社区2型糖尿病管理中应用中医体质辨识干预的临床价值

Clinical effects of TCM constitution identification intervention on type Ⅱ diabetes mellitus in community

目的:探讨中医体质辨识在社区2型糖尿病管理中的应用价值。方法:选择本辖区2016年1月-2017年1月接受管理的2型糖尿病患者120例为研究对象,以随机数字表法分为对照组与观察组,每组60例,对照组接受常规社区2型糖尿病管理,观察组在对照组基础上接受中医体质辨识干预,对两组患者血糖控制达标率及生活质量进行观察。结果:管理前,两组患者空腹血糖及糖化血红蛋白控制达标率无明显差异(P>0.05),观察组管理后的空腹血糖、糖化血红蛋白控制达标率分别为86.67%、83.33%,对照组分别为70.00%、63.33%,两组差异有统计学意义(P<0.05);管理前,两组患者DQOL评分无明显差异(P>0.05),管理后均有改善,观察组明显优于对照组(P<0.05)。结论:中医体质辨识干预能提高社区2型糖尿病患者血糖控制达标率,也能改善生活质量,值得临床推广。

Objective： To explore effects of TCM constitution identification on type Ⅱ diabetes mellitus in community. Methods： 120 patients with type Ⅱ diabetes mellitus under management in this district from January 2016 to January 2017 were selected as the research objects and were divided into the control group and the observation group according to random number table method, 60 cases in each group. The patients in the control group were given the routine management. Patients in the observation group were given the intervention of TCM constitution identification more. Results： Before the management, there was no significant difference between two groups in fasting blood-glucose and the standard rate of glycated hemoglobin control（P〈0.05）. After the management, the fasting blood-glucose and the standard rate of glycated hemoglobin control in the observation group were respectively 86.67% and 83.33%, and those were 70.00% and 63.33% in the control group（P〈0.05）. Before management, there was no significant difference in DQOL scores between the two groups（P〈0.05）. But the management was improved after it was carried out, and that in the observation group was obviously better than the control group（P〈0.05）. Conclusion： TCM constitution identification can improve the standard rate of blood glucose control in patients with type Ⅱ diabetes in community and can improve the quality of life, is worthy of clinical promotion.