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1.
目的：调查分析我院护理人员的中医体质分布及其影响因素，并制定相应的调理对策。方法：选取我院在岗的护理人员206名，采用中医综合诊断系统进行中医体质测评。结果：206名护理人员的中医体质为：平和质56名（27.18%）、阳虚质73名（35.44%）、气郁质25名（12.14%）、血瘀质14名（6.80%）、痰湿质11名（5.34%）、湿热质9名（4.37%）、气虚质8名（3.87%）、特禀质5名（2.43%）、阴虚质5名（2.43%），其中偏颇体质占72.82%。不同年龄段的中医体质中以30～40岁和50岁以上年龄段的偏颇体质占比较高，分别为88.46%和92.16%，分别与20～30岁、40～50岁比较，差异均有统计学意义（P＜0.05）。不同科室工作的护理人员的中医体质中，外科、儿科的护理人员偏颇质较高，与内科进行比较，差异均有统计学意义（P＜0.05）。结论：我院护理人员偏颇体质占比高，这与护理人员的年龄、工作压力过大、生活不规律、工作环境等因素有关。因此，需重视护理人员的体质状况，应根据护理人员体质偏颇的情况制定相应对策，改善护理人员的体质。 相似文献
2.
目的：通过“中医体质辨识健康管理系统”对甘肃中医药大学附属医院高血压睡眠科收治的306名原发性高血压病患者进行中医体质检测，分析性别、年龄与其体质分布的关系，并针对不同体质患者制定合理的中医防治方案。方法：选择甘肃中医药大学附属医院高血压睡眠科收治的306 例原发性高血压病患者，通过“中医体质辨证、健康管理系统”分析其体质总体分布、不同年龄阶段体质分布、不同性别体质分布，并针对不同体质患者制定养生调理方案。结果：通过中医体质检测发现，306 例高血压病患者体质总体分布占比由高到低依次为气虚质19.3%，阴虚质18.0%，痰湿质15.7%，平和质13.7%，阳虚质10.5%，气郁质9.5%，湿热质5.9%，血瘀质5.5%，特禀质1.9%，其中阴虚质以60岁以上老年人居多，且女性>男性，痰湿质男性>女性，气虚质以20～40岁中青年居多，气郁质和血瘀质以女性居多，阳虚质以60岁以上老年人和女性居多。结论：兰州地区高血压病患者体质检测结果以气虚质、阴虚质、痰湿质为主，不同年龄阶段高血压病患者男女体质具统计学差异，其原因与男女生理特点、生活压力、观念、气候、饮食、地域等因素密切相关。 相似文献
3.
目的：通过调查年轻女性的痛经情况,对原发性痛经的影响因素、中医体质进行分析,为原发性痛经的防治提供思路。方法：采用问卷调查的形式对在校女生和医院体检的女性进行中医体质、痛经影响因素的调查,并分析其结果。结果：共回收1012份有效问卷,调查人群中,无痛经者157人（无痛经组）,痛经者855人（痛经组）,患病率为84.49%。痛经组偏颇体质中,气虚质、气郁质、阳虚质占比较大。痛经组和无痛经组各个体质类型差异有统计学意义（P＜0.05）。痛经组有多个体质的复合性改变。痛经组和无痛经组在睡眠、运动、情绪、家族史、饮食方面比较,差异均有统计学意义（P＜0.05或P＜0.01）。结论：原发性痛经的发生发展与体质类型紧密相关,多种复合体质的人更易发生原发性痛经,而保持良好睡眠状况、稳定情绪、节制饮食并配合适量的运动,有益于防治痛经。 相似文献
4.
