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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 investigate the distribution of TCM constitution in people exposed to occupational noise and to analyze the distribution of TCM constitution in patients with hearing loss so as to prevent and cure this disease through intervention, adjustment and physical constitution change. Methods From April to December in 2015, 585 cases of occupational health monitoring in noise were conducted in Guangdong Provincial Occupational Disease Prevention and Treatment Center using cross-sectional survey method. Nine standardized TCM constitutional tables were used to identify TCM constitution. SPSS 13.0 statistical software was used to analyze the relationship between different types of constitution and hearing loss. Results The distribution of 9 kinds of constitution were: 147 cases of flat mass, accounting for 25.1%; 438 cases of biased constitution, accounting for 74.9%, including 64 cases of yang deficiency, accounting for 10.9%, 63 cases of yin deficiency, accounting for 10.8% Cases, accounting for 16.2%, phlegm and dampness in 49 cases, accounting for 8.4%, 87 cases of wet heat mass, accounting for 14.9%, blood stasis in 7 cases, accounting for 1.2%, 37 cases of special quality, accounting for 6.3%, qi stagnation in 36 cases , Accounting for 6.2%. Conclusions Phlegm-dampness, qi deficiency and dampness-heat are the main constitution types of noise-exposed people. Therefore, it is of great significance to improve phlegm-dampness, qi deficiency and damp-heat quality in prevention and treatment of noise-induced hearing loss.