摘要
目的:探讨中医体质辨识及干预在社区2型糖尿病患者管理中的应用效果。方法:随机选取本中心辖区内的400例2型糖尿病患者作为研究对象。按照数字随机法分为中医组200例和常规组200例。所有患者均行中医体质辨识,常规组患者按照常规社区糖尿病管理要求管理,中医组患者在常规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。所有患者干预时间为1年,分别于干预前、干预1年后检测患者的糖化血红蛋白、体质指数以及空腹、餐后2 h血糖值。结果:所有患者体型辨识以痰湿质、气虚质和阴虚质为主,三者之和分别占各组的62.0%和61.5%。两组患者各体质分布比例相仿,差异均无统计学意义(P>0.05)。干预管理前两组患者的空腹血糖值、餐后2 h血糖值、糖化血红蛋白值和体质指数值差异均不显著(P>0.05)。干预管理后两组患者的上述4项指标均明显低于干预管理前(P<0.05)。且中医组患者干预管理后的上述4项指标均明显低于常规组(P<0.05)。管理干预后中医组患者的糖化血红蛋白均低于常规组,其中气虚质、阴虚质、气郁质和痰湿质患者的差异有统计学意义(P<0.05),其他体质患者的差异不明显(P>0.05)。结论:中医体质辨识后个体化中医干预管理是一种有效的干预管理方案,能更好的控制社区2型糖尿病患者的血糖,管理效果好。
Objective： To explore the application effect of TCM constitution identification and intervention in the management of type 2 diabetes patients in community. Methods： The 400 cases of type 2 diabetes patients were randomly selected as the research objects. They were divided into Chinese medicine group of 200 cases and normal group of 200 cases randomly. All patients underwent Chinese constitution. The patients in the normal group were given conventional community diabetes management requirements management. The patients in the Chinese medicine group were given the health education of traditional Chinese medicine and traditional Chinese medicine recuperates the individual on the basis constitution identification results. All patients were given intervention for 1 year. Respectively before intervention and 1 year after intervention, the detection of glycosylated hemoglobin, body mass index, fasting patients and postprandial 2H blood glucose value were tested. Results： The type identification was given priority to phlegm dampness, Qi deficiency and yin deficiency, and the total rate was 62% and 61. 50% respectively in two groups. The various physical distribution ratio is similar in two groups, and the differences were not statistically significant（P〉0.05）. Before the intervention management, the fasting blood glucose, postprandial 2 h blood glucose, glycated hemoglobin values and body mass index values were not significantly different（P〉0.05）, between the two groups. After intervention management, these 4 indices were significantly lower than those before intervention management（P〈0.05） in two groups, and the Chinese group showed significantly lower indices than normal group（P〈0.05）. After the management intervention, the TCM group showed lower glycosylated hemoglobin than the conventional group, the Qi deficiency, Yin asthenia, Qi stagnation and Phlegm-dampness in patients with significant difference（P〈0.05）; differences in other patients with physical is not significant （P〉0.05）. Conclusion： TCM Intervention of TCM Constitution identification of individual management is an effective intervention management scheme; The community can better control blood glucose in type 2 diabetes patients, with good management effect.
出处
《中医药导报》
2015年第13期35-38,共4页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
嘉定区卫生局2013年中医类科研立项项目(2013-ZY-11)
项目名称:在社区2型糖尿病综合干预中实施定期中医辨证强化指导后的作用研究(ZYKYXM)
关键词
中医体质辨识
2型糖尿病
干预方式
应用效果
TCM Constitution identification
Type 2 diabetes mellitus
intervention
application effect
