新疆石河子拾棉民工西北燥证罹患情况分析  

Prevalence assay of northwest dryness syndrome on cotton workers in Shihezi of Xinjiang

作　　者：李鹏[1] 周铭心[2] 

机构地区：[1]新疆医科大学附属中医医院,乌鲁木齐830000 [2]新疆医科大学中医学院,乌鲁木齐830054

出　　处：《中华中医药杂志》2008年第10期860-864,共5页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金资助项目(No.30360120);新疆维吾尔自治区自然科学基金资助项目(No.30360120)

摘　　要：目的:将从内地来新疆石河子的拾棉工与长期生活在新疆的居民相比较,了解在西北燥证病因环境下,久居新疆与暂住新疆的人群,其西北燥证罹患情况及证候结构特点的不同,为西北燥证的防治提供依据。方法:根据中医理论和现代流行病学方法设计调查量表,对石河子拾棉工、和田、乌鲁木齐、伊犁和四川乐山居民实施抽样问卷调查,然后进行西北燥证计量辨证和统计分析。结果:共完成3 658例问卷调查,得出石河子拾棉工及其他各调查点西北燥证罹患率分布、西北燥证7类证候症状积分均数排序及燥证主要症状得分数据。和田(39.52%)西北燥证罹患率最高,与石河子拾棉工(11.22%)比较差异显著(P<0.01)。而石河子拾棉工燥证罹患率高于四川乐山(P<0.01),但与乌鲁木齐、伊犁比较未见明显差异(P>0.05)。石河子拾棉工的西北燥证症状得分均数高的多为燥证主要症状。与之相比,和田、伊犁、乌鲁木齐地区西北燥证的症状得分均数高的大多是特征症状。石河子拾棉工外燥证积分均数均显著高于其余4个调查样本(P<0.05或P<0.01),而内燥兼证很轻。结论:不同居住环境的几个调查点,居民所患西北燥证其证候类型特点及构成不同。石河子拾棉工最为特殊,其燥证症状最为典型,外燥证极强,但内燥兼证很轻。说明在西北燥证病因环境下,久居与暂住人群对燥邪的易感性与耐受性存在差异,从而表现为西北燥证罹患情况及证候特点的不同。Objective： To understand the difference of prevalence rate and main symptoms of northwest dryness syndrome （NDS） of the long staying and temporary residents at Xinjiang by comparing the cotton workers in Sbibezi come from mainland with inhabitant of Xinjiang, under the environment of NDS. Methods： To design questionnaire according to the Chinese medicine theories and modem epidemiology method, and carry out sampling questionnaire in cotton workers of Shihezi, Hetian, Ummqi, Yili and Leshan, then carry out syndrome differentiation with computation and statistical analysis about NDS. Results： The distributing date, syndromic types and main symptoms scores of NDS in the cotton workers in Shihezi and other areas were obtained from 3658 questionnaires. The highest attack rate of NDS on cotton workers was in Hetian. The attack rate in Siehuan was higher than that in Shizihe（P〈0.01） , but there was no obvious difference when it was compared with Urumqi and Yili （P 〉 0.05）. The higher scores＇ symptoms of DNS in Shizihe were the main symptoms of dryness syndrome, but the higher scores＇ symptoms of NDS in Hetian, Yili and Urumqi were the characteristic symptoms. The extemai-dryness score of cotton workers in Shihezi was obviously higher than that in other areas （P〈0.05 or P〈0.01 ） , but internal-dryness score was very lower. Conclusion： The NDS of cotton workers in Shihezi was very special, the external-dryness symptoms were severe, but the internaldryness symptoms were very mild. Under the environment of NDS, there were differences of susceptibility and tolerability between the long staying and temporary residents in Xinjiang.

关 键 词：西北燥证 证候学 流行病学 

分 类 号：R254[医药卫生—中医内科学]