妊娠期糖尿病患者中医体质辨识中的兼夹体质问题探析

A study on TCM composite constitution in patients with GDM

目的:探讨新诊断标准下中医体质类型与妊娠期糖尿病的相关性及兼夹体质分布特点,以期为临床发挥中医药特色、通过体质干预预防GDM提供新的思路,也为今后兼夹体质的探析提供一定参考和借鉴。方法:对2013年4月-2014年2月在河南中医学院第一附属医院定期行围产保健检查的213例孕妇体质调查问卷资料进行回顾性研究,并用SPSS软件对数据进行处理分析。结果:录入有效问卷182份,统计分析后发现:(1)GDM孕妇组与健康孕妇组体质辨识存在明显差异,GDM组主要体质类型为痰湿质,健康孕妇组主要体质类型为平和质,组间差异具有统计学意义;(2)体质辨识中除单一体质外,倾向体质和兼夹体质广泛存在,与健康孕妇组相比GDM孕妇组兼夹体质更为多见,二者差异具有统计学意义(P=0.033<0.05),GDM常见兼夹体质为痰湿兼阳虚质。结论:(1)痰湿体质为GDM的易感偏颇体质;(2)兼夹体质客观存在,GDM常见兼夹体质为痰湿兼阳虚质。

Objective To investigate the relativity between the constitution types of TCM and the morbidity of gestational diabetes mellitus, through and to fnd out the constitution types of TCM that easily cause GDM. Methods： Retrospective study method is used for this research, this research carries on a sampling survey among the pregnant women that underwent regular perinatal care in frst afliated hospital of Henan University of Traditional Chinese Medicine from April 2013 to February 2014, using SPSS to collate and analyze the data from recovery questionnaire. Results： There are 213 questionnaires; 182 were qualifed. We found that ① The main composition of TCM constitution of GDM pregnant women is Pinghe constitution. The most common constitution type of TCM of the GDM pregnant women is phlegm-dampness constitution, and the two sets of incidence by statistical analysis derived, P〈0.05;②Besides the single TCM constitution, there are more tendency constitutions and multiple constitutions; the diference of these constitutions between the pregnant women with GDM and the pregnant women with non-GDM is statistically signifcance. Conclusion： ① The characteristic of GDM pregnant women TCM constitution is phlegm-dampness constitution; ② The TCM constitution form is complex and various; there are many tendency constitutions and multiple constitutions exist; the most common biased complex constitution type of TCM of the GDM pregnant women is phlegm-dampness and Yang asthenia constitution.