昆明地区某单位职工中医体质与糖尿病患病危险因素分析

The analysis based on Diabetes Risk Factors and TCM Constitution Classification in prevalence of diabetes among certain unit of KunMing city

目的:探讨昆明某单位职工糖尿病危险因素与中医体质关系,为本地区中医防治糖尿病发生提供一定依据。方法:运用横断面调查法,对昆明某单位322位职工进行中医体质辨识、糖尿病风险评估及体检。采用Logistic回归分析糖尿病风险因素,评估中医体质与糖尿病患病风险因素的关系。结果:糖尿病患病率为15.2%,糖尿病前期患病率13.6%;年龄、体重指数、中心性肥胖、糖尿病家族病史、血脂异常与糖尿病发病相关(P<0.05);中医体质分布与糖尿病家族史、糖尿病患病情况差异具有统计学意义(P<0.05)。结论:运动情况、体重超重、肥胖、中心性肥胖、家族糖尿病史、高胆固醇可能是昆明某单位职工患糖尿病危险因素;糖尿病前期及糖尿病患病职工以气虚、湿热、阴虚、痰湿体质居多。

Objective To investigate the TCM-based constitution in patients with impaired glucose and diabetes in a certain unit of KunMing area.Providing the prevention methods for prevalence of diabetes which were based on TCM.Methods Under the guid-ance of constitution,this research use cross -sectional study to analysis 322 cases and surveyed on their TCM constitution and blood glucose.Result The prevalence of prediabetic state was 13.6% and prevalence of diabetes was 15.2%.It showed that age,body weight index,central obesity,family history of diabetes,dyslipidemia were relevant with prevalence of diabetes （all P 〈0.05）.The logistic regression analysis showed that sports,overweight,obesity,central obesity,family history of diabetes,high cholesterol were risk factors.The distribution of TCM constitution were related with history of diabetes and prevalence of diabetes （all P 〈0.05）. Conclusion Sports,overweight,obesity,central obesity,family history of diabetes,high cholesterol were risk factors of prevalence of diabetes;People’s TCMconstitution with phlegm -dampness,dampness -heat,qi -deficiency,yin -deficiency were vulnerable to diabetes.