environment, mental stress or negative emotions, such as the impact of easy fatigue symptoms get worse.2.2.2Sub-health population fatigue types, extent and characteristicsSymptoms the sexual sub-health group than the symptoms-indicators of sub-health group prone, rigor, fatigue, weakness, frail feeling, lack of concentration, forgetfulness, slow to respond to phenomena; led to depression and do not want to get bored of thin gsto do so, reduce the efficiency of learning the consequences of fatigue performance; symptoms indicators of sub-health group that fatigue is not relieved by rest or sleep, obviously; symptoms of sub-health group because of the depression, the noisy and humid environments, nervous and external environ mentthe changes and negative emotions are likely to aggravate the symptoms. Positive mood and a good environment for an active role in the two sets of sub-health population to relieve fatigue.2.2.3The disease populations fatigue type, extent and characteristicsDisease crowd to physical fatigue, and half the time there will be a rigor exhaustion, the performance of the limbs, muscle weakness, and lead to learning efficiency to reduce the consequences of fatigue performance; disease crowd fatigue has obvious situational specificity due to diseases caused by the body and spiritthe effect of pressure, so most of the people engaged in pleasant things can alleviate the symptoms of fatigue, and half of the people think that fatigue aggravated depressed or irritable when.2.2.4Fatigue types, extent and characteristics of the common diseasesThe cervical spondylosis prone rigor, fatigue, weakness, limbs, muscle weakness, still unable to ease the symptoms of fatigue after a rest/sleep, and depressed or irritable when fatigue aggravated; hyperlipidemia in patients prone to forget things unresponsive mind, learning efficiencyreduced.Abnormal levels of blood pressure in patients with hypertension,May aggravate depression, tired of things do not want to do it anymore, and reduce the learning efficiency performance; abnormal blood sugar levels of diabetic patients, it may be easier because of the depression, noisy and humid environments, nervous, changes in the external environment and more sensitive to negative emotions lead to aggravation of fatigue; hypertension and diabetes and high cholesterol, rest/sleep does not alleviate the symptoms of fatigue and depression, noisy, hot and stuffy environment, nervous, changes in the external environment and the negative emotions the impact of further aggravation of the symptoms of fatigue.Research three:research on occurrence and symptom characteristics of fatigue and correlation analysis of the four seasons in the different crowds of healthy medical examinationObjective:To explore the incidence rate and type,degree and characteristics of fatigue in different crowds of medical examination in different seasons.Method:Basis 《Twenty-four solar terms solution》 Start of the solar terms in four seasons in one year four established "(beginning of spring, beginning of summer and beginning of autumn, the beginning of winter) as the criteria for the classification of the four seasons (3.21to6.21in spring and6.22to9.22for the summer,9.23to12.21Fall12.22to3.20for wintcrclassified at the Four Seasons),2823cases of healthy people surveyed on the Beijing Xiaotangshan health examination center, analysis and comparison of the differences in the incidence and characteristics of the different seasons of the survey population fatigue, to explore the relationship between fatigue and seasons; use SPSS17.0kinds of descriptive analysis.Results:1Four Seasons in2823cases of the general healthy populationAge range of19to60years old, a spring average age of40.61±9.55years, a total of770cases were male and406(29.04%) and364females (25.54%); summer average age of38.19Q8.90years, a total of575cases were male296(21.17%) and279females (19.58%); fall an average age of40.04±9.739years, a total of1185cases were male and553(39.56%) and632females (44.35%); winter average age of40.20±9.28years of age, a total of293cases were male and143(10.23%) and150females (10.53%) in spring oldest, youngest summer.2Distribution healthy crowd of fatigue at the Four Seasons2.1Different health status in the occurrence of the Four Seasons fatigueHealthy people in the winter fatigue happens is up to90.91%, the sub-health population occurred in the summer of fatigue up to89.57%, disease crowd highest in winter and accounted for92.99percent, the lowest incidence of sub-health, disease, the two groups are spring fatigue of the crowd,two groups in different seasons fatigue happens there is a statistically significant difference (P<0.05).2.2Four Seasons the fatigue scales FS-14fatigue characteristics2.2.1The fatigue characteristics of the three groups①healthy people physical fatigue mental fatigue scores were higher than the highest score in the autumn.②sub-health population physical, mental and general fatigue there is a statistically significant difference (P<0.05).③Disease populations in different seasons, physical fatigue in the summer the highest mental fatigue and general fatigue was highest in autumn, Four Seasons physical fatigue than mental fatigue, fatigue characteristics there is a statistically significant difference (P<0.05).2.2.2Fatigue characteristics of the different seasons of the populations of the common diseases①hypertensive patients found fatigue scores in different seasons, and physical fatigue in the spring when the lowest maximum winter, mental fatigue highest in winter and lowest in spring, and there is a significant difference (P<0.05).②breast hyperplasia, high cholesterol, diabetes, cervical spondylosis, fatigue scores in different seasons found that physical fatigue is highest in summer and lowest in winter, and there is a significant difference (P<0.05)③ patients with allergic rhinitis fatigue scores in different seasons found that mental fatigue is highest in the autumn, and there is a significant difference (P<0.05).2.3Fatigue characteristics of the different seasons based on fatigue self-rating scale (FSAS)2.3.1Fatigue type and extent of the group at the Four Seasons:①physical fatigue: physical fatigue factor for health and sub-health population score highest in autumn; the healthy populations summer the lowest score, health groups lowest score in winter; types of labor in the two populations seasons there is a statistically significant difference (P <0.05);The degree of physical fatigue, the health and subhealth physical fatigue for mild autumn highest disease population and physical fatigue as moderate in autumn, three groups there is a significant difference (P<0.05).