目的:本研究对福州地区糖尿病患者进行中医体质分布的调查研究,旨在分析糖尿病患者中医体质的分布特点,发挥中医“治未病”优势,为临床防治提供客观依据。方法:收集在福建省中医药大学附属第二人民医院健康管理中心糖尿病患者63例,采用中医健康管理太空舱对体质进行确定。结果:63例糖尿病患者体质共6种,本组糖尿病患者中平和体质9例(14.3%),异常体质54例(85.7%),异常体质高于平和质比率,异常体质中阴虚质患者15例,占比23.8%,气虚质患者15例,占比23.8%,气郁质14例,占比22.2%,阳虚质7例,占比11.1%,特禀质3例,占比4.8%。男性患者的平和质、气虚质、气郁质、阳虚质和阴虚质比率均高于女性患者,差异有统计学意义(P < 0.05)。结论:通过对糖尿病患者中医体质进行测定分析,发现规律,为制定个性化干预方案和选择治疗手段提供可靠依据。 Purpose: This study investigates the physical distribution of Chinese medicine in diabetic patients in Fuzhou, aiming to analyze the distribution characteristics of Chinese medicine physique of dia-betic patients, give full play to the advantages of Chinese medicine in “preventing disease”, and provide an objective basis for clinical prevention and treatment. Methods: Collect 63 diabetic pa-tients in the Health Management Center of the Second People’s Hospital Affiliated to Fujian Uni-versity of Traditional Chinese Medicine, and use the traditional Chinese medicine health manage-ment capsule to determine their physical fitness. Results: There were 6 types of physique in 63 diabetic patients. From high to low, the biased physique was Yin deficiency (23.8%), Qi deficiency (23.8%), Qi depression (22.2%), peace (14.3%), and Yang. Inferior quality (11.1%), special quality (4.8%). The incidence of calmness, Qi deficiency, Qi stagnation, Yang deficiency, and Yin deficiency in male patients was higher than that in female patients, and the difference was statistically sig-nificant (P < 0.05). Conclusion: By measuring and analyzing the physique of diabetic patients in traditional Chinese medicine, it is possible to formulate personalized intervention programs and select treatment methods to provide reliable evidence.
目的:本研究对福州地区糖尿病患者进行中医体质分布的调查研究,旨在分析糖尿病患者中医体质的分布特点,发挥中医“治未病”优势,为临床防治提供客观依据。方法:收集在福建省中医药大学附属第二人民医院健康管理中心糖尿病患者63例,采用中医健康管理太空舱对体质进行确定。结果:63例糖尿病患者体质共6种,本组糖尿病患者中平和体质9例(14.3%),异常体质54例(85.7%),异常体质高于平和质比率,异常体质中阴虚质患者15例,占比23.8%,气虚质患者15例,占比23.8%,气郁质14例,占比22.2%,阳虚质7例,占比11.1%,特禀质3例,占比4.8%。男性患者的平和质、气虚质、气郁质、阳虚质和阴虚质比率均高于女性患者,差异有统计学意义(P < 0.05)。结论:通过对糖尿病患者中医体质进行测定分析,发现规律,为制定个性化干预方案和选择治疗手段提供可靠依据。
糖尿病,中医体质,太空舱
Meizhu Sun, Yijuan Zhou, Qingjun Zhan, Sunxing Yu, Suizhen Cai, Chunyan Zou
The Second People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine, Fuzhou Fujian
Received: May 4th, 2021; accepted: May 30th, 2021; published: Jun. 8th, 2021
Purpose: This study investigates the physical distribution of Chinese medicine in diabetic patients in Fuzhou, aiming to analyze the distribution characteristics of Chinese medicine physique of diabetic patients, give full play to the advantages of Chinese medicine in “preventing disease”, and provide an objective basis for clinical prevention and treatment. Methods: Collect 63 diabetic patients in the Health Management Center of the Second People’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine, and use the traditional Chinese medicine health management capsule to determine their physical fitness. Results: There were 6 types of physique in 63 diabetic patients. From high to low, the biased physique was Yin deficiency (23.8%), Qi deficiency (23.8%), Qi depression (22.2%), peace (14.3%), and Yang. Inferior quality (11.1%), special quality (4.8%). The incidence of calmness, Qi deficiency, Qi stagnation, Yang deficiency, and Yin deficiency in male patients was higher than that in female patients, and the difference was statistically significant (P < 0.05). Conclusion: By measuring and analyzing the physique of diabetic patients in traditional Chinese medicine, it is possible to formulate personalized intervention programs and select treatment methods to provide reliable evidence.
