2型糖尿病合并急性脑梗死中医体质特点分析

The Characteristics of Chinese Medicine Constitution of Patients with Type 2 Diabetes Patients with Acute Cerebral Infarction

目的:探讨2型糖尿病合并急性脑梗死患者中医体质特点及与实验室相关指标的关系。方法:通过运用流行病学的调研方法,对287例2型糖尿病合并急性脑梗死患者进行问卷调查,分析其体质分布特点,并测量患者身高、体重、腰围、臂围,计算体质量指数、腰臂比,同时检测患者血脂、同型半胱氨酸,探讨不同体质特点与2型糖尿病合并急性脑梗死患者危险因素的相关性。结果:2型糖尿病合并急性脑梗死患者的主要体质类型为血瘀质(31.71%),其他依次为痰湿质(14.98%)、湿热质(12.20%)、气虚质(10.80%)、阴虚质(9.41%)、阳虚质(7.67%)、气郁质(6.27%)、平和质(3.83%)、特禀质(3.14%),血瘀质与其他型体质比较,差异有统计学意义(P<0.01)。同时观察到血瘀质者同型半胱氨酸水平较高,与其他各体质类型比较,差异有统计学意义(P<0.05)。痰湿质体质类型体质量指数、腰臀比水平最高,在血脂方面,痰湿质体质者胆固醇、低密度脂蛋白等水平较高,与其他各体质类型比较,差异有统计学意义(P<0.05)。结论:2型糖尿病合并急性脑梗死患者的主要体质类型为血瘀质,且不同体质类型与危险因素有一定相关性。

Objective：To explore the relationship between type 2 diabetes mellitus in patients with acute cerebral infarction and laboratory medicine physical characteristics. Method：By epidemiological research methods,the questionnaire on 287 type 2 diabetes patients with acute cerebral infarction was made to analyze the physical distribution characteristics,measure the patients’height,weight,waist circumference,arm circumference, calculate body mass index,and waist arm ratio,and meanwhile test simultaneous detection of blood lipids and homocysteine. To explore the correlation between different physical characteristics and type 2 diabetes risk factors in patients with acute cerebral infarction. Result：The main physical type of type 2 diabetes patients with acute cerebral infarction was blood stasis（31.71%）,followed by the phlegm（14.98%）,damp mass（12.20%）,qi deficiency（10.80%）,female virtual mass（9.41%）,yang quality（7.67%）,qi quality（6.27%）,gentleness（3.83%）,special intrinsic quality（3.14%）, blood stasis and other type physique,the difference was statistically significant（ P 0.01）. And,constitution homocysteine level of bloodstasis was higher compared to the other body types,the difference was statistically significant（ P 0.05）. Mass index,waist-hip ratio the highest level in blood,the phlegm constitution cholesterol,low-density lipoprotein level of the phlegm physical type of body was higher,compared with other body types, the difference was statistically significant（ P 0.05）. Conclusion：The main physical of type 2 diabetes patients with acute cerebral infarction is blood stasis,and there is certain relevance between different body types and risk factors.