目的：研究270 例三江侗族胃食管反流病(GERD）患者中医体质类型及红外皮温的分布特点。方法：选取270 例GERD患者,采用标准化的中医体质量表对患者进行体质判定,并运用数字式医用红外热成像仪观察患者的红外皮温情况。结果：270 例GERD患者中,阳虚质夹气郁质最多,其次为阳虚质夹痰湿质、阴阳两虚质,其他偏颇体质及平和质最少。不同年龄、不同性别GERD患者中医体质组间比较,差异均有统计学意义（P＜0.01）。阳虚质夹气郁质红外分布特点：督脉轨迹不显示或者断续,咽喉部、剑突下、两侧胁肋部呈高温分布,下焦、肾区呈凉偏离;阳虚质夹痰湿质红外分布特点：督脉轨迹不显示或者断续,胸骨后、剑突下呈高温分布,双眼皮温呈“镜片征”或者“八字征”,督脉、中焦、下焦、肾区呈凉偏离;阴阳两虚质红外分布特点：督脉轨迹不显示或者断续,口腔、咽喉处、胸骨后或者剑突下呈高温分布。偏于阳虚者,督脉、中焦、下焦、肾区呈凉偏离;偏于阴虚者,头面、四肢呈热偏离,督脉、中焦、下焦、肾区呈凉偏离。结论：270 例三江侗族GERD患者以阳虚质夹气郁质、阳虚质夹痰湿质、阴阳两虚质最为常见,不同体质GERD患者红外皮温具有共性,其特点为咽喉处、胸骨后、剑突下为高温分布。 相似文献
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目的：探究天津中医药大学第二附属医院妇科门诊患者阴道炎的易感因素与中医体质的相关性。方法：选取2019年2月1日至12月31日就诊于天津中医药大学第二附属医院妇科门诊有外阴阴道瘙痒、干涩、疼痛和（或）分泌物异常症状的患者483 例,进行阴道微生态检测,填写《中医体质分类与判定自测表》与《一般情况调查表》,分析阴道感染的相关因素及中医体质分布情况。结果：483 例患者中,阴道微生态正常者4 例（0.8%）,微生态失调者479 例（99.2%）,其中不能明确致病菌者129 例（26.9%）,有明确致病菌（即阴道炎）者350 例（73.1%）。嗜食辛辣是阴道炎发病的危险因素。中医体质方面,与非阴道炎患者比较,阴道炎患者中痰湿质比例更高,平和质比例更低,差异均有统计学意义（P<0.05）。细菌性阴道炎患者的湿热质多于细菌性阴道病中间型、外阴阴道假丝酵母菌病患者（P<0.05）。结论：养成良好的个人生活习惯,均衡饮食,改善体质偏颇状态,有助于减少阴道炎的发生。 相似文献
6.
目的：通过对正常高值血压患者进行中医体质分型，统计患者的血管紧张素Ⅱ（AngⅡ）等心血管危险因素，通过危险因素和中医体质的相关性分析，探讨高危人群的中医体质特征。方法：采用中医体质评分量表对150例正常高值血压患者进行中医体质分类，运用体质九分法，并记录患者的身高、体质量、吸烟史、饮酒史、家族史、血浆AngⅡ、血糖、低密度脂蛋白胆固醇（LDL-C）等，利用统计学方法处理数据，寻找AngⅡ、身体质量指数（BMI）、血糖、LDL-C、年龄、吸烟史、饮酒史、家族史等因素和中医体质之间的相关性，从而通过此类心血管危险因素筛选出正常高值血压人群中的高危体质。结果：不同中医体质人群在吸烟史、饮酒史、家族史方面，差异无统计学意义（P＞0.05），痰湿质和湿热质人群的AngⅡ、BMI、血糖、LDL-C明显高于其他体质人群，差异有统计学意义（P＜0.05）。结论：痰湿质和湿热质属于高危体质，其发展为高血压病的风险比其他体质高，应予以早期干预。 相似文献
7.
目的：观察改良督灸结合针刺调治阳虚质亚健康状态患者的临床疗效。方法：将62 例阳虚质亚健康状态患者随机分为治疗组和对照组,每组各31 例。对照组给予针刺治疗,治疗组在对照组基础上配合改良督灸治疗,2组均治疗16周,评价临床疗效以及阳虚质亚量表、疲劳量表-14（FS-14）、匹兹堡睡眠质量指数（PSQI）积分。结果：治疗组愈显率为90.0%（27/30）,对照组为62.0%（18/29）,2组比较,差异有统计学意义（P<0.05）。治疗后,2组阳虚质亚量表、FS-14、PSQI积分均有所下降,且治疗组下降幅度较对照组更为明显（P<0.01或P<0.05）。结论：改良督灸结合针刺可调治阳虚质亚健康状态,以及改变中医体质,能明显地改善患者的睡眠质量和疲劳状态,调整人体的体质偏颇,有效提高生活质量。 相似文献
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目的：采用红外热成像技术评价督脉灸改善阳虚质的临床疗效。方法：将120 例阳虚体质者随机分为观察组和对照组,每组各60 例。2组均予饮食、起居、情志、运动等基础健康调养指导,在此基础上观察组予督脉灸干预,对照组予常规穴位贴敷干预,疗程均为3个月。观察2组干预前后的中医体质评分,脊柱、膀胱经背部热代谢相对温度差（Δt）,评估体质疗效。结果：体质疗效总有效率观察组为88.33%（53/60）,对照组为66.67%（40/60）,2组比较,差异有统计学意义（P＜0.05）。2组中医体质评分,脊柱、膀胱经背部热代谢Δt干预前后组内比较及干预后组间比较,差异均有统计学意义（P＜0.01或P＜0.05）。结论：督脉灸干预阳虚质疗效明显,且优于常规穴位贴敷,可降低阳虚质患者脊柱、膀胱经背部热代谢Δt。 相似文献
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目的：系统评价中医体质类型与原发性痛经(PD)的相关性。方法：计算机检索中国知网(CNKI)、维普中文科技期刊数据库（VIP）、万方数据(WANFANG DATA)、中国生物医学文献服务系统（SinoMed）、The Cochrane Library、PubMed和Web of Scinece 7个中英文数据库中收录的关于原发性痛经中医体质类型的病例对照研究文献,检索年限为自建库至2022年4月30日,根据纳入、排除标准进行筛选,并提取有效数据。采用纽卡斯尔-渥太华量表进行质量评价,应用Review Manager 5.4软件进行Meta分析。结果：共纳入12篇文献。Meta分析结果显示,病例组血瘀质占比［OR=1.60,95%CI(1.15,2.23),P=0.005］、阳虚质占比［OR=2.11,95%CI(1.55,2.87),P<0.00001］、气郁质占比［OR=2.04,95%CI=(1.52,2.72),P<0.00001］、气虚质占比［OR=1.53,95%CI(1.15,2.03),P=0.003］、平和质占比［OR=0.48,95%CI(0.33,0.71),P=0.0002］与对照组比较,差异均有统计学意义。结论：在原发性痛经中占比高于对照组的前3种体质类型是阳虚质、气郁质、血瘀质,这3种体质可能增加PD的患病风险,平和质可能减少PD的患病风险。 相似文献
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目的：探讨卒中后认知功能障碍（PSCI）与缺血性卒中中医证型的相关性。方法：将急性缺血性脑卒中患者109 例根据蒙特利尔认知评估量表（MoCA）得分情况分为认知功能正常（NCI）组和认知功能障碍（CI）组。对比分析2组患者卒中后认知功能障碍发生的相关因素以及与中医证型的关联性。结果：CI组平均年龄、平均神经功能缺损（NIHSS）评分高于NCI组,差异具有统计学意义（P＜0.05）。2组在糖尿病、颅内动脉狭窄和梗死病灶方面比较,NCI组低于CI组。在中医证型分布上,NCI组的风火上扰证例数多于CI组,而CI组的气虚血瘀证和阴虚风动证例数多于NCI组,差异具有统计学意义（P＜0.05）。气虚血瘀证额叶梗死部位多于痰热腑实证（P<0.01）与风火上扰证（P<0.05）;风火上扰证颞叶梗死部位多于气虚血瘀证（P<0.05）和风痰瘀阻证（P<0.05）;风痰瘀阻证枕叶梗死部位多于气虚血瘀证（P<0.05）和痰热腑实证（P<0.05）;其余部位梗死与证型之间差异无统计学意义（P>0.05）。结论：中医证型为阴虚风动证和气虚血瘀证的急性缺血性脑卒中患者更易发生PSCI。 相似文献
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Arne Schnack-Friedrichsen Angela M. Davis Jim D. Bennell Dei G. Huws 《Marine Georesources & Geotechnology》2001,19(4):221-243
