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目的探讨职业性噪声暴露人群中医体质分布特点、中医体质因素与听力损失的相关性,为职业性噪声暴露人群防治听力损失提供新思路。方法选择2015年4—12月在广东省职业病防治院进行噪声职业健康监护的585例研究对象进行中医体质辨认和纯音电测听检查。应用Spearman软件分析不同体质类型与听力损失的相关性。结果 9种体质的分布及听力损失为:平和质147例(25.13%)中听力损失56例(38.10%);偏颇体质438例(74.87%)中听力损失222例(37.95%);阳虚质64例(10.94%)中听力损失20例(31.25%);阴虚质63例(10.77%)中听力损失22例(34.92%);气虚质95例(16.24%)中听力损失40例(42.11%);痰湿质49例(8.38%)中听力损失21例(42.86%);湿热质87例(14.87%)中听力损失36例(41.38%);血瘀质7例(1.20%)中听力损失2例(28.57%);特禀质37例(6.32%)中听力损失12例(32.43%);气郁质36例(6.15%)中听力损失13例(36.11%)。各类体质与听力损失相关程度低,差异无统计学意义(P>0.05)。结论噪声暴露人的主要体质类型为平和质、气虚质及湿热质,而听力损失的主要体质为痰湿质、气虚质和湿热质;噪声暴露人群的中医体质类型与职业性噪声听力损失的相关性较弱。
Objective To explore the distribution of TCM constitution, occupational noise exposure in Chinese population, and the correlation between the constitutional factors and hearing loss in occupational noise-exposed population and to provide new ideas for the prevention and treatment of hearing loss among occupational noise exposed people. Methods 585 subjects who conducted noise occupational health monitoring in Guangdong Occupational Disease Prevention and Treatment Hospital from April to December in 2015 were selected to carry out TCM constitution examination and pure tone electronic audiometry examination. Spearman software was used to analyze the correlation between different types of constitution and hearing loss. Results The distribution and hearing loss of 9 kinds of constitution were as follows: 56 cases (38.10%) had hearing loss in 147 cases (25.13%) of mild quality; 222 cases (37.95%) had hearing loss in 438 cases (74.87% There were 22 hearing loss cases (34.92%) in 63 cases (10.77%) of the yin deficiency group and 40 hearing loss cases (42.11%) in 95 cases (16.24%) of qi deficiency condition (42.86%) in 49 cases (8.38%) of phlegm-dampness, 36 cases (41.38%) of hearing loss in 87 cases (14.87%), and 7 There were 2 hearing loss cases (28.57%), 12 hearing loss cases (32.43%) in 37 cases (6.32%) and 13 hearing loss cases (36.11%) in 36 cases (6.15%) of qi depression. All kinds of constitutional and hearing loss related to a low degree, the difference was not statistically significant (P> 0.05). Conclusions The main types of physical exposure to noise exposure are flat mass, Qi deficiency and damp-heat mass, while the main components of hearing loss are phlegm-dampness, qi deficiency and damp-heat. The correlations between the TCM constitution of noise exposure population and occupational noise and hearing loss Weak sex.