文章摘要
基于病因学角度探究腰椎间盘突出症中医分型与职业风险的相关性
Explore the Correlation between Traditional Chinese Medicine Classification of Lumbar Intervertebral Disc Herniation and Occupational Risk from the Perspective of Etiology
投稿时间:2021-01-01  修订日期:2021-04-11
DOI:
中文关键词: 病因学;腰椎间盘突出症;中医分型;职业风险;相关性;调查问卷;职业分布  差异性
英文关键词: etiology  lumbar disc herniation  TCM classification  professional risk  correlation  Questionnaire  occupational distribution  difference
基金项目:2018年浙江省平湖市科技局课题-“基于病因学角度探究腰椎间盘突出症中医分型与职业风险的相关性”(平科技(2018)66)
作者单位邮编
周顺 浙江省平湖市中医院 314200
摘要点击次数: 93
全文下载次数: 0
中文摘要:
      [目的]探讨腰椎间盘突出症中医分型与职业风险的相关性。[方法]300份调查问卷,通过相关性分析,找出职业致病因素与中医分型相关性强的几种职业,归纳出这些职业病的病因及相应中医分型。[结果]①腰椎间盘突出症中医分型与不同职业风险具有明确的相关性。②腰椎间盘突出症的发病具有明显特点:男性发病率大于女性;46~60岁年龄阶段发病率最高,与其他年龄阶段比较,有显著性差异(P<0.01);肝肾亏虚型在所有分型中发病率最高,与其他分型有显著性差异(P<0.01)。③从统计结果显示,腰椎间盘突出症的易发病人群具有以下职业分布特点:一线重体力劳动者以血瘀型为多,且突出最重,在所有调查职业中占比最高,与其他职业差异明显(P<0.01);司机及乘务员以湿热型为主,寒湿型为次,突出程度中等,且该职业湿热型占比最高(P<0.01);服装及箱包行业者以血瘀型及肝肾亏虚型为主,中度突出为主,且两种分型间占比未见明显统计学差异(P>0.05);教学及电脑操作者以肝肾亏虚型为主,突出一般较轻,该职业在肝肾亏虚分型中占比最高,与其他职业存在明显差异(P<0.01)。[结论]腰椎间盘突出症的不同中医分型与职业分布特点存在一定相关性,不同职业在腰椎间盘突出的程度和分布占比中存在明显差异(P<0.01)。
英文摘要:
      [Objective]To explore the correlation between Traditional Chinese medicine (TCM) classification of lumbar intervertebral disc herniation and occupational risk. [Method] Through correlation analysis of 300 questionnaires, the author found out several occupations with strong correlation between occupational pathogenic factors and TCM classification, and summarized the etiology of these occupational diseases and the corresponding TCM classification. [Result] ①The TCM classification of lumbar intervertebral disc herniation has a clear correlation with different occupational risks. ②The incidence of prolapse of Lumbar intervertebral disc is higher in Male than in female, and the incidence of prolapse of Lumbar intervertebral disc is higher in 46 ~ 60 years old than in other ages (P<0.01) The incidence of liver and kidney deficiency type was the highest in all types, and there was significant difference with other types (P<0.01) .③The statistical results show that the susceptible groups of lumbar disc herniation(LDH) have the following occupational distribution characteristics: The first-line heavy manual workers are mostly of blood-stasis type, and the most prominent, accounting for the highest proportion in all surveyed occupations, the difference was significant (P<0.01) , the driver and crew were mainly damp-heat type, the cold-damp type was secondary, the degree of prominence was medium, and the proportion of damp-heat type was the highest (P<0.01);In the garment and bag industry, blood stasis type and deficiency of liver and kidney type were the main types, with moderate prominence, and there was no significant difference in the proportion between the two types (P>0.05) , the occupation occupied the highest proportion in the deficiency of liver and kidney, which was significantly different from other occupations (P<0.01) . [Conclusion] There is a certain correlation between different TCM types of LDH and occupational distribution, and there are significant differences in the degree and proportion of LDH among different occupations (P<0.01) .
View Fulltext   查看/发表评论  下载PDF阅读器
关闭