摘要目的 了解临床女性护士五音分布情况和中医体质状态.方法 选择某三级甲等中医院临床女性护士300名,使用知己(KY3H)闻音辨识评估仪进行五音检测,采用中华中医药学会《中医体质分类与判断表》进行中医体质辨识.比较不同年龄、不同工作性质、是否值夜班护士的五音分布及体质状态的差异.结果 300名临床女性护士五音分布中角音占39%,徴音占34%,羽音占21.4%;按年龄分组,年轻组中羽音分布较多(χ2=13.014),年长组角音较多(χ2=4.719),差异均有统计学意义(P<0.05);夜班组羽音及角音分布高于白班组,差异有统计学意义(χ2值分别为5.902、3.985;P<0.05).中医体质分布,平和质占31.33%,阳虚质占21.67%,气郁质占11.67%,湿热质占11.00%;内科组中气郁质与血瘀质比例高于外科组,差异有统计学意义(χ2值分别为6.478、5.902;P<0.05);白班组中平和质比夜班组比例高(χ2=6.210),夜班组中气虚质高于白班组(χ2=5.270),差异均有统计学意义(P<0.05).气虚质中五音分布以徵音最多(P=0.002),在发羽音的护士中气郁体质护士最少(P=0.045).结论 临床女性护士群体的五音及中医体质状态分布特点可能受年龄及工作性质的影响.

abstractsObjective To explore the five-tone distribution of clinical female nurses and the constitution of Traditional Chinese Medicine (TCM). Methods Totally 300 clinical female nurses from a ClassⅢ Grade A hospital were selected. Zhiji Wenyin identification evaluator (KY3H) was used to identify their five tones, and the TCM Constitution Classification and Identification Scale developed by China Association of Chinese Medicine was used to identify their TCM constitution. The five-tone distribution and TCM constitution were compared between the nurses with different ages, job categories and shifts. Results The tones of Jue, Zhi and Yu accounted for 39%, 34% and 21.4% respectively of the five-tone distribution in the 300 clinical female nurses. Divided by age, the tone of Yu was more often found in the younger group, while the tone of Jue had a larger share in the older group (χ2=13.014,4.719; P<0.05). The tones of Yu and Jue were more often found in the night shift group than in the day shift group (χ2=5.902, 3.985; P<0.05). As for the TCM constitution, the mildly, yang-insufficiency, qi-stagnation and damp-heat constitutions accounted for 31.33%, 21.67%, 11.67% and 11.00%, respectively. The nurses in the internal medicine group showed a higher proportion of qi-stagnation and blood-stasis constitutions than the nurses in the surgery group (χ2=6.478, 5.902; P< 0.05). The nurses in the day shift group showed a higher proportion of mildly constitution than the nurses in the night shift group, while the nurses in the night shift group showed a higher proportion of qi-insufficiency constitution than the nurses in the day shift group (χ2=6.210,5.270; P<0.05). The tone of Zhi had the largest share in the nurses with the qi-insufficiency constitution (P=0.002), while the nurses with the qi-stagnation constitution had the least share among the nurses with the tone of Yu (P=0.045). Conclusions The characteristics of five-tone distribution and TCM constitution of clinical female nurses may be affected by their age and job category.