主题：【原创】自打嘴巴帖：地震会引发糖尿病？对。 那是有地。。（1） -- 寒塘冷月

摘要译文：

压力的来源可以是身体的，象外伤或病症。 或者他们可以是精神的，象在您的婚姻、工作、健康或者财务的问题。

他们的实际影响是让储存的能量-葡萄糖和脂质-传送到细胞里。然后这些细胞的能量帮助躯体逃离危险。

而有糖尿病的人，在抗争或逃离的反应不能很好地运作。 胰岛素总是不能让额外能量进入细胞，因此葡萄糖堆积在血液里。

许多压力的来源所造成的威胁不是短期的，结果，长期的压力导致长期的高血糖。

Stress results when something causes your body to behave as if it were under attack. Sources of stress can be physical, like injury or illness. Or they can be mental, like problems in your marriage, job, health, or finances.

When stress occurs, the body prepares to take action. This preparation is called the fight-or-flight response. In the fight-or-flight response, levels of many hormones shoot up. Their net effect is to make a lot of stored energy - glucose and fat - available to cells. These cells are then primed to help the body get away from danger.

In people who have diabetes, the fight-or-flight response does not work well. Insulin is not always able to let the extra energy into the cells, so glucose piles up in the blood.

Many sources of stress are not short-term threats. For example, it can take many months to recover from surgery. Stress hormones that are designed to deal with short-term danger stay turned on for a long time. As a result, long-term stress can cause long-term high blood glucose levels.

Many long-term sources of stress are mental. Your mind sometimes reacts to a nondangerous event as if it were a real threat. Like physical stress, mental stress can be short term - from taking a test to getting stuck in a traffic jam. It can also be long term: from working for a demanding boss to taking care of an aging parent. In mental stress, the body pumps out hormones to no avail. Neither fighting nor fleeing is any help when the "enemy" is your own mind.

[URL=]

http://www.diabetes.org/type-1-diabetes/stress.jsp [/URL]

国内医学也认同Stress (压力) 严重干扰人体各个器官的功能，引起新陈代谢的失调

据解放军八五医院肿瘤热疗科主任医师周建梁介绍，孤僻、抑郁、焦虑、多疑善感、易怒、暴躁的情绪等都会严重干扰人体各个器官的功能，引起新陈代谢的失调， 生活规律紊乱，从而容易形成病因，以及诱发肿瘤。而在夏日里，以车代步、夜生活频繁、被动吸烟的年轻人非常多，机体免疫力下降，加之容易上火，导致性格不 正常，就容易引发癌症。

　　在对36例癌症患者的分析后发现，29例患者有长期不规律的生活和不健康的饮食习惯，大多数又经历了失业、失恋、亲人亡故、疾病缠身等遭遇给情绪带来的“有害刺激”。

[URL=]http://www.178yy.com/news/2006/1/2006115144416.htm [/URL]

5 为什么地震引发的糖尿病不能称为地震糖尿病？

2 有近一半的糖尿病患者在发病多年后才被诊断出来

3 “地震糖尿病”是如何在短期内治愈的 ？

排除了以上第二与第三项的“地震糖尿病”，剩下的少数新诊断的糖尿病人，才是真正由地震引发的，而这些糖尿病患者都是潜伏的未来糖尿病患者，只不过因地震或其他各种压力而提早引发，这并不能称为地震糖尿病，这是本文的重点之一，必须详细说明。

压力已确定是引发糖尿病的诱因，而造成压力的因素很多，地震只是其中之一，如果我们将地震引发的糖尿病称为“地震糖尿病”，其带来的结果将令人啼笑皆非。海啸引发的糖尿病该称为“海啸糖尿病”吧？ 引申开来，名目很多，举几个例子：风灾糖尿病，台风糖尿病，水灾糖尿病，火灾糖尿病，蝗虫灾糖尿病，冰灾糖尿病，车祸糖尿病，熬夜糖尿病，失眠糖尿病，孤僻糖尿病，抑郁糖尿病，焦虑糖尿病，多疑善感糖尿病，易怒糖尿病，暴躁糖尿病，下岗糖尿病，失恋糖尿病，亲人亡故糖尿病，疾病缠身糖尿病，夫妻失和糖尿病，被上司同事排挤糖尿病，赌博糖尿病，通宵搓麻糖尿病，偷情糖尿病。。。。。

诊断方面也造成荒谬的局面，如果这糖尿病人兼有亲人亡故、通宵搓麻、偷情，那可要安排专人进行调查该归类为哪一类糖尿病了。如果病人说他因偷情，怕被领导发觉，因此心理压力很重，那就确诊为偷情糖尿病吧，可以吗？不可以！因为医疗诊断是一件非常严肃的事，怎能让病人自己来呢？这要请私家侦探跟踪病人看是否有偷情吧？这合理吗？如果有地震糖尿病的话，这就合理。那增加的费用咋办？这玩笑未免开得太大了。

这是河友，也是内分泌与糖尿病研究员的青方对“台湾921地震对公务员之中在灾区流动性的效应”的观点：所以，个人观点，地震糖尿病这个概念，在没有得到令人信服的数据前，是不存在的。

这是网友引用台湾的一项有关地震的糖尿病的研究（下文）

引用

THE EFFECTS OF THE 921 TAIWAN EARTHQUAKE ON MOBILITY AMONG PUBLIC EMPLOYEES IN THE DISASTER AREA: ISEE-268.

