基于中医体质辨识实施健康管理对青少年代谢综合征的影响

Influence of Health Management Based on Traditional Chinese Medicine Constitution Identification on Adolescent Metabolic Syndrome

目的探讨以中医体质辨识为基础实施健康管理对青少年代谢综合征(MS)的治疗效果、相关代谢指标及偏颇体质改善情况。方法本研究采用回顾性分析法,纳入2022年6月-2023年6月于潍坊市中医院健康管理中心进行健康体检的青少年632例,经分析按照是否诊断为MS分为:MS组(n=76),非MS组(n=556),将MS组进一步分为MS中医体质辨识组(n=38)及MS常规组(n=38),MS常规组进行常规健康干预,MS中医体质辨识组在常规干预的基础上进行中医体质辨识并进行中医管理。干预1年后进行代谢指标及体质转化分析。结果MS组中平和质低于非MS组,偏颇体质中痰湿质、湿热质、气郁质高于非MS组(P<0.05);MS中医体质辨识组与MS常规组治疗后体质量、腰围、体质量指数(BMI)、收缩压、舒张压、空腹血糖、胰岛素、TG、TC、LDL-C较治疗前降低,HDL-C较治疗前升高(P<0.05),且MS中医体质辨识组体质量、腰围、BMI、空腹血糖、胰岛素、TG、TC、LDL-C低于MS常规组,HDL-C高于MS常规组(P<0.05);MS中医体质辨识组与MS常规组中医体质治疗后平和质较治疗前均明显增加,MS中医体质辨识组治疗后偏僻体质中痰湿质、湿热质较治疗前降低(P<0.05),且MS中医体质辨识组平和质高于MS常规组(P<0.05)。结论基于中医体质辨识的健康管理对MS患者的各项代谢指标有效改善,并能有效改善偏颇体质状态,促进青少年身心健康发展。

Objective To explore the therapeutic effect of health management based on TCM constitution identification on adolescent metabolic syndrome(MS),related metabolic indexes and the improvement of biased constitution.Methods A retrospective analysis was conducted on 632 adolescents who underwent health check-ups at the Health Management Center of Weifang Traditional Chinese Medicine Hospital from 2022 to 2024.The participants were divided into two groups based on whether they were diagnosed with MS:the MS group(n=76)and the non-MS group(n=556).The MS group was further divided into two subgroups:the TCM constitutional identification group(n=38)and the conventional MS group(n=38).The conventional MS group received standard health interventions,while the TCM constitutional identification group received TCM management based on the conventional intervention.After one year of intervention,metabolic indicators and changes in constitution were analyzed.Results The moderate quality in MS group was lower than that in non-MS group,and the phlegm-dampness quality,damp-heat quality and qi stagnation quality in biased constitution were higher than those in non-MS group,with statistical significance(P<0.05).Metabolic indexes such as body mass,waist circumference,BMI,systolic blood pressure,diastolic blood pressure,fasting blood glucose,insulin,TG,TC,LDL-C decreased and HDL-C increased compared with those before treatment,with statistical significance(P<0.05).After treatment,the quality of TCM constitution in MS TCM constitution identification group and MS routine group increased significantly,while the phlegm-dampness and damp-heat in remote constitution in MS TCM constitution identification group decreased(P<0.05),and the quality of TCM constitution identification group was higher than that in MS routine group,with statistical significance(P<0.05).Conclusion Health management based on TCM constitution identification can effectively improve the metabolic indexes of adolescent patients with metabolic syndrome and the biased constitution state,and promote the healthy development of adolescents.