摘要
目的:研究天津地区抗新型冠状病毒肺炎医务人员的中医体质辨证特点。方法:通过天津地区定点海河医院NCP疫情期间院内特派中医医生,按照院感防护要求,面对面将本院2020年2月—2020年3月间60例NCP医疗救治工作满14 d,进防控"红区"前及出防控"红区"后在天津某酒店集中隔离休整7 d内的一线人员进行中医望闻问切、中医体质辨证。结果:中医体质辨证60例均为偏颇体质(占100%),平和质0例(0%),其中阴虚质51例(85%)>气郁质39例(65%)>阳虚质37例(61.7%)>气虚质36例(60%)>湿热质10例(16.7%)>血虚质9例(15%)、血瘀质9例(15%)>痰湿质4例(6.7%)>特禀质1例(1.7%)>平和质0例(0%),阴虚质51例为最主要的体质类型。防控"红区"工作对医务人员中医体质有影响,阴虚质、气郁质、阳虚质、气虚质均P<0.01出入防控"红区"前后数量差异有显著性意义;湿热质0.01<P<0.05出入防控“红区”前后数量差异有统计学意义。结论:一线医务人员承受紧张工作和多方压力,产生较大的生理心理应激,体质不良影响,中医体质辨证为纠正偏颇体质、改善临床症状及归纳整合一套行之有效的中医保健策略方案提供一定的帮助。
Objective Study on the characteristics of TCM constitution differentiation of doctors,nurses and technicians in the treatment of NCP in Tianjin area.Methods Special TCM doctors in designated Haihe hospital in Tianjin during NCP epidemic,according to the requirements of hospital infection protection were met face to face with researchers.60 medical staff of Haihe hospital in Tianjin from February 2020 to March 2020 were selected to treat NCP,after 14 days of work and 7 days after leaving the red area.They were all centralized isolation and rested in a hotel in Tianjin.TCM constitution differentiation was carried out for medical staff as well as four diagnosis combined with reference,clinical manifestations and complications were implemented.Results 60 cases of TCM constitution differentiation are all biased constitution(100%),gentle quality 0 cases(0%).Among them,deficiency of yin quality 51 cases(85%)>qi depression quality 39 cases(65%)>deficiency of yang quality 37 cases(61.7%)>deficiency of vital energy 36 cases(60%)>damp-heat 10 cases(16.7%)>deficiency of blood 9 cases(15%),blood-stasis 9 cases(15%)>phlegm-dampness 4 cases(6.7%)>special constitution 1 case(1.7%)>gentle quality 0 case(0%),deficiency of yin quality 51 cases are the main constitution type.Working in the red area has an impact on the medical staff's constitution of traditional Chinese medicine.The yin deficiency constitution,qi gloomy constitution,yang deficiency constitution,qi deficiency constitution(P<0.01),which the number before and after were of statistically significant. The damp heat constitution (0.01<P <0.05) was ofobvious statistically significant. Conclusion The front-line medical staff are under intense work and multiplepressures, which producing greater physiological and psychological stress as well as bad constitution effects. TCMconstitution differentiation can help correct the biased constitution, improve the clinical symptoms and integrate aset of effective TCM health care strategies.
作者
李志华
薛卉
叶祖明
张东
叶静
于茂恒
LI Zhi-hua;XUE Hui;YE Zu-ming(Traditional Chinese Medicine Key Research Laboratory for Infectious Disease Prevention for State Administration of Traditional Chinese Medicine,Haihe Hospital,Tianjin 300350,China)
出处
《中国中西医结合外科杂志》
CAS
2021年第2期321-327,共7页
Chinese Journal of Surgery of Integrated Traditional and Western Medicine
基金
天津市卫生局科技基金(2020xkc06)。
关键词
体质辨证
偏颇
阴虚
Constitution differentiation
biased constitution
deficiency of yin
