糖尿病前期的中医状态要素辨识

Identification of Traditional Chinese Medicine Status Elements in Prediabetes

目的分析糖尿病前期人群中医健康状态及要素分布规律,为糖尿病前期健康管理提供评价标准。方法观察206例糖尿病前期人群的中医健康状态和要素的分布关系。参考李灿东教授和王琦教授的方法将人体健康状态分为:未病态、欲病态、已病态3类。计算糖尿病前期中医健康状态要素中“病位元”和“邪机元”出现的频次。结果糖尿病前期的健康状态:欲病态占96.12%(198/206)、未病态占0.97%(2/206)、已病态占2.91%(16/206),糖尿病前期多数处于欲病态;糖尿病前期状态要素病位元中无特定病位占1.94%(4/206)、肝占10.68%(22/206)、脾占19.90%(41/206)、肾占67.48%(139/206),病位主要在肾,其次在脾、肝;邪机元中出现的总频数467次,气虚27.41%(128/467)、阴虚22.06%(103/467)、津亏14.35%(67/467)、痰9.64%(45/467)、瘀血6.85%(32/467)、燥热19.70%(92/467),最高的为气虚,其次为阴虚,再次为燥热、津亏、痰、瘀血。结论糖尿病前期病位主要在肾、脾、肝,糖尿病前期的状态要素主要是气虚、阴虚、燥热、津亏、痰、瘀血。

Objective To analyze the health status of traditional Chinese medicine and the distribution of elements in the pre-diabetes population,and to provide evaluation criteria for pre-diabetes health management.Methods The distribution relationship between the health status of traditional Chinese medicine and the status elements of 206 cases of prediabetes was observed.Referring to the methods of Professor Li Candong and Professor Wang Qi,the human health state was divided into three categories:health,tend to sick,sick.The occurrence frequency of“disease location”and“pathogenic element”in the health status factors of traditional Chinese medicine in pre-diabetes was calculated.Results The health status of prediabetes was 96.12%(198/206),0.97%(2/206),2.91%(16/206),most of the prediabetes were in the pathological state.There were no specific disease sites in 1.94%(4/206),liver 10.68%(22/206),spleen 19.90%(41/206)and kidney 67.48%(139/206).The main disease sites were kidney,followed by spleen and liver.The total frequency of pathogenic elements was 467 times,including qi deficiency 27.41%(128/467),yin deficiency 22.06%(103/467),fluid deficiency 14.35%(67/467),phlegm 9.64%(45/467),blood stasis 6.85%(32/467).Dry heat 19.70%(92/467),the highest is qi deficiency,followed by yin deficiency,dry heat,fluid deficiency,phlegm,blood stasis.Conclusion The disease location of prediabetes is mainly kidney,spleen and liver.The main factors of prediabetes are qi deficiency,yin deficiency,dryness and heat,body fluid,phlegm and blood stasis.