摘要
目的:探讨2型糖尿病患者生活质量与中医症候的关系及其规律。方法:采用生活质量综合评定问卷-74(GQOLI-74)对275例2型糖尿病不同中医症候患者的生活质量进行横断面调查。结果:2型糖尿病患者的生活质量总评分得分较低,其生活质量各维度受损程度按得分由大到小依次为躯体维度50.48±12.18、物质维度58.85±12.42、社会维度60.92±10.71、心理维度61.15±13.19。气阴两虚证、阴阳俱虚证和肝肾阴虚证是影响2型糖尿病患者生活质量的主要症候(多元逐步回归分析与QOL总分关系:r=0.150,-0.158,-0.073);不同症候对生活质量的影响各有不同侧重方面。结论:中医药治疗2型糖尿病,应从证辨证并结合生活质量不同方面的影响进行施治,更有利于提高临床疗效,改善患者的生活质量。
AIM:To explore the relationship between traditional Chinese medicine(TCM) syndromes and the quality of life(QOL) and its regularity in the type 2 diabetics.METHODS:A cross sectional study on the QOL of 275 type 2 diabetics with different TCM syndromes was surveyed with the generic QOL inventory 74(GQOL 74).RESULTS:The total scores of QOL in the type 2 diabetics were lower,and the scores of all QOL dimensions in order from high to low were body dimension(50.48±12.18),object dimension(58.85±12.42),social dimension(60.92±10.71) and psychological dimension(61.15±13.19).The syndromes of deficiency of both qi and yin,deficiency of both liver yin and kidney yin,and the syndrome of deficiency of both yin and yang were the important influencing syndromes for the QOL of type 2 diabetics(relation between multiple stepwise regression analysis and total score of QOL:r =0.150,-0.158,-0.073),and different syndromes laid different particular emphasis on QOL.CONCLUSION:Treatment of type 2 diabetes mellitus by TCM,according to the different QOL to take the determination of treatment based on pathogenesis obtained through differentiation of syndromes and signs,is more benefit for the improvement of the clinical curative effect and QOL of the patients.
出处
《中国临床康复》
CSCD
2004年第30期6669-6671,共3页
Chinese Journal of Clinical Rehabilitation
基金
河南省高校创新人才基金项目资助(2000-10)~~
