367例社区2型糖尿病患者中医体质与心血管危险因素分析

发布时间：2018-03-31 16:20

本文选题：型糖尿病　切入点：中医体质　出处：《中华中医药学刊》2017年01期

【摘要】：目的:分析社区2型糖尿病患者中医体质类型与心血管危险因素的相关性。方法:将2014年10月—2015年9月期间在广州市天河区五山街社区进行免费健康体检的367例2型糖尿病患者纳入调查,建立健康档案,进行中医体质判定及心血管危险因素的判定。结果:367例2型糖尿病患者中,平和体质54例,偏颇体质313例,最常见的3种偏颇体质为痰湿质(26.98%)、阴虚质(16.62%)及气虚质(16.08%);痰湿质、阳虚质、气虚质具有高龄倾向,与平和质比,差异有统计意义(P0.05);痰湿质超重和肥胖率最高,与平和质、血瘀质、特禀质、阳虚质、阴虚质、气虚质比较,差异有统计意义(P0.05);痰湿质心电图异常率最高,与湿热质、气郁质、平和质比较,差异有统计意义(P0.05);湿热质吸烟喝酒率最高,与其它体质比较,差异有统计意义(P0.01),血瘀质缺乏运动率最高,与平和质、阴虚质、湿热质、气虚质、特禀质比较,差异有统计意义(P0.05);多元Logistic回归分析显示,痰湿质肥胖和超重的危险性分别是平和质的24.830倍(CI:6.327~97.436)和11.091倍(CI:4.649~26.460),湿热质肥胖和超重的危险性分别是平和质的9.843倍(CI:1.964~49.341)和5.605倍(CI:1.954~16.076),差异有统计学意义(P0.01)。结论:社区2型糖尿病患者心血管危险因素与中医体质具有一定的相关性,社区管理中应重点加强对痰湿体质肥胖和超重患者的社区干预。
[Abstract]:Objective: to analyze the relationship between TCM physique type and cardiovascular risk factors in type 2 diabetes mellitus in community.Methods: from October 2014 to September 2015, 367 patients with type 2 diabetes mellitus who underwent free health examination in Wushan Street community of Tianhe District of Guangzhou City were investigated, and health records were established to determine the physique of TCM and the risk factors of cardiovascular disease.The difference has statistical significance (P 0.05), the highest rate of excess and obesity in phlegm and dampness, and the highest rate of abnormal phlegm and dampness, compared with mild, blood stasis, intrinsic, yang deficiency, yin deficiency and qi deficiency, the abnormal rate of phlegm wet electrocardiogram is the highest, which is higher than that of moist heat and qi.Compared with other physique, the difference was statistically significant (P 0.05), the difference was statistically significant (P 0.01), the blood stasis deficiency was the highest, and peace, yin deficiency, dampness and heat, qi deficiency, and intrinsic quality were the highest.The difference was statistically significant (P 0.05), and multivariate Logistic regression analysis showed that,The risk of phlegm dampness obesity and overweight were 24.830 times as much as that of mild weight and 11.091 times that of CI: 4.649 and 26.460, respectively. The risk of dampness and heat obesity was 9.843 times that of mild weight and 5.605 times that of CI: 1.95416.0761.The difference was significant (P 0.01).Conclusion: cardiovascular risk factors of type 2 diabetes mellitus patients in community have certain correlation with TCM physique. Community intervention should be emphasized on obesity and overweight patients with phlegm and dampness constitution in community management.
【作者单位】：南方医科大学中医药学院;广州市天河区五山街社区卫生服务中心;
【基金】：广州市科技计划产学研重大专项项目(2014Y2-00504) 广州市天河区科技计划项目(201604KW003,2013KW014)
【分类号】：R259

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