南京虹桥社区高血压合并2型糖尿病的中医证素分布特点研究

发布时间：2018-05-24 01:52

本文选题：高血压 + 2型糖尿病　；参考：《南京中医药大学》2016年硕士论文

【摘要】：目的：探究分析虹桥社区高血压合并2型糖尿病的中医证素分布特点,为该社区对高血压合并2型糖尿病的防治工作提供临床参考。方法：对2015年3月至9月期间前往虹桥社区卫生服务中心,并且符合高血压合并2型糖尿病诊断的患者进行问卷调查,采集基本资料和四诊信息,建立数据库,通过统计学方法归纳中医证素的分布特点,并结合相关因素进行分析。结果：虹桥社区高血压合并2型糖尿病患者以60-79岁年龄段人数最多,男性发病年龄较女性为早,72.9%的患者BMI超过正常标准。高血压病程多在10年以下,2型糖尿病多在15年以下,高血压合并2型糖尿病新发病例增多。危险因素包括吸烟饮酒史、不健康饮食、缺乏运动和有家族史。证素方面,病位证素以脾、肺、肾、肝及其相互组合为主,双病位的组合形式出现最多,具体主要为脾+肺,脾+肾,肝+肾；病性证素以气虚、阴虚、热、血瘀和湿所占比例最多,组合形式多为虚实夹杂,以双病性的组合形式最为多见,具体主要为气虚+阴虚,血瘀+阴虚,热+湿。年龄、性别、运动频率、病程时间与证素分布存在统计学意义,男性和年龄小的患者病性证素相对集中在实证类,女性和更年长的患者相对集中在虚证类；甚少运动的患者病性证素以气虚和阴虚为主；病程越长的患者涉及病位数量越多,同时有向虚证集中的趋势。结论：虹桥社区高血压合并2型糖尿病患者的病位证素主要分布在脾、肺、肾、肝,病性证素主要分布在气虚、阴虚、热、血瘀、湿。组合形式以虚实夹杂最为多见。证素分布与年龄、性别、运动频率、病程时间等有关。基层卫生机构在积极进行高危人群的高血压和糖尿病防治工作中,对已患病者加强随访和健康宣教的同时,结合中医辨证,开展个体化中医药调理,是值得探索的一个途径。
[Abstract]:Objective: to investigate the distribution of TCM syndromes of hypertension complicated with type 2 diabetes in Hongqiao community, and to provide clinical reference for the prevention and treatment of hypertension and type 2 diabetes in this community. Methods: the patients who went to Hongqiao Community Health Service Center from March to September 2015 and met the diagnosis of hypertension and type 2 diabetes mellitus were investigated by questionnaire, and the basic data and four diagnosis information were collected, and the database was established. The distribution characteristics of TCM syndromes were summarized by statistical method, and related factors were analyzed. Results: the majority of patients with hypertension and type 2 diabetes in Hongqiao community were 60 to 79 years old. 72.9% of male patients with hypertension and type 2 diabetes were earlier than women. The BMI of patients with hypertension and type 2 diabetes was higher than the normal standard. The course of hypertension was less than 10 years and the duration of type 2 diabetes was less than 15 years, and the number of new cases of hypertension complicated with type 2 diabetes increased. Risk factors include a history of smoking and drinking, unhealthy eating, lack of exercise and a family history. In terms of syndromes, spleen, lung, kidney, liver and their combination are the main syndromes of the disease, and the combination forms of the two diseases are the most, which are mainly spleen lung, spleen kidney, liver and kidney, and the disease syndrome is characterized by deficiency of qi, deficiency of yin, heat. The proportion of blood stasis and dampness is the most, the combination form is mostly composed of deficiency and solid, and the combination of double diseases is the most common, the specific forms are mainly deficiency of Qi and yin, blood stasis of yin deficiency, heat and dampness. Age, sex, exercise frequency, duration of disease and distribution of syndromes were statistically significant, male and young patients were relatively concentrated in the empirical type, women and older patients were relatively concentrated in deficiency syndrome. The disease syndrome of the patients with very little exercise is mainly qi deficiency and yin deficiency; the longer the course of disease, the more the number of patients involved in the disease, and there is a tendency to focus on deficiency syndrome at the same time. Conclusion: the syndromes of patients with hypertension and type 2 diabetes in Hongqiao community are mainly distributed in spleen, lung, kidney, liver and disease syndromes in qi deficiency, yin deficiency, heat, blood stasis and dampness. The most common form of combination is the inclusion of virtual reality. The distribution of syndromes was related to age, sex, frequency of exercise, duration of disease, etc. In the prevention and treatment of hypertension and diabetes in the high risk group, the primary health institutions should strengthen the follow-up and health education of the patients, combine with the differentiation of TCM symptoms and signs, and carry out individualized Chinese medicine conditioning, which is a way worth exploring.
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259

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