②mental fatigue:health, sub-health population mental fatigue factor scores was statistically significant (P<0.05), the two groups are the highest in autumn, the degree of mental fatigue to mild.③fatigue consequences:health consequences of sub-health population fatigue factor scores was statistically significant (P <0.05), are highest in autumn, a mild degree of fatigue consequences diseases and sub-health population statistically significant (P<0.05),(4) the degree of fatigue Score:health, sub-health population the degree of fatigue scores was statistically significant (P<0.05) in the factor scores are highest in autumn, health and sub-health population in the degree of fatigue to mild main disease populations to moderate.2.3.2Fatigue characteristics of each group at the Four Seasons:①the reaction of the fatigue of the rest/sleep:health, sub-health population fatigue response to rest/sleep factor scores was statistically significant (P<0.05), are the highest in autumn. The②fatigue situational:health, disease, health groups fatigue situational factor scores was statistically significant (P<0.05), healthy population highest in the winter, disease, health groups, the highest in the fall.2.3.3Occurrence of fatigue symptoms of common diseases at the Four Seasons:①hypertensive patients with fatigue scores in different seasons, fatigue types belong to body fatigue, the highest in the fall, fatigue consequences of fatigue on sleep the rest of the reaction, fatigue situational significant difference (P<0.05).②chronic pharyngitis patients found that fatigue type belonging to physical fatigue fatigue scores in the different seasons, and in the fall when the highest physical fatigue, mental fatigue, fatigue consequences, the degree of fatigue total score of fatigue on sleep the rest of the reaction a significant difference (P<0.05).(3)in patients with breast hyperplasia fatigue scores in the different seasons of spring and autumn obvious physical fatigue, mental fatigue of the summer and winter fatigue situational significant difference (P<0.05).④high blood cholesterol in patients with fatigue scores in the different seasons, only fatigue the scenario was no significant difference (P>0.05).⑤diabetes fatigue scores in different seasons fatigue type of mental fatigue, fatigue consequences, the degree of fatigue scores statistically significant difference (P<0.05).⑥patients with allergic rhinitis found fatigue scores in different seasons, spring and winter mainly physical fatigue, mental fatigue in the summer and fall mainly fatigue situational significant difference (P<0.05).Conclusion:1Distribution healthy crowd of fatigue at the Four SeasonsPredilection sub-health population in the summer when the most obvious symptoms of fatigue, disease crowd in the winter the most obvious symptoms of fatigue; women’s spring and summer the most obvious symptoms of fatigue, people in the41to60age group in the spring when the fatigue symptoms most prominentThe fatigue symptoms eased autumn.2Fatigue Scale (FS-14) in the Four Seasons fatigue characteristics2.1The fatigue characteristics of the three groups:①the healthy population plagued fatigue, rest feel powerless, not enough energy and overall fatigue gradually increased as the seasons change, will be eased in the winter. The②subhealth crowd symptoms of fatigue with the seasons and relieve fatigue symptoms lightest in the fall, fatigue plagued by symptoms of sub-health population in the summer, need more rest feel powerless, energy is not enough body, fatigue, general fatigue performance than obvious symptoms-sub-health population. The③disease groups in summer plagued fatigue, need more rest feel powerless, energy is not enough physical fatigue performance of the most obvious; inability to concentrate in the fall when the mind is not clear, memory decline, overall fatigue is the most obvious.2.2Common characteristics of the different seasons of the disease population fatigue:①the hypertensive patients plagued fatigue, you need plenty of rest to feel powerless, energy is not enough performance, most obvious in the spring; winter was attention difficulties, memory loss, loss of interest in the habit of doing things the most obvious.②breast hyperplasia, high cholesterol, diabetes, cervical spondylosis easy in the summer when fatigue plagued need more rest feel powerless, energy is not enough performance③patients with allergic rhinitis easy in the fall to attention difficulties, the mind is not clear, memory loss, the most obvious manifestations of the habit of doing things lose interest.3Fatigue characteristics of the different seasons based on fatigue self-rating scale (FSAS)3.1Group at the Four Seasons in the type and extent of fatigue:①physical fatigue:the three groups in the fall when rigor is weak, tired, weak performance of the degree of the heaviest, the fatigue symptoms lightest winter.②mental fatigue:health, health groups appear inattention, unresponsive, forget things, and other symptoms tended to increase in the summer to autumn mental fatigue, mental fatigue autumn to winter on a downward trend, while the disease crowd from summer to winter there are a growing trend.①Fatigue consequences: health and sub-health population in the summer to the fall, appear depressed, tired of things do not want to do it anymore, and reduce the learning efficiency performance tended to increase, a downward trend in the autumn to winter fatigue consequences, disease groups from spring the growth trend in declining trend from summer to winter to summer. The④degree of fatigue score:health and su...
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