潮汕地区964例糖调节异常患者中医体质分型研究

Distribution of Traditional Chinese Medical Constitution Types in Patients with Impaired Glucose Regulation:An Investigation of 964 Cases in Chaoshan Areas

目的:对潮汕地区964例糖调节异常(IGR)居民进行中医体质辨识,研究潮汕地区IGR患者中医体质分布情况。方法:采用标准化的《中医体质量表》调查法结合中医四诊合参辨识方法对964例IGR居民进行中医体质辨识。结果:964例IGR人群中,9种体质类型高低依次是:平和质168例(17.4%)、痰湿质138例(14.3%)、气虚质129例(13.4%)、湿热质114例(11.8%)、血瘀质96例(10.0%)、阳虚质93例(9.6%)、阴虚质78例(8.1%)、气郁质57例(5.9%)、特禀质13例(1.3%)。兼夹体质中,气虚+血瘀质24例(2.5%)、气虚+痰湿质30例(3.1%)、气虚+阴虚质24例(2.5%)。由此得出,偏颇体质占绝大多数,偏颇体质排序分别为痰湿质、气虚质、湿热质、血瘀质、阳虚质、阴虚质、气郁质、特禀质。而兼夹体质为气虚兼痰湿质、气虚兼血瘀质和气虚兼阴虚质。各种体质类型中,男女比例分别与总IGR人群进行两两四格表的χ2检验,湿热质、痰湿质、平和质、阴虚质、气虚质及特禀质的男女比例比较,差异有显著性意义(P<0.05),其它3种体质与总IGR人群的男女比例比较,差异无显著性意义(P>0.05)。男性湿热质、痰湿质明显多于女性,差异有显著性意义(P<0.05)。而女性中平和质、阴虚质、气虚质及特禀质多于男性(P<0.05)。结论:气候、地域、性别等因素影响着IGR患者体质的分布。

Objective. To investigate the distribution of traditional Chinese medical constitution types in patients with impaired glucose regulation（IGR）. Methods. In Chaoshan areas, Standardized Traditional Chi- nese Medical Constitution Questionnaire and four diagnostic methods of traditional Chinese medicine were used for the investigation of traditional Chinese medical constitution types in 964 IGR patients. Results, Of the 964 IGR patients, the distribution of 9 traditional Chinese medical constitution types was as follows： harmony constitution（168 cases, 17.4%）, phlegm-dampness constitution（138 cases, 14.3%）, Qi-defi- ciency constitution （129 cases, 13.4%）, dampness-heat constitution （114 cases, 11.8%）, blood-stasis constitution（96 cases, 10.0%）, yang-deficiency constitution（93 cases, 9.6%）, yin-deficiency constitution （78 cases, 8.1%）, Qi-stagnation constitution （57 cases, 5.9%）, and special-intrinsic constitution （13 cases, 1.3%）. The distribution of complicated traditional Chinese medical constitution types was as follows： Qi-deficiency complicated with blood-stasis（24 cases, 2.5%）, Qi-deficiency complicated with phlegm- dampness（30 cases, 3.1%）, and Qi-deficiency complicated with yin-deficiency（24 cases, 2.5%）. The disharmony constitution types were predominant in IGR patients, and Qi-deficiency was the foundation of the complicated constitution types. The dampness-heat, dampness-heat harmony, yin-deficiency, Qi-deficiency and special-intrinsic constitution types in the female patients differed from the male patients （P 〈 0.05）, and the differences of the other 3 types were insignificant（P〉 0.05）. Male patients had domi- nant dampness-heat and dampness-heat constitution types, while the female had dominant harmony, yin-deficiency, Qi-deficiency and special-intrinsic constitution types（P 〈 0.05）. Conclusion： Climate, re- gion, and gender are the possible factors of affecting the distribution of traditional Chinese medical consti- tution types in IGR patients.