Keywords:Diabetes, TCM Physique, Space Capsule
Copyright © 2021 by author(s) and Hans Publishers Inc.
This work is licensed under the Creative Commons Attribution International License (CC BY 4.0).
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国际糖尿病联盟于2017年发布,糖尿病(Dibetes Mellitus, DM)影响全球约4.25亿成人 [
收集在福建省中医药大学附属第二人民医院健康管理中心糖尿病患者63例为研究对象,神志清楚,思维及语言表达能力正常,其中男性39例,女性24例,年龄43岁~83岁,平均年龄(68.24 ± 9.06)岁。该试验获得伦理委员会批准。
妊娠期间女性;服用含糖类的药物或者其他药物导致血糖身高者;因某些急慢性疾病,比如急性感染、肝脏疾病、胰腺疾病等致血糖升高者。
1) 中医体质判定所有患者均使用中医健康管理太空舱进行中医体质辨识,中医健康管理太空舱是基于中医状态学理论,由福建中医药大学中医证研究基地和天和越人公司联合研发的新一代集中医学、人工智、大数据、计算机技术为一体的中医智能诊疗设备。实现四诊信息规范化采集,健康状态评估将中医体质分为九种,有平和质、气虚质、阴虚质、阳虚质、痰湿质、湿热质、血瘀质、气郁质和特禀质,同时能对疾病风险预警、状态干预方案生成及疗效评价。
2) 使用Microsoft Excel建立数据库,并对数据进行处理,用SPSS23.0统计学软件对数据进行统计分析数据,一般资料采用百分比表示,计数资料用χ2检验,P < 0.05为差异有统计学意义。
本组糖尿病患者中平和体质9例(14.3%),异常体质54例(85.7%),异常体质中阴虚质患者15例,占比23.8%,气虚质患者15例,占比23.8%,气郁质14例,占比22.2%,阳虚质7例,占比11.1%,特禀质3例,占比4.8%。其中异常体质高于平和质比率,异常体质中阴虚质 = 气虚质 > 气郁质 > 阳虚质 >特禀质。见表1。
体质类型 | 例数 | 比率 |
---|---|---|
平和质 | 9 | 14.3 |
气虚质 | 15 | 23.8 |
气郁质 | 14 | 22.2 |
特禀质 | 3 | 4.8 |
阳虚质 | 7 | 11.1 |
阴虚质 | 15 | 23.8 |
表1. 中医体质分型情况统计 例(%)
男性患者的平和质、气虚质、气郁质、阳虚质和阴虚质发生率均高于女性患者,差异有统计学意义(P < 0.05)。见表2。
体质类型 | 例数 | 男 | 女 | χ2 | P |
---|---|---|---|---|---|
平和质 | 9 | 5 (55.60) | 4 (44.40) | 8 | 0.003 |
气虚质 | 15 | 9 (60.00) | 6 (40.00) | 14 | 0 |
气郁质 | 14 | 9 (64.30) | 5 (35.70) | 13 | 0 |
特禀质 | 3 | 2 (66.7) | 1 (33.3) | 2 | 0.083 |
阳虚质 | 7 | 5 (71.40) | 2 (28.60) | 6 | 0.008 |
阴虚质 | 15 | 9 (60.0) | 6 (40.0) | 14 | 0 |
表2. 性别与中医体质分型对比 例(%)
中医“治未病”是指采取预防或治疗手段,防止疾病发生、发展的方法,是中医治则学说的基本法则,是中医药学的核心理念之一,也是中医预防保健的重要理论基础和准则 [
福建中医药大学校管课题临床专项(XB2019073)。
孙美珠,周宜娟,詹庆鋆,余孙兴,蔡穗珍,邹春燕. 福州市糖尿病患者与中医体质相关性的调查研究Investigation and Research on the Correlation between Diabetes Patients and Traditional Chinese Medicine Physique in Fuzhou City[J]. 医学诊断, 2021, 11(02): 97-100. https://doi.org/10.12677/MD.2021.112015