马来西亚巴生谷华裔2型糖尿病病人中医体质特点初探

发布时间：2017-12-27 22:38

本文关键词：马来西亚巴生谷华裔2型糖尿病病人中医体质特点初探　出处：《成都中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：糖尿病是一个国际关注的公共卫生课题,根据世界卫生组织以及国际糖尿病协会统计,全世界共有4亿2500万糖尿病患者,2012年近150万人因糖尿病而死亡,当中80%死亡发生于中低收入国家。根据马来西亚2015国家健康发病率研究显示,糖尿病成年患者就占了人口的17.5%,相较于2006年的11.6%发病率,增长了50.8%。基于NHMS结果,马来西亚卫生部疾病控制部门预测,2020年马来西亚成人糖尿病患病率将达到21.6%,这将对社会及个人带来惊人的经济负担。而中医体质研究对于了解糖尿病的病理机制,可以提供一些重要依据。目的：本课题拟通过初步探讨马来西亚巴生谷地区华裔2型糖尿病患者的中医体质特点及马来西亚2型糖尿病病人生存质量情况,并进一步探讨体质分布规律与生存质量的关系,以及为马来西亚未来中医研究提供基础数据。方法：2015年6月至2015年9月期间于马来亚大学医药中心以问卷形式收集68例2型糖尿病患者的一般情况、中医体质量表以及WHO生存质量量表的信息,并进行统计学分析得出中医体质分布生存质量的情况。结论：1.普遍体质为平和质,病理体质以气虚质以及阴虚质为主。临床上可以“益气养阴,泻火解(糖)毒”为主要治疗思路；2.正常体质是糖尿病患者控制病情的基础,病理体质的出现将影响生存质量以及病情的预后;3.血瘀质患者是所有患者当中生存质量最差的,这与微血管病变是引起糖尿病并发症的基础有关,直接影响患者生存质量。临床上应该时刻预防血瘀质的发生,活血化瘀的治法应时刻贯彻在糖尿病的中医治疗中；4.糖尿病早期,火热炽盛,多见于青年人,而老年人痰湿湿热体质相对就少很多。临床上可根据不同年龄段的患者体质特点予以相应的治疗；5.虽然体重控制正常的患者生存质量最好,但是体重的增加与生存质量变差没有明显的联系,这与马来西亚以及新加坡有关BMI和生存质量的调查研究是一致的。这可能与马来西亚传统的文化观念对健康的定义有关,也就是“重”(超重)才是健康幸福的象征,而“轻”(消瘦)就代表了不健康的象征。
[Abstract]:Diabetes is an international public health topic. According to the statistics of WHO and the International Diabetes Association, there are 425 million diabetic patients in the world. In 2012, nearly 1 million 500 thousand people died of diabetes, and 80% of them died in low and middle income countries. According to the study of 2015 national health incidence in Malaysia, 17.5% of adult diabetic patients account for 17.5%, compared with 11.6% incidence in 2006, an increase of 50.8%. Based on the NHMS results, the disease control department of the Ministry of health of Malaysia predicted that the prevalence rate of adult diabetes in Malaysia will reach 21.6% in 2020, which will bring an astonishing economic burden to the society and individuals. The study of physique of traditional Chinese medicine can provide some important basis for understanding the pathological mechanism of diabetes. Objective: This study aimed to investigate the TCM constitution characteristics of Malaysia Klang Valley Area Chinese patients with type 2 diabetes and type 2 diabetes in Malaysia. The living quality of patients, and to further explore the relationship between physical distribution and the quality of life, and not to provide the basic data for the Malaysia traditional Chinese medicine research. Methods: during the period from June 2015 to September 2015 at the University of Malaya medical center in the form of a questionnaire to collect 68 cases of patients with type 2 diabetes in general, the scale of traditional Chinese medicine and the WHO quality of life scale information, and statistical analysis of the situation of physical distribution of TCM quality of life. Conclusion: 1. the general constitution is flat and qualitative, and the main pathological constitution is Qi deficiency and yin deficiency. Clinical on can "tonifying qi and nourishing Yin, purging fire and poison solution (sugar)" as the main treatment ideas; 2. normal constitution is the basis of disease control in patients with diabetes, the pathological constitution will affect the prognosis and quality of life condition; 3. patients with blood stasis is all patients survive the worst quality, which is the basis of diabetic complications associated with microangiopathy, directly affect the quality of life. Clinical time to prevent blood stasis should occur, the treatment should always carry out blood stasis in traditional Chinese medicine for the treatment of diabetes; type 4. diabetes early, hot flaming, more common in young people, the elderly and the phlegm damp constitution is relatively less. Clinical can be treated according to the physical characteristics of patients with different ages; while 5. normal weight control of quality of life of patients with the best, but the weight gain and survival quality variation has no apparent connection, which is consistent with Malaysia and Singapore and BMI on the quality of life research. This may be related to the definition of health in traditional culture in Malaysia, that is, "heavy" (overweight) is a symbol of health and happiness, and "light" is a symbol of ill health.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259

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