职业性噪声暴露人群中医体质调查

Investigation on Constitution of Traditional Chinese Medicine of Noise Exposed Workers

目的探讨职业性噪声暴露人群中医体质分布状况,分析听力损失患者中医体质特点的分布规律,以期通过干预、调整、影响体质变化达到预防和治疗本病的目的。方法 2015年4-12月运用横断面调查方法,在广东省职业病防治院进行噪声职业健康监护585例,采用标准化的9种中医体质量表进行中医体质辨认。应用SPSS 13.0统计软件分析不同体质类型与听力损失的关系。结果 9种体质的分布为:平和质147例,占25.1%;偏颇体质438例,占74.9%,其中阳虚质64例,占10.9%,阴虚质63例,占10.8%,气虚质95例,占16.2%,痰湿质49例,占8.4%,湿热质87例,占14.9%,血瘀质7例,占1.2%,特禀质37例,占6.3%,气郁质36例,占6.2%。结论痰湿质、气虚质和湿热质是噪声暴露人群的主要体质类型,故改善痰湿质、气虚质和湿热质对防治噪声性听力损失有重要意义。

Objective To explore the distribution of Constitution of traditional Chinese medicine（TCM） of the workers exposed to noise, to analyze the distribution of for TCM constitution characteristics in patients with hearing loss, in order to prevent and treat the disease by intervening, adjusting and affecting the constitution changes. Methods Cross sectional survey method was used from April to December in 2015, the noise of occupation health surveillance in 585 people in Guangdong province hospital for occupational disease prevention and treatment, using standardized 9 kinds of TCM constitutions scale TCM Constitution identification. SPSS 13.0 statistical software was used to analyze the relationship between different types of constitution and hearing loss. Results There were 147 cases of Gentleness constitution（25.1%）; 438 cases of Bias constitution（74.9%）, including 64 cases of Yang Deficiency（10.9%）, 63 cases of Yin deficiency（10.8%）, 95 cases of Qi Deficiency（16.2%）,49 cases of Phlegm Damp（8.4%）, 87 cases of Damp Heat constitution（14.9%）, 7 cases of Blood Stasis（1.2%）, 37 cases of Special Diathesis（6.3%）, 36 cases of Qi Stagnation constitution（6.2%）.Conclusion Phlegm Dampness, Qi Deficiency and Damp Heat are the main body type of the noise exposed, so it is important to improve the quality of Phlegm Dampness, Qi Deficiency and Damp Heat in the prevention and treatment of noise induced hearing loss.