老年骨质疏松症合并2型糖尿病患者中医体质类型与生活习惯的相关性分析

Correlation Analysis of TCM Physical Types and Lifestyle in Senile Osteoporosis Patients Combined with Type 2 Diabetes

目的:分析老年骨质疏松症(DOP)合并2型糖尿病(T2DM)患者中医体质类型与生活习惯的相关性。方法:选择2018年10月1日~2019年2月28日收治的218例老年DOP合并T2DM患者,以现场问卷形式调查每例患者的生活习惯,分析中医体质类型与生活习惯的关系。结果:218例老年DOP合并T2DM患者中,理想型(平和质)30例,偏颇型(阳虚质、阴虚质、气虚质、痰湿质、湿热质、气郁质、瘀血质、特禀质、血虚质及混合质)188例。偏颇型中阳虚质22例,阴虚质19例,气虚质16例,痰湿质7例,湿热质2例,气郁质5例,瘀血质4例,特禀质3例,血虚质3例,混合质107例。单因素分析结果显示,蔬菜食用频率、饮酒频率、豆浆饮用频率、日均睡眠时间、睡眠质量、日均运动时间、业余活动频率、紧张情绪史、吸烟史、膳食补充剂使用史及日均晒太阳时间对偏颇质形成的影响有统计学意义(P<0.05);多因素分析结果显示,蔬菜食用频率、豆浆饮用频率、睡眠质量、业余活动频率及紧张情绪史是偏颇质形成的影响因素(P<0.05)。结论:老年DOP合并T2DM中医体质类型与生活习惯具有一定关系。因此,如果老年DOP合并T2DM患者通过积极改变其饮食、睡眠、运动及情绪等方面的生活方式,可能将有利于避免其偏颇型中医体质的形成。

Objective:To analyze the correlation between TCM physical type and lifestyle in elderly patients with diabetic osteoporosis(DOP)combined with type 2 diabetes mellitus(T2DM).Methods:A total of 218 elderly patients with DOP complicated with T2DM who were admitted from October 1,2018 to February 28,2019 were selected.The living habits of each patient were investigated by field questionnaire,and the relationship between TCM physical type and living habits was analyzed.Results:Among the 218 elderly patients with DOP complicated with T2DM,30 were of ideal type(mild quality)and 188 were of bias type(Yang deficiency,Yin deficiency,Qi deficiency,phlegm-dampness,damp-heat,Qi stagnation,Blood stasis,Characteristic,Blood deficiency and mixed character).There were 22 cases of Yang deficiency,19 cases of Yin deficiency,16 cases of Qi deficiency,7 cases of Phlegm-dampness,2 cases of Damp-heat,5 cases of Qi stagnation,4 cases of Blood stasis,3 cases of Characteristic character,3 cases of Blood deficiency,and 107 cases of mixed character.Single factor analysis results showed that the impact of the frequency of vegetable,drinking frequency,soyabean milk drinking frequency,average daily sleep time,sleep quality,daily exercise time,frequency of leisure activities,tension history,smoking history,history of dietary supplement use and daily average sunshine time on biased type formation was statistically significant(P<0.05).The results of multivariate analysis showed that vegetable consumption frequency,soybean milk consumption frequency,sleep quality,leisure activity frequency and history of tension were the influencing factors for the formation of bias type(P<0.05).Conclusion:TCM constitution type of elderly patients with DOP and T2DM is related to their living habits.Therefore,if elderly patients with DOP complicated with T2DM actively change their lifestyle in diet,sleep,exercise and mood,it may be beneficial to avoid the formation of their biased TCM constitution.