突发性聋相关危险因素筛查及中医体质辨识分析  

Analysis on the Screening of Risk Factors Related to Sudden Deafness and Traditional Chinese Medicine Constitution Identification

作　　者：徐蓓峥 杨敏 庞宇峰 XU Beizheng;YANG Min;PANG Yufeng(Shanghai Hongkou Liangcheng Village Street Community Health Service Center,Shanghai 200434,China;Department of Otorhinolaryngology,the Fifth People’s Hospital of Shanghai Affiliated to Fudan University,Shanghai 200240,China)

机构地区：[1]上海市虹口区凉城新村街道社区卫生服务中心,上海200434 [2]复旦大学附属上海市第五人民医院耳鼻咽喉科,上海200240

出　　处：《中国中医药现代远程教育》2021年第11期54-56,共3页Chinese Medicine Modern Distance Education of China

摘　　要：目的研究探索突发性聋的相关危险因素以及中医体质辨识的特点。方法研究选择2018年1月—2018年12月于复旦大学附属上海市第五人民医院耳鼻喉科耳科专科门诊就诊的成人(>18岁)突发性聋患者146例,除去因故排除的病例,纳入研究的共138例突发性聋患者;选择上海市虹口区凉城新村街道社区132例无听力异常主诉的健康者作为对照组,应用逐步logistic回归分析,探寻突发性聋的相关因素,同时对2组病例进行中医体质辨识比较。结果各类因素比值比(Odds ratio,OR)如下:经常熬夜(OR=2.89)、自觉睡眠质量不佳(OR=4.81)、低盐饮食(OR=0.34)、中医体质偏颇(OR=14.01)、经常运动(OR=0.13)等5种因素与突发性聋密切相关。突发性聋患者中气虚质和湿热质的比例明显高于健康人群,而平和质的比例明显低于健康人群,2组差异有统计学意义(P<0.05)。结论经常熬夜、自觉睡眠质量不佳、低盐饮食、中医体质偏颇和经常运动为突发性聋的相关因素,其中经常运动、低盐饮食为突发性聋的保护因素。通过中医体质辨识,可发现气虚质和湿热质者易于罹患突发性聋,可针对性地进行预防干预。Objective To explore the risk factors of sudden deafness and the characteristics of traditional chinese medicine(TCM)constitution identification.Methods A total of 146 adult patients(>18 years old)with sudden deafness who were admitted to the Department of Otolaryngology,the Fifth People’s Hospital of Shanghai affiliated to Fudan University from January 2018 to December 2018 were selected.A total of 138 cases of sudden deafness were included in the study,excluding the cases excluded for reasons.A total of 132 healthy subjects without hearing abnormalities were selected as the control group.Stepwise Logistic regression analysis was used to explore the related factors of sudden deafness.Meanwhile,the two groups of patients were compared for the identification of TCM constitution.Results Sudden deafness is closely related to such five factors as staying up late(OR=2.89),poor sleep quality(OR=4.81),low-salt diet(OR=0.34),biased constitution of traditional Chinese medicine(OR=14.01)and regular exercise(OR=0.13).The proportion of qi-deficiency and damp-heat in patients with sudden deafness was significantly higher than that in healthy people,while the proportion of mild deafness was significantly lower than that in healthy people.Conclusion Frequent stay up late,poor sleep quality,low-salt diet,biased constitution of traditional Chinese medicine and regular exercise are the relevant factors for sudden deafness,among which regular exercise and low-salt diet are the protective factors for sudden deafness.Through the identification of TCM constitution,it can be found that people with deficiency of qi and dampness and heat are prone to sudden deafness.

关 键 词：突发性聋 中医体质辨识 危险因素 

分 类 号：R276.1[医药卫生—中医五官科学]