上海市杨浦区931例糖尿病患者中医体质调查分析

Investigation and Analysis of TCM Constitution among 931 Patients with Diabetes in Yangpu District of Shanghai

目的:对上海市杨浦区四平街道和殷行街道辖区内糖尿病患者中医体质进行调查分析,了解该区糖尿病患者的中医体质情况,为中医参与糖尿病健康管理工作提供科学依据。方法:采用中华医学会公布的《中医体质,分类与判定》表,对上海市杨浦区四平街道和殷行街道辖区内931例糖尿病患者进行中医体质调查。结果:(1)平和质占52.31%,偏廉体质中排在前4位的是阳虚质、气虚质、痰湿质、阴虚质分别占12.46%、11.06%、8.16%、7.20%。(2)男性平和质、湿热质、痰湿质、特禀质、血瘀质明显高于女性(P均小于0.01),气虚质、气郁质、阳虚质、阴虚质明显低于女性(P均小于0.01)。(3)随着年龄增长平和质呈减少趋势(P<0.01),气虚质和阳虚质呈增多趋势(P<0.01)。结论:本区糖尿病患者的中医体质以平和质为主,不同性别、不同年龄段患者体质类型有一定的差异,在进行中医干预及中医健康管理时应充分考虑。

Objective： Investigated the TCM Constitution of patients with diabetes in communities of Siping and Yinhang in Yang Pu District,Shanghai to understand the physical condition of the patients with diabetes,for providing scientific evidence for the traditional Chinese medical science involved in diabetic health management. Methods： Investigated the TCM Constitution among 931 patients with diabetes in the communities of Siping and Yinhang,Yang Pu district,Shanghai based on ＂ Chinese Constitution Classification and Determination Table＂published by Chinese Medical Association. Result：（ 1） The ratio of Balanced constitution was 52. 31%.The first four of the unbalanced constitution included Yang-deficient constitution,Qi-deficient constitution,phlegm dampness and Yin-deficient constitution,the ratio of them was 12. 46% 、11. 06% 、8. 16% 、7. 20% respectively.（ 2） There were more male than female with the balanced constitution. Damp-heat constitution,phlegm dampness,inherited special constitution,stagnant Blood; Qi-deficient constitution,stagnant Qi constitution,Yang-deficient constitution,and Yin-deficient constitution in male was obviously lower than those of female.（ 3） As the age growth,the balanced constitution of patients with diabetes was decreasing,the stagnant Qi constitution and Yang-deficient constitution are increasing. Conclusion： The constitution of traditional Chinese medicine（ TCM Constitution） among patients with diabetes in our community was conducted mainly in the balanced constitution,and the different sex and age groups in the different TCM constitutional types should be taken full consideration during conducting the TCM intervention and traditional Chinese medicine health management.