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Title:: Correlation between the constitution of traditional Chinese medicine and hearing loss in occupational noise exposed workers

作者:: 李敏; 梁晓阳; 郭集军; 刘庆凤; 陈思枝; 广东省职业病防治院，广州510300

Author(s):: LI Min; LIANG Xiao-yang; GUO Ji-Jun; LIU Qing-feng; CHEN Si-zhi; Guangdong Province Hospital for Occupational Diseease Prevention and Treatment, Guangzhou, Guangdong 510300, China Corresponding author: LI Min, E-mail: Limin-0713@126.com

关键词:: 噪声暴露; 中医体质; 听力损失

Keywords:: Noise exposure; Constitution of traditional Chinese medicine; Hearing loss

分类号:: R135.8

DOI:: -

摘要:: 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。

Abstract:: Objective To explore the distribution of constitution of traditional Chinese medicine (TCM) in occupational noise exposed workers and its relationship with hearing loss, then to provide new ideas for the prevention and treatment of hearing loss in the population with occupational noise exposure. Methods A total of 585 people in Guangdong Province Hospital for Occupational Disease Prevention and Treatment from April to December 2015 were identified with TCM constitutions and pure electric sound hearing. Spearman software was used to analyze the relationship between different types of constitution and hearing loss. Results The distribution of the 9 kinds of physical fitness and the loss of hearing: there were 56 cases (38.10% ) of hearing loss in 147 cases (25.13% ) of gentleness constitution; 222 cases (37.95% ) of hearing loss in 438 cases (74.87% ) of biased constitution; 20 cases (31.25% ) of hearing loss in 64 cases (10.94% ) of Yang deficiency; 22 case (34.92% ) of hearing loss in 63 cases (10.77% ) of Yin deficiency; 40 cases (42.11% ) of hearing loss in 95 cases (16.24% ) of Qi deficiency; 21 cases (42.86% ) of hearing loss in 49 cases (8.38% ) of Phlegm dampness; 36 cases (41.38% ) of hearing loss in 87 cases (14.87% ) of damp- heat constitution; 2 cases (28.57% ) of hearing loss in 7 cases (1.20% ) of blood stasis; 12 cases (32.43% ) of hearing loss in 37 cases (6.32% ) of special diathesis; 13 cases (36.11% ) of hearing loss in 36 cases (6.15% ) of Qi Stagnation. There was no significant relation-ship between various types of TCM constitution and hearing loss (P＞0.05). Conclusion The main types of constitution of noise exposed population are gentleness constitution, Qi deficiency and dampheat constitution, and the main types of constitution of hearing loss are Phlegm dampness, Qi deficiency and damp- heat constitution. The relationship between TCM constitutions and hearing loss in the noise exposed workers is relatively weak.

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《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

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