少阳气郁体质与2型糖尿病中医证候及并发症的相关性

The Correlation between the Shaoyang Qi Stagnation Physique and the Traditional Chinese Medicine Syndrome and Complications of Type 2 Diabetes Mellitus

目的探讨少阳气郁体质与2型糖尿病中医证候及并发症的相关性。方法选择2018年4月—2019年4月收治的2型糖尿病患者120例,将非少阳气郁体质患者60例纳入对照组,将少阳气郁体质患者60例纳入观察组。通过问卷调查的形式,对比2组患者的一般资料、中医证候及并发症等情况。结果观察组中医证候出现频次由高至低依次为,气郁证58例(96.67%),气虚证54例(90.00%),血瘀证41例(68.33%),阴虚证34例(56.67%),郁热证19例(31.67%),血虚证17例(28.33%),结热证16例(26.67%),阳虚证13例(21.67%),痰湿证12例(20.00%);观察组患者的气郁证出现率(96.67%)较对照组(33.33%)高,差异具有统计学意义(P<0.05);观察组患者的并发症总发生率(21.67%)虽略高于对照组(13.33%),但差异无统计学意义(P>0.05)。结论少阳气郁体质2型糖尿病患者中医证候中,气郁证、气虚证以及郁热证出现频次较多,临床应针对中医证候辨证治疗,积极防治并发症。

Objective To investigate the correlation between Shaoyang qi stagnation physique and TCM syndromes and complications of type 2 diabetes mellitus(T2 DM).Methods 120 patients with T2 DM treated in our hospital from April 2018 to April 2019 were selected.60 patients with non-shaoyang qi depression physique were included in the control group and 60 patients with Shaoyang qi depression physique in the observation group.Through the form of questionnaire survey,the general data,TCM syndromes and complications of the two groups were compared.Results The frequency of TCM syndromes in the observation group was from high to low,58 cases of qi depression syndrome(96.67%),54 cases of qi deficiency syndrome(90.00%),41 cases of blood stasis syndrome(68.33%),34 cases of yin deficiency syndrome(56.67%),19 cases of depression heat syndrome(31.67%),17 cases of blood deficiency syndrome(28.33%),16 cases of heat syndrome(26.67%),13 cases of yang deficiency syndrome(21.67%),12 cases of phlegm dampness syndrome(20.00%),respectively.The incidence of qi-depression in the observation group(96.67%)was higher than that in the control group(33.33%),and the difference was statistically significant(P<0.05).The overall incidence of complications in the observation group(21.67%)was slightly higher than that of the control group(13.33%),but the difference was not significant(P>0.05).Conclusion Among the TCM syndromes of T2 DM patients with shaoyang qi stagnation physique,qi stagnation,qi deficiency syndrome and stagnation heat appear more frequently.The clinic should be aimed at the syndrome differentiation and treatment of TCM syndromes and actively prevent and cure complications.