ABSTRACTShttp://www.cchere.net/article/1636243.html

Epidemiology. 14(5) Supplement:S52, September 2003.

Chang, T Y (1); Ou Yang, Y C; Hsiao, Y Y; Chan, C C

Abstract:http://www.cchere.net/article/1636243.html

Introduction: On September 21, 1999, a powerful earthquake of magnitude 7.3 on the Richter scale struck central Taiwan and caused a total of 2,347 deaths. From the scale and the degree of damage, it is believed to be the worst earthquake in 20th century Taiwan. Past studies related to earthquakes discussed the immediate effects on the mortality and causes of deaths, but rare studies emphasized the prolong effects on the mobility. One cohort study presented the increasing numbers of incident cases of hypertension, heart disease, arthritis, and diabetes within the first 6 months, however, without the pre-earthquake clinical diagnosis or medical records, the relationship between the new cases of chronic diseases occurrence and the earthquake inducement was unknown. With the completely National Health Insurance (NHI) system in Taiwan, the purpose of this study was to describe the prevalent pattern of chronic diseases and to clarify the different mobility between the pre-earthquake and the post-earthquake in the 921 Taiwan Earthquake.

Methods: We carried out two sets of questionnaire survey to collect individual information related to damage of this earthquake and personal life style between 2002 and 2003. 3,637 persons comprised public employees and their family members were voluntary to supply personal identity numbers to link the NHI system for individual outpatient enrollment analysis. The data from March 21, 1999, through March 20, 2001 were obtained from the Bureau of NHI. According to the occurrence of the 921 Taiwan Earthquake, the outpatient data of this population was divided to pre-earthquake and post-earthquake time-periods with every 6 months. The trends of outpatient frequency and outpatient number of all diseases and specific chronic diseases were determined and the incident cases were observed during the two years.

Results: We observed that the total outpatient frequencies of all diseases in this population increased from 20,411 times in the half-year pre-earthquake to 23,103 times in the one-year post-earthquake and slightly decrease to 21,401 times in the 1.5-year post-earthquake. Male had higher outpatient frequencies than female and both gender had the same trend as the total of all diseases. In the outpatient numbers of all diseases, however, total outpatient numbers continued to increase from 2,677 persons in the pre-earthquake to 2,773 persons in the post-earthquake. The most age group to use healthcare service was 40-49 years old. Our findings presented rising trends in the prevalent rates of diabetes mellitus (ICD-9: 250) and hypertensive disease (ICD-9: 401-405) after this earthquake, but the prevalent rate of ischaemic heart disease (ICD-9: 410-414) reduced at the first 6 months and then increased in the post-earthquake. We also observed the numbers of incident cases on bronchitis, emphysema and asthma (ICD-9: 490-493) were more than other chronic diseases after this earthquake.

Conclusions: We concluded the prevalent patterns of chronic diseases on public employees and their family members were affected by the 921 Taiwan Earthquake, and the long-term effects of this earthquake on respiratory system would be more study in the future.

(C) 2003 Lippincott Williams & Wilkins, Inc.

翻译我要讨论的3段文字：

1 对一个群组研究显示高血压、心脏病、关节炎和糖尿病（这些都是慢性病）等病例都有增长。

2 我们的研究结果显示了在这一时段糖尿病(ICD-9 ： 250)和高血压疾病都有上升的趋势

3 我们也观察到，在这次地震发生以后，支气管炎、肺气肿和哮喘(ICD-9的： 490-493)的发病率比其他慢性病更多。

我细读这paper数遍，发现这paper 其实是否定了地震糖尿病的存在，因为地震后，高血压、心脏病、关节炎，都和糖尿病一样上升了，却没有地震高血压、地震心脏病、地震关节炎的说法，另外，地震后，支气管炎、肺气肿和哮喘病的增加比高血压、心脏病、关节炎和糖尿病更高，这就更应该把地震引发的支气管炎、肺气肿和哮喘病定名为地震支气管炎、地震肺气肿和地震哮喘病，可我没有找到具有公信力的机构或组织，冠以这样的名堂！

现今实际存在的糖尿病人有2亿多，研究糖尿病的科研人员有成千上万，每年做出的papers 有几千份，因此造成了有些papers没有实际的科学价值，对这点必须有认知。

6 为什么在大规模灾难发生时，不应该让2型糖尿病患者用降血糖药？

人体的运作都得靠葡萄糖，就如汽车需要汽油等燃料才能开动，而人的糖储藏量非常少，因此每天必需吃3餐，多数人超过10小时不进食，就会有发抖等缺糖的表征，有少数人会因缺糖而晕倒。糖尿病是慢性病，要一段常时间才会对身体产生伤害，而缺糖是急性的伤害，一旦晕倒，有可能因脑 缺氧而死亡（If one faints but remains vertical, one risks death due to one's brain not receiving the oxygen it requires.）

大规模灾难发生时，大多数人都缺乏食物，体内血糖很低，这时候服用降糖药，容易造成晕倒，并可能造成死亡。

这是偶burnt了一个周末的时间做的功课，不花木有淫性啊