主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2018, Vol. 41 ›› Issue (3): 248-252.doi: 10.3969/j.issn.1006-2157.2018.03.012

• 临床研究 • 上一篇    下一篇

北京高铁乘务人员中医体质调查及与抑郁焦虑状态的相关性研究*

姜敏, 丁金芳, 宋清坤, 吴欣   

  1. 首都医科大学附属北京世纪坛医院 北京 100038
  • 收稿日期:2016-11-15 出版日期:2018-03-30 发布日期:2018-03-30
  • 作者简介:姜敏,女,硕士,主任医师,硕士生导师
  • 基金资助:
    *北京市中医管理局北京中医药科技发展资金项目(No.JJ2015-18)

TCM constitutions and depression-anxiety status in crew of high-speed rail trains of Beijing Railways: a survey and a correlation study*

Jiang Min, Ding Jinfang, Song Qingkun, Wu Xin   

  1. Beijing Shijitan Hospital, Capital University of Medical Sciences, Beijing 100038, China
  • Received:2016-11-15 Online:2018-03-30 Published:2018-03-30
  • Supported by:
    *Chinese Medicine Science and Technology Development Foundation of Beijing (No. JJ2015-18)

摘要: 目的 对北京高铁乘务人员进行中医体质调查,并分析不同体质与抑郁焦虑状态的相关性。方法 通过整群抽样法,采用标准化的《中医体质量表》及《Zung抑郁自评量表》《Zung焦虑自评量表》,以问卷调查形式对北京高铁乘务人员进行中医体质分布及抑郁、焦虑状态调查,分析其体质分布特点及与抑郁焦虑状态的相关性。结果 北京高铁乘务人员中阳虚体质(含兼夹阳虚体质)者47.0%,气虚体质(含兼夹气虚体质)者42.3%,气郁体质(含兼夹气郁体质)者40.9%,阴虚体质(含兼夹阴虚体质)者31.7%,痰湿体质(含兼夹痰湿体质)者30.6%,血瘀体质(含兼夹血瘀体质)者28.1%,湿热体质(含兼夹湿热体质)者14.6%,特禀体质(含兼夹特禀体质)者12.1%,平和体质者3.9%。各种体质均与抑郁、焦虑状态有显著的相关性(P<0.05),其中平和体质患有焦虑的比例低,而气虚、阳虚、阴虚、痰湿、湿热、血瘀、气郁和特禀8种偏颇体质患有抑郁、焦虑的比例明显增加(P<0.05),气虚体质患抑郁的风险是非气虚体质的2.03倍[OR=2.03,95%CI(1.05~3.94)],气虚体质与焦虑明显相关[OR=1.95,95%CI(1.07~3.56)]。结论 阳虚体质(含兼夹阳虚体质)、气虚体质(含兼夹气虚体质)是北京高铁乘务人员最多见的体质类型,调理体质或可作为控制北京高铁乘务人员抑郁、焦虑发生的思路和方法,成为职业卫生监护的重要工作内容。

关键词: 北京高铁乘务人员, 体质, 抑郁, 焦虑, 相关性

Abstract: Objective To survey TCM constitutions in crew of high-speed rail trains of Beijing Railways, and analyze the correlation between different constitutions and depression-anxiety status. Methods TCM constitutions and depression-anxiety status were surveyed through cluster sampling and questionnaire by using Zung self-rating depressive scale (Zung’s SDS) and Zung self-rating anxiety scale (Zung’s SAS) in crew of high-speed rail trains of Beijing Railways. The characteristics of TCM constitutions and correlation between TCM constitutions and depression-anxiety status were analyzed. Results The crew with yang deficiency constitution (including those with accompanied yang deficiency constitution) accounted for 47.0%, those with qi deficiency constitution (including those with accompanied qi deficiency constitution), 42.3%, with qi depression constitution (including those with accompanied qi depression constitution), 40.9%, with yin deficiency constitution (including those with accompanied yin deficiency constitution), 31.7%, with phlegm-dampness constitution (including those with accompanied phlegm-dampness constitution), 30.6%, with blood stasis constitution (including those with accompanied blood stasis constitution), 28.1%, with damp-heat constitution (including those with accompanied damp-heat constitution), 14.6%, with specific constitution (including those with accompanied specific constitution), 12.1%, and with normal constitution, 3.9%. All constitutional types were significantly correlated to depression-anxiety status (P<0.05). The incidence of anxiety was lower in crew with normal constitution, and increased significantly in those with 8 deflective constitutions including qi deficiency, yang deficiency, yin deficiency, phlegm-dampness, damp-heat, blood stasis, qi depression and specific constitutions (P<0.005 or P<0.001). The risk of depression in those with qi deficiency constitution was 2 times as much as in those without qi deficiency constitution (OR=2.03, 95%CI: 1.05-3.94). Qi deficiency constitution was significantly correlated to anxiety (OR=1.95, 95%CI: 1.07-3.56). Conclusion The yang deficiency constitution (including those with accompanied yang deficiency constitution) and qi deficiency constitution (including those with accompanied qi deficiency constitution) are most common constitutions in crew of high-speed rail trains of Beijing Railways. The adjustment of these two constitutions may be a thinking train and method for controlling depression-anxiety status in crew of high-speed rail trains of Beijing Railways, which can be an important content in occupational health guardianship.

Key words: crew of high-speed rail trains of Beijing Railways, constitution, depression, anxiety, correlation

中图分类号: 

  • R277.7