艾烟暴露对针灸师四种呼吸疾病的影响:一项回顾性队列研究  

Effects of Moxa Smoke Exposure on Respiratory Disease in Acupuncturists:A Retrospective Cohort Study

作　　者：余常[1] 陈莎莎 赵雪妮 王蕊 Yu Chang;Chen Shasha;Zhao Xueni;Wang Rui(School of Acupuncture and Tuina,Chengdu University of Traditional Chinese Medicine,Chengdu,611137,China;School of Basic Medical Sicences,Chengdu University of Traditional Chinese Medicine,Mianyang,621000,China;The Second Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu,611137,China;School of Acupuncture and Tuina,Sichuan College of Traditional Chinese Medicine,Chengdu,610041,China)

机构地区：[1]成都中医药大学针灸推拿学院,四川成都611137 [2]成都中医药大学基础医学院,四川绵阳621000 [3]成都中医药大学附属第二医院,四川成都611137 [4]四川中医药高等专科学校针灸推拿学院,四川成都610041

出　　处：《成都中医药大学学报》2024年第5期13-18,共6页Journal of Chengdu University of Traditional Chinese Medicine

基　　金：四川省中医药管理局中医药科研专项课题(2021MS103,2021MS231);四川省自然科学基金面上项目(2022NSFSC0852);四川省自然科学基金青年基金项目(2023NSFSC1826)。

摘　　要：目的:探讨艾烟暴露对针灸师患慢支炎、鼻炎、肺炎、支气管炎等呼吸疾病的影响。方法:采用回顾性研究方法,收集在岗1年以上针灸师的健康资料,包括一般情况,艾烟暴露情况,工作以来患慢支炎、鼻炎、肺炎、支气管炎的健康诊断资料。以针灸工作中一半及以上时间开展艾灸治疗且没有或很少时间使用无烟灸(无烟灸具)的针灸师作为艾烟暴露组,其他针灸师为艾烟未暴露组。比较两组针灸师的一般资料、4种呼吸疾病患病率,并分析影响针灸师患呼吸疾病的因素。采用卡方检验进行患病率的单因素比较,采用多元Logistic回归模型,分析艾烟暴露对呼吸疾病患病率的影响。结果:共756例针灸师资料纳入研究,其中暴露组518例,未暴露组238例。与未暴露组比较,暴露组慢支炎、肺炎、鼻炎的患病率无差异,支气管炎患病率增高(P<0.05),年龄分层后,两组间4种呼吸疾病患病率无差异。多元Logistic回归分析显示,艾烟暴露与慢支炎、鼻炎、肺炎均不相关,风险值无统计学意义。艾烟暴露是支气管炎的危险因素(OR:1.683,95%CI:1.015-2.790,P=0.043)。家族胸科疾病史是针灸师患慢支炎(OR:7.450,95%CI:2.810-19.749,P=0.000)、鼻炎(OR:1.790,95%CI:1.226-2.612,P=0.003)、肺炎(OR:2.901,95%CI:1.689-4.983,P=0.000)和支气管炎(OR:2.034,95%CI:1.291-3.206,P=0.002)的危险因素。结论:艾烟暴露对针灸师慢支炎、鼻炎、肺炎患病率无影响,艾烟对针灸师无明显职业危害。Objective:To investigate the effect of moxa smoke exposure on respiratory diseases such as chronic bronchiitis,rhinitis,pneumonia and bronchitis in acupuncturists.Methods:A retrospective study was conducted to collect the health data of acupuncturists who had been on the job for more than 1 year,including general condition,exposure to moxa smoke,and health diagnosis data of chronic bronchiitis,rhinitis,pneumonia and bronchitis since work.Acupuncturists who spent more than half of their time in acupuncture and had no or little time to use smokeless moxibustion(smokeless moxibustion equipment) were used as the moxa smoke exposure group,and other acupuncturists were in the moxa smoke unexposed group.The general data of the two groups of acupuncturists,the prevalence of four respiratory diseases,and the factors influencing the respiratory diseases of the acupuncturists were analyzed.The chi-square test was used to compare the prevalence of the prevalence,and the multivariate logistic regression model was used to analyze the effect of moxa tobacco exposure on the prevalence of respiratory diseases.Results:A total of 756 acupuncturists were included in the study,including 518 in the exposed group and 238 in the unexposed group.Compared with the exposed group,there was no significant difference in the prevalence of chronic bronchiitis,pneumonia and rhinitis in the exposed group,and the prevalence of bronchitis was significantly increased.Multivariate logistic regression analysis showed that there was no significant relationship between muxa exposure and chronic bronchiitis,rhinitis and pneumonia,and the risk value was not statistically significant.Moxa tobacco exposure was a risk factor for bronchitis(OR:1.683,95%CI:1.015-2.790,P=0.043).The family history of thoracic diseases was chronic bronchiitis(OR:7.450,95%CI:2.810-19.749,P=0.000),rhinitis(OR:1.790,95%CI:1.226-2.612,P=0.003),pneumonia(OR:2.901,95%CI:1.689-4.983,P=0.000) and bronchitis(OR:2.034,95%CI:1.291-3.206,P= 0.002).Conclusion:Moxa smoke exposure had no signif

关 键 词：艾烟 针灸师 呼吸疾病 危险因素 回顾性队列研究 

分 类 号：R245.8[医药卫生—针灸推拿学]