中医体质学说指导糖尿病前期人群健康管理的临床研究

Clinical Research on guiding doctrine of pre-diabetes population

目的:探讨中医体质学说对糖尿病前期人群健康管理的影响。方法:对符合纳入标准的258例糖尿病前期人群根据中医体质学说进行体质判定,并将258例患者随机分为试验组129例和对照组129例。试验组根据体质辨识结果,给予个体化健康处方,指导其糖尿病前期的饮食、起居、运动、情志方面的健康管理。对照组给予一般的糖尿病前期人群健康管理模式。观察人群试验前后体重指数(BMI)、腰臀围(WHR)、空腹血糖(FBG)、胆固醇(TC)、甘油三酯(TG)的改善情况。结果:该健康管理模式能降低糖尿病前期人群的血糖、血脂,可以明显改善阴虚质、湿热质、气虚质、气郁质、痰湿质人群的相关病证,差异有统计学意义(P<0.05)。结论:根据中医体质学说指导糖尿病前期人群进行健康管理成效明显。

Objective： To investigate the influence of the TCM doctrine of pre-diabetes constitution on population health management. Methods： 258 cases were randomly divided into two groups of people （129 cases） and control group （129 cases）. Experimental group received individualized prescriptions, pre-diabetes population health management guidance eating, living, exercise, emotional aspects. The control group received general pre-diabetes population health management. The body mass index （BMI）, waist-hip （WHR）, fasting blood glucose （FBG）, cholesterol （TC）, triglyceride （TG） were recorded. Results： The health management model can reduce blood sugar, blood lipids, can significantly improve the quality of Yin, the difference was statistically significant （P〈0.05）. Conclusion：According to TCM theory to guide the physical health of diabetes can be effective.