基于中医体质辨识的健康管理在IGR患者中的应用

Application of Health Management Based on Constitution Identification of Traditional Chinese Medicine in Patients with IGR

目的探讨基于中医体质辨识的健康管理对糖调节受损(IGR)患者血糖、血脂、体重指数变化的影响。方法选取2016年1月至2016年9月在本院体检中心参与体检,并符合IGR诊断标准的105例患者为研究对象,随机分为试验组56例,对照组49例。试验组给予中医体质辨识基础上的健康管理,对照组给予单纯生活方式指导,6个月后观察两组空腹血糖、糖化血红蛋白、胆固醇、甘油三酯、体重指数水平。结果试验组干预后空腹血糖、糖化血红蛋白水平下降明显,与干预前相比差异有统计学意义(P<0.05),与对照组相比亦有统计学差异(P<0.05);试验组干预后胆固醇、体重指数水平下降明显,与干预前相比差异有统计学意义(P<0.05),与对照组相比亦有统计学差异(P<0.05);试验组甘油三酯水平有下降趋势,但与干预前相比差异没有统计学意义(P>0.05)。结论将中医体质辨识应用到IGR健康管理中,可以明显改善空腹血糖及糖化血红蛋白指标,并且对心血管疾病危险因素的指标也有显著改善,具有较高的应用价值。

Objective To explore the effect of health management based on constitution identification of traditional Chinese medicine on the changes of blood sugar,blood lipid and body mass index in patients with impaired glucose regulation(IGR).Methods 105 patients who participated in physical examination in our hospital from January2016 to September 2016 and met the diagnostic criteria of IGR were randomly divided into experimental group(56 cases)and control group(49 cases).The experimental group was given health management based on TCM constitution identification,while the control group was given simple lifestyle guidance.After 6 months,the levels of fasting blood glucose,glycosylated hemoglobin,cholesterol,triglyceride and body mass index were observed in the two groups.Results The levels of fasting blood glucose and glycosylated hemoglobin in the experimental group decreased significantly after the intervention(P<0.05),and there were significant differences between the experimental group and the control group(P<0.05);the levels of cholesterol and body mass index in the experimental group decreased significantly after the intervention(P<0.05),and there were significant differences between the experimental group and the control group(P<0.05);the level of triglyceride in the experimental group had a downward trend,but there was no significant difference compared with before intervention(P>0.05).Conclusion Applying TCM constitution identification to IGR health management can significantly improve fasting blood sugar and glycosylated hemoglobin index,as well as cardiovascular disease risk factors,and has high application value.