2型糖尿病并骨质疏松症中医辨证分型及相关因素研究

TCM Syndrome Differentiation and Related Factors of Type 2 Diabetes Mellitus Complicated with Osteoporosis

目的探讨2型糖尿病并骨质疏松症的相关影响因素和中医辨证分型。方法选择本院2017年4月至2019年5月期间收治的30例2型糖尿病并骨质疏松症患者为实验组,同期30例2型糖尿病非骨质疏松症患者为对照组,对比两种疾病的中医辨证分型和影响因素。结果实验组的肝肾亏虚证比例高于对照组,实验组的阴阳两虚证比例低于对照组(P<0.05)。2型糖尿病并骨质疏松症发病危险因素为年龄、BMI和HbA1c。结论 2型糖尿病并骨质疏松症中,最为常见的为肝肾亏虚证,且该疾病的发病危险因素包括年龄、BMI和HbA1c。

Objective To explore the related influencing factors and the TCM syndrome differentiation of type 2 diabetes mellitus complicated with osteoporosis.Methods From April 2017 to May 2019, 30 patients with type 2 diabetes complicated with osteoporosis in our hospital were selected as experimental group, and 30 patients with type 2 diabetes and non-osteoporosis in our hospital were selected as control group. The TCM syndrome differentiation and influencing factors of two kinds of diseases were compared.Results The proportion of deficiency syndrome of liver and kidney in the experimental group was higher than that in the control group, and the proportion of deficiency syndrome of Yin and Yang in the experimental group was lower than that in the control group(P<0.05). Age, BMI and HbA1c were risk factors for the onset of type 2 diabetes complicated with osteoporosis.Conclusions Deficiency syndrome of liver and kidney are the most common type of type 2 diabetes mellitus complicated with osteoporosis. The risk factors of the disease include age, BMI and HbA1c.