The interdependence between the seismo-acoustic properties of a marine sediment and its geotechnical/physical parameters has been known for many years, and it has been postulated that this should allow the extraction of geotechnical information from seismic data. Though in the literature many correlations have been published for the surficial layer, there is a lack of information for greater sediment depths. In this article, a desktop study on a synthetic seafloor model illustrates how the application of published near-surface prediction equations to subsurface sediments (up to several tens of meters burial depth) can lead to spurious predictions. To test this further, acoustic and geotechnical properties were measured on a number of sediment core samples, some of which were subjected to loading in acoustically-equipped consolidation cells (oedometers) to simulate greater burial depth conditions. For low effective pressures (representing small burial depths extending to around 10 meters subsurface), the general applicability of established relationships was confirmed: the prediction of porosity, bulk density, and mean grain size from acoustic velocity and impedance appears generally possible for the investigated sedimentary environments. As effective pressure increases through, the observed relationships deviate more and more from the established ones for the near-surface area. For the samples tested in this study, in some instances increasing pressure even resulted in decreasing velocities. There are several possible explanations for this abnormal behavior, including the presence of gas, overconsolidation, or bimodal grain size distribution. The results indicate that an appropriate depth correction must be introduced into the published prediction equations in order to obtain reliable estimates of physical sediment properties for greater subsurface depths. 相似文献
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Derek V. Ellis 《Marine Georesources & Geotechnology》2001,19(1):51-63
This article reviews information recently available from existing marine and coastal mining for responses to environmental issues affecting marine mining at different depths. It is particularly but not exclusively concerned with those issues affecting seabed biodiversity impact and recovery. Much information has been gathered in the past 10 years from shallow mining operations for construction aggregate, diamonds, and gold, from coastal mines discharging tailings to shallow and deep water, and from experimental deep mining tests. The responses to issues identified are summarized in a series of eight tables intended to facilitate site-specific consideration. Since impacts can spread widely in the surface mixing layer SML, and can affect the biologically productive euphotic zone, the main issues considered arise from the depth of mining relative to the SML of the sea. Where mining is below the SML, the issue is whether it is environmentally better to bring the extraction products to the surface vessel for processing (and waste discharge), or to process the extraction products as much as possible on the seabed. Responses to the issues need to be sitespecific, and dependent on adequate preoperational environmental impact and recovery prediction. For deep tailings disposal from a surface vessel, there are four important environmental unknowns: (1) the possible growth of "marine snow" (bacterial flocs) utilizing the enormous quantities of fine tailings particles (hundreds or thousands of metric tons per day) as nuclei for growth, (2) the possibility that local keystone plankton and nekton species may migrate diurnally down to and beyond the depth of deep discharge and hence be subjected to tailings impact at depth, (3) the burrow-up capability of deep benthos and their ability to survive high rates of tailings deposition, and (4) the pattern and rate of dispersion of a tailings density current through the deep water column from discharge point to seabed. Actions to obtain relevant information in general and site-specifically are suggested. 相似文献
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G. Parthiban 《Marine Georesources & Geotechnology》2000,18(3):223-235
