基于情志病理论分析急性中毒住院患者相关中医病因学

Analysis of traditional Chinese medicine etiology related to hospitalized patients with acute poisoning based on emotional disease theory

目的探讨亳州地区急性中毒住院患者的临床特征以及相关中医病因构成、情志因素特点,为本地区急性中毒的防治提供依据。方法回顾性分析2018年11月至2022年1月亳州市中医院急性中毒住院患者341例。根据一般情况、情志因素等临床资料,应用χ2检验进行统计学处理,分析各住院患者急性中毒的相关情志因素。结果341例急性中毒病例中,总体上女性多于男性,男女比例约为0.89∶1。在中毒病例年龄段中,≥30~<60岁排首位(58.7%),其次是≥60岁排第2位(31.1%)。农药中毒是最常见的中毒类型(67.4%),其次是药物中毒(19.4%)和乙醇中毒(8.2%)。中医情志病因学构成前4位依次为愤怒143例(41.9%)、悲伤104例(30.5%)、忧虑46例(13.5%)、意外32例(9.4%);不同类型中毒中情志分布不完全相同,农药中毒中的情志因素主要为愤怒(53.0%),药物中毒中的情志因素主要是忧虑(39.4%),乙醇中毒中的情志因素主要是喜悦(42.9%),其他中毒的因素主要为意外(82.4%),与其他3组相比P均<0.05。不同性别急性中毒患者的相关中医病因学中由愤怒(47.2%)、忧虑(17.2%)造成女性急性中毒的患者高于男性(P均<0.05);男性急性中毒患者中的喜悦(6.8%)因素高于女性(P<0.05)。<30岁急性中毒患者的主要情志因素是愤怒(54.3%)和忧虑(25.7%),P均<0.05;≥60岁急性中毒患者的情志因素主要是悲伤(49.1%)和意外(15.1%),P均<0.05。结论亳州地区急性中毒有一定的流行病学特点,不同中毒类型、年龄、性别间急性中毒相关中医情志病因构成不同,为本地区急性中毒病因防治和情志因素的宣教提供参考。

Objective To explore the clinical characteristics of hospitalized patients with acute poisoning in Bozhou area,as well as the composition of related traditional Chinese medicine etiology and emotional factors,to provide a basis for the prevention and treatment of acute poisoning in this area.Methods Retrospective analysis of 341 hospitalized patients with acute poisoning at Bozhou Traditional Chinese Medicine Hospital from November 2018 to January 2022 was made.Based on clinical data such as general conditions and emotional factors,statistical analysis was conducted using theχ^(2)test to analyze the relevant emotional factors of acute poisoning in hospitalized patients.Results Among 341 cases of acute poisoning,there were generally more females than males,with a male to female ratio of approximately 0.89:1.Among the age groups of poisoning cases,those aged≥30 to<60 ranked first(58.7%),followed by those aged≥60 ranking second(31.1%).Pesticide poisoning was the most common type of poisoning(67.4%),followed by drug poisoning(19.4%)and ethanol poisoning(8.2%).The top four etiological components of traditional Chinese medicine sentiment were anger in 143 cases(41.9%),sadness in 104 cases(30.5%),anxiety in 46 cases(13.5%),and accidents in 32 cases(9.4%);The emotional distribution in different types of poisoning was not entirely the same.The main emotional factor in pesticide poisoning was anger(53.0%),anxiety(39.4%)in drug poisoning,joy(42.9%)in ethanol poisoning,and accidents(82.4%)in other poisoning factors.Compared with the other three groups,it was P<0.05.The incidence of acute poisoning caused by anger(47.2%)and anxiety(17.2%)in women was higher than that in men(all P<0.05)in traditional Chinese medicine etiology among patients with acute poisoning of different genders;The joy factor(6.8%)in male acute poisoning patients was higher than that in females(P<0.05)The main emotional factors of acute poisoning patients<30-year-old were anger(54.3%)and anxiety(25.7%),both P<0.05.The emotional factors of acute poisoning patients≥60-year-old were mainly sadness(49.1%)and accidents(15.1%),both P<0.05.Conclusion Acute poisoning in Bozhou area has certain epidemiological characteristics,and the composition of traditional Chinese medicine emotional causes related to acute poisoning varies among different types,ages,and genders of poisoning.This provides reference for the prevention and treatment of acute poisoning causes and the promotion of emotional factors in this area.