基于中医体质辨识的特色健康教育对糖尿病患者代谢控制的影响

发布时间：2018-08-13 13:10

【摘要】：目的:探讨基于中医体质辨识的特色健康教育对糖尿病患者代谢控制的作用,探讨其可行性和有效性,获取干预体质增进糖尿病患者改善代谢指标的证据,为糖尿病健康管理提供客观依据。方法:收集2016年7月至2016年12月,在新疆大学第四附属医院内分泌科住院的、符合纳入标准的2型糖尿病患者141例,按照是否愿意进行中医特色的健康教育分为治疗组和对照组,对照组按照目前的2型糖尿病国家指南要求管理,治疗组在对照组的基础上依据体质辨识结果进行中医健康教育和个体化中医调养健康指导,于干预前、干预3个月后检测患者的糖化血红蛋白、25羟维生素D以及血脂。结果:(1)中医体质类型在两组的分布情况:痰湿质、阴虚质、气虚质、阳虚质、平和质、瘀血质、湿热质、气郁质、特禀质所占比例分别为38.57%、17.14%、14.29%、10%、5.71%、5.71%、4.29%、2.86%、1.43%;前5种主要体质类型分别是:痰湿质、阴虚质、气虚质、阳虚质、平和质。(2)与对照组相比,治疗组糖化降低优于对照组(PO.01)(3)治疗组与对照组的25羟维生素D均较前升高,但两者间无统计学差异(PO.05)。结论:(1)基于中医体质辨识的特色健康教育较常规教育组对糖尿病患者糖化可有效控制,值得进一步研究(2)糖尿病患者的主要体质分型为:痰湿质、阴虚质、阳虚质、气虚质、瘀血质。
[Abstract]:Objective: to explore the effect of characteristic health education based on TCM physique identification on metabolic control of diabetic patients, to explore its feasibility and effectiveness, and to obtain evidence to improve metabolic index of patients with diabetes mellitus. To provide objective basis for diabetes health management. Methods: from July 2016 to December 2016, 141 patients with type 2 diabetes mellitus who were admitted to the Endocrinology Department of the fourth affiliated Hospital of Xinjiang University were collected. They are divided into treatment group and control group according to whether they are willing to carry out health education with TCM characteristics. The control group is managed in accordance with the current national guidelines for type 2 diabetes. The treatment group based on the results of physique identification of TCM health education and individualized Chinese medicine health guidance, before intervention, intervention for 3 months after the detection of patients with glycosylated hemoglobin 25 hydroxyvitamin D and blood lipids. Results: (1) the distribution of TCM physique in the two groups: phlegm dampness, yin deficiency, qi deficiency, yang deficiency, calmness, blood stasis, dampness and heat, and qi stagnation. The proportion of the special quality was 38.57%, 17.14% and 14.29%, respectively, and there were 10 things about 5.71 and 5.71 and 4.292.860.The first five main types of constitution were phlegm dampness, yin deficiency, qi deficiency, yang deficiency, and calmness. (2) compared with the control group, the first five main types of constitution were: phlegm wet, yin deficiency, qi deficiency, yang deficiency, and calmness. (2) compared with the control group, The decrease of glycosylation in the treatment group was better than that in the control group (PO.01) (3) the 25 hydroxyvitamin D in the treatment group and the control group was higher than that in the control group, but there was no significant difference (PO.05) between the two groups. Conclusion: (1) the characteristic health education based on TCM physique identification can effectively control the saccharification of diabetic patients, which is worthy of further study. (2) the main types of constitution of diabetic patients are phlegm dampness, yin deficiency, yang deficiency, qi deficiency. Blood stasis.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R259

【参考文献】