不同海拔移居电网员工中医体质现状调查及相关性分析  

Investigation and Correlation Analysis of Constitution of Traditional Chinese Medicine among Migrant Power Grid Employees Working on Plateau at Different Altitudes

作　　者：谢美玲 谢盛 唐波 何清华[1] 周冰[1] 马蓓 Xie Meiling;Xie Sheng;Tang Bo;He Qinghua;Zhou Bing;Ma Bei(Sichuan Electric Power Hospital,Chengdu,610021,China;Chengdu Integrated TCM&Western Medicine Hospital/Chengdu First People's Hospital,Chengdu,610095,China)

机构地区：[1]四川电力医院,四川成都610021 [2]成都市中西医结合医院/成都市第一人民医院,四川成都610095

出　　处：《成都中医药大学学报》2024年第5期25-30,共6页Journal of Chengdu University of Traditional Chinese Medicine

基　　金：国康集团财务要[2021]90号。

摘　　要：目的:调查不同海拔高度高原移居电网员工的中医体质分布,探讨其相关性。方法:采用问卷调查的研究方法,对2021年7月至2022年7月在海拔1 500 m-5 500 m工作且年限大于1年的移居电网员工体质类型进行问卷调查、回收及分析,得出不同海拔人体平和质与偏颇质的区别。并根据偏颇体质得分进行各偏颇体质间的双变量相关分析及因子分析,得出不同海拔的兼夹体质分布特点及相关性。结果:(1)高海拔、超高海拔比较:平和质比例均少于偏颇体质,男性平和质的比例总体高于女性,且从高海拔到超高海拔,平和质比例逐渐减少,偏颇体质比例逐渐增多,但总体及男性、18-42岁年龄层群体平和质与偏颇质比较均无统计学差异(P>0.05),而女性、43-55岁年龄层群体有统计学差异(P<0.05);(2)高原地区以兼夹体质为主,高海拔地区气虚质与阳虚质、血瘀质、气郁质,阴虚质与痰湿质、湿热质易形成兼夹体质,超高海拔地区阴虚质与痰湿质、湿热质,湿热质与血瘀质、特禀质,气虚质与阳虚质易形成兼夹体质。结论:高原移居电网员工以兼夹体质居多,女性及43-55岁年龄层群体体质更易受到海拔的影响;且不同海拔易形成的兼夹体质组合不相同,说明兼夹体质与海拔有一定的相关性且复杂多变。Objective:To investigate the distribution of traditional Chinese medicine constitution of migrant workers in power grid on the plateau at different altitudes and explore their correlations.Methods:The migrant workers in power grid who had worked at least 1 year at an altitude of 3500m-5500m during Jan 2021 to Jun 2022 were investigated by on-site questionnaire survey.Then the surveys were collected and the constitutional types were analyzed in classification statistically.The distribution characteristics of gentleness constitution type and imbalanced constitution type between different altitudes were obtained.Based on the scores of the imbalanced constitution types,the bivariate correlation analysis and factor analysis were carried out and the distributional characteristics and correlations of composite constitutions between different altitudes were concluded.Results:(1) Compared between high altitude and ultra-high altitude,the proportion of gentleness constitution type was lower than that of imbalanced constitution type,and the proportion of gentleness constitution type in male was higher than that in female.From high altitude to ultra-high altitude,the proportion of gentleness constitution type gradually decreased as the proportion of gentleness constitution type gradually increased.Statistical difference of gentleness constitution type and imbalanced constitution type between different altitudes existed statistically in female population and the workers at the age of 43 to 55(P<0.05) but not in all and in male population and the workers aged 18 to 42(P>0.05).(2) The constitutions were mainly composite oN the plateau.In high altitude areaY,the composite constitution types were easily formed between:Qi-deficiency and Yang-deficiency,Blood-stasis and Qi-depression;Yin deficiency and Phlegm-dampness,Dampness-heat.In ultra-high altitude areas,the composite constitution types were easily formed between:Yin-deficiency and Phlegm-dampness,Dampness-heat;Dampness-heat and Blood-stasis,Specific-diathesis;Qi-Deficiency a

关 键 词：高原 海拔 中医体质 电网员工 相关性 

分 类 号：R223[医药卫生—中医基础理论] R228[医药卫生—中医学]