长期飞行航天员健康状态的中医辨证研究  

Traditional Chinese medicine pattern identification research on health status of astronauts in long term spaceflight

作　　者：石宏志[1] 徐冲[1] 范全春[1] 刘军莲[1] 赵爽[1] 米涛[1] 张成普 殷学民[1] 李勇枝[1] Shi Hongzhi;Xu Chong;Fan Quanchun;Liu Junlian;Zhao Shuang;Mi Tao;Zhang Chengpu;Yin Xuemin;Li Yongzhi(National Key Laboratory of Space Medicine,China Astronaut Research and Training Center,Beijing 100094,China)

机构地区：[1]航天医学全国重点实验室,中国航天员科研训练中心,北京100094

出　　处：《航天医学与医学工程》2024年第5期302-306,318,共6页Space Medicine & Medical Engineering

基　　金：载人航天工程航天医学实验领域项目资助(HYZHXM05001)。

摘　　要：目的基于“四诊-辨证”的中医辨识分类体系,研究航天员长期飞行的中医证型类别,阐释整体功能状态的特点及其变化规律。方法依托空间站建造期3次载人飞行任务,在飞行前、中、后各阶段采用数字化中医诊断仪和“中医证候诊断量表”采集9名乘组航天员中医望诊、脉诊和问诊信息,共获得32人次在轨舌、面图像和2000余条数据。通过数据挖掘等手段,四诊合参辨证研究,提出飞行不同阶段以及不同体质航天员中医证型分布特点,基于中医特色健康观评估航天员整体健康状态及其演变规律。结果(1)航天员长期飞行中出现了8种中医证型的相关表现,分值较高者为肝郁化火、肝肾阴虚、心肾不交、脾肾阳虚4种证型,但辨证结果均以阴阳平衡为主,仅个别航天员在某个阶段表现出短暂的阴阳平衡状态偏离,经过长期适应调整基本均恢复阴阳自和状态。(2)随着飞行时间延长,肝郁化火和心脾两虚证型所占比例逐月增多,表明长期飞行时,航天员心理情绪方面的变化和气血不足状态需要重点关注。(3)体质因素对飞行中的中医证型分布有一定影响,体质偏颇的航天员各证型总分值明显高于平和质的航天员,偏阴虚质航天员心肾不交证型分值略高于偏阳虚(气虚)质者。应根据飞行不同时段的中医证机,结合体质等因素综合考虑,制订个体化的调理措施。结论基于中医四诊参数的证候分析方法科学、实用,可用于从中医角度对长期飞行的航天员进行整体健康状态定量综合评价。Objective To study traditional Chinese medicine(TCM)syndrome pattern of astronauts in long term spaceflight,and to summarize and elucidate the characteristics and evolvement of their holistic functional status based on TCM Pattern Identification and Classification System.Methods The Digital TCM Diagnostic Instrument and TCM Syndrome Diagnosis Scale were used to collect information from 9 astronauts in three manned missions of China Space Station,through diagnostic methods of observation,palpation and inquiry according to CM theory.Data collection was performed at various stages before,during,and after spaceflight,a total of 32 person-time digital images of tongues and facial complexion and over 2000 data were collected.Through data mining and analysis using four diagnostic feature fusion methods,the distribution characteristics of TCM pattern among astronauts at different stages of flight and with different physical constitutions were proposed,and the health status and evolution trend of astronauts were evaluated based on the health concept of TCM.Results(1)The astronauts showed related manifestations of 8 TCM syndromes during long term flight,among which 4 syndromes had higher scores,including Liver Depression Transforming into Fire,Liver and Kidney Yin Deficiency,Heart Kidney Disharmony,and Spleen and Kidney Yang Deficiency.However,their syndrome differentiation were mainly based on Yin and Yang in equilibrium,with only a few individuals showing a brief deviation from the equilibrium state at a certain stage.After long-term adaptation and adjustment,they almost had returned to a state of Yin-Yang equilibrium reestablishment.(2)As the flight time increased,the proportion of Liver Depression Transforming into Fire and Qi and Blood Deficiency in Heart and Spleen syndrome increased month by month,indicating that the psychological and emotional changes and insufficient Qi and blood status during long term flight need to be focused on.(3)Physical constitution had a certain impact on the syndrome patterns during fligh

关 键 词：长期载人航天飞行 航天员 健康状态 中医 辨证 

分 类 号：R24[医药卫生—中医临床基础]