Particle fluxes were measured 7 m above the sea bottom during the predisturbance, disturbance, and postdisturbance periods by using time series sediment traps attached to seven deep-sea moorings deployed in the INDEX experiment site in the Central Indian Basin. The predisturbance particle fluxes varied between 22.3 to 55.1 mg m -2 day -1 . Increased and variable particle fluxes were recorded by the sediment traps during the disturbance period. The increase observed was 0.5 to 4 times more than the background predisturbance fluxes. The increases in particle fluxes (~4 times) recorded by the sediment trap located in the southwestern direction (DMS-1) were the greatest, which could be the result of preferential movement of resuspended particles generated during the deep-sea benthic disturbance along the general current direction prevailing in this area during the experimental period. Also, the traps located closer to the disturbance area recorded greater fluxes than did the traps far away, across the Deep Sea Sediment Resuspension System path. This variability in recorded particle fluxes by the traps around the disturbance area clearly indicates that physical characteristics such as grain size and density of the resuspended particles produced during the disturbance had an important effect on particle movement. The postdisturbance measurements during ~5 days showed a reduction in particle fluxes of ~50%, indicating rapid particle settlement. 相似文献
14.
海上大直径钢管桩打桩过程中,桩周土体受到强烈扰动而发生强度弱化,掌握桩周土体强度弱化规律对于准确预测打桩过程、保证工程安全具有重要意义。为研究土体强度弱化规律,开展了环剪试验模拟打桩对桩周土体的扰动,测试土体强度随剪切速率的变化规律,建立了描述土体强度弱化规律的拟合公式,引入到打桩分析软件中。研究结果表明：土体的强度折减程度不仅与土体本身的性质有关还受到土体的埋深和剪切速率的影响,埋深越深土体强度折减程度越低,剪切速率越高土体强度折减越高,在打桩分析中可采用这里推荐的线性折减方法来模拟不同深度处土体强度的折减规律。 相似文献
15.
The advanced piston corer (APC) has been used by the Ocean Drilling Program since 1985 for recovering soft sediments from the ocean floor. The pullout force measured on extracting the core barrel from the sediment is shown to correlate with the average shear strength of the sediment core measured in the ship's laboratory. A simple rule of thumb is derived relating the shear strength of the sediment to the pullout force. Multiple APC holes at individual sites allow the consistency of the pullout measurements to be assessed. The effects of different operational procedures during APC coring are also explored. Although generally applicable, the correlation between pullout force and laboratory measurements of shear strength breaks down for some APC holes, possibly because of the disturbance of some sediment types during the APC coring process. A better understanding of the physical process of APC coring, and its effect on the properties of the sediment both inside and immediately outside the core barrel, would indicate what confidence can be put on the measurement of pullout force as a way of evaluating the in situ shear strength of deep sea sediments. 相似文献
16.
Shigehisa Nakamura 《Marine Geodesy》2000,23(1):55-61
Specific properties of the interannual sea level variations and annual tides in the Northwestern Pacific were studied. Several tide stations were monitored. The monthly mean sea level for the year of 1995 was analyzed at each tide station. A seismic event in 1995, some tectonic activity around the subject area, and the Kuroshio (the oceanic western boundary current) may possibly contaminate results which would have occurred from the astronomical annual tide alone. 相似文献
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《海洋学报(英文版)》2014,(11):161-F0003
<正>Acta Oceanologica Sinica(AOS)is a comprehensive academic journal edited by the Editorial Committee of Acta Oceanologica Sinica and is designed to provide a forum for important research papers of the marine scientific community which reflect the information on a worldwide basis.The journal publishes scholarly papers on marine science and technology,including physics,chemistry,biology, 相似文献