中医药健康管理干预2型糖尿病阴虚质效果研究

Intervention Effect of Chinese Medicine Health Management on Type 2 Diabetes Mellitus of Yin-Deficiency Constitution

目的:研究中医药健康管理对2型糖尿病阴虚质的干预效果。方法:以广州市海珠区2017、2018年度中医药健康管理服务对象为目标人群,根据老年人中医药健康管理服务记录表筛选出2型糖尿病阴虚质人群,选择符合纳入标准的600例,随机分成干预组及对照组各300例,对照组实施慢病管理,干预组运用中医药健康管理服务管理模式。比较2组干预前、干预12个月后、干预24个月后的中医体质、空腹血糖、体质量指数的变化,检测治疗过程中2组安全性。结果:干预24个月后,干预组300例阴虚质糖尿病居民有88例转为平和质,121例转为阴虚质倾向,91例仍为阴虚质。对照组300例阴虚质糖尿病居民12例转为平和质,有39例转为阴虚质倾向,249例仍为阴虚质。体质情况转向比较,差异有统计学意义(P<0.01)。干预12、24个月后,2组体质量指数、空腹血糖均较干预前下降,差异有统计学意义(P<0.05)。干预12、24个月后,干预组体质量指数、空腹血糖均低于同一时间段对照组,差异有统计学意义(P<0.05)。研究过程中监测2组血常规及肝肾功能,未有出现结果明显异常导致需终止研究的情况。结论:2型糖尿病阴虚质在接受中医药健康管理干预后效果明显,中医药健康服务包中的相关服务项目可有效的改善2型糖尿病阴虚质患者的生活质量、疾病预后,可指导患者养成更健康的生活方式。

Objective:To study the intervention effect of Chinese medicine health management on type2 diabetes mellitus of yin-deficiency constitution.Methods:The target residents of Chinese medicine health management in Haizhu District,Guangzhou in 2017 and 2018 were selected according to the Chinese Medicine Health Management Service Record Form for the Elderly,and 600 cases with type2 diabetes mellitus of yin-deficiency constitution were selected.They were randomly divided into the intervention group and the control group,with 300 cases in each group.The control group was given management of chronic disease,and the intervention group was given Chinese medicine health management.The changes of Chinese medicine constitution,fasting blood glucose and body mass index before intervention,12 months after intervention and 24 months after intervention were compared between the two groups,and the safety in the two groups was detected during treatment.Results:After24 months of intervention,among 300 residents with diabetes mellitus of yin-deficiency constitution in the intervention group,88 cases turned to balanced constitution;121 cases tended to turn to yin-deficiency constitution,and 91 cases remained yin-deficiency constitution.Among 300 residents with diabetes mellitus of yin-deficiency constitution in the control group,12 cases turned to balanced constitution;39 cases tended to turn to yin-deficiency constitution,and 249 cases remained yin-deficiency constitution.There was significant difference in the comparison of the turn in constitution(P<0.01).After12 and 24 months of intervention,the levels of body mass index and fasting blood glucose in the two groups were decreased when compared with those before intervention,the difference being significant(P<0.05).After 12 and 24 months of intervention,the levels of body mass index and fasting blood glucose in the intervention group were lower than those in the control group at the same period,the difference being significant(P<0.05).During the study,the levels of blood routine and liver and kidney functions in the two groups were monitored,and there were no obvious abnormal results leading to the termination of the study.Conclusion:The intervention effect of Chinese medicine health management on type 2 diabetes mellitus of yin-deficiency constitution is significant.The related service items in the Chinese medicine health management can effectively improve the quality of life and prognosis of patients with type 2 diabetes mellitus of yin-deficiency constitution and guide them to develop a healthier lifestyle.