世界中医药2017,Vol.12Issue(12):3162-3166,5.DOI:10.3969/j.issn.1673-7202.2017.12.075
老年2型糖尿病肌少症患者的中医体质类型及其与并发症、生活习惯的关系研究
Relations between Constitution Types of Chinese Medicine and Comorbidity and Life Habits in Elderly Patients with Type 2 Diabetes Mellitus and Sarcopenic
摘要
Abstract
Objective:To investigate the distribution of TCM constitutions in elderly patients with type 2 diabetes mellitus and sar-copenic,and to explore the relations between constitutions and chronic diseases and life habits.Methods:A total of 229 cases were enrolled in this study,using the method of TCM scale and the sociology of population characteristics,other combined chronic dis-eases,diet,exercise,sleep and other life style.Results:The number of gentleness type and biased constitution was 22 (9.61%) and 207 (90.39%).The sequences of constitutions were Qi-depression (22.71%),Yang-deficiency (22.27%),Qi-deficiency (13.97%),Blood-stasis (13.97%),gentleness type (9.61%),dampness-heat (9.17%),special diathesis type (4.80%),and phlegm-dampness (3.49%).There was a significant difference in constitutions between the elderly patients with chronic dis -ease and without the same chronic disease (P<0.05).For example,TCM constitutions of hypertension was mainly manifested as Qi-depression ( 32.84%),Yang-deficiency ( 20.90%),Qi-deficiency ( 17.91%);hypothyroidism was mainly manifested as dampness-heat (25.00%),blood-stasis (22.73%),Qi-depression (22.73%);ptosis of the stomach was mainly manifested as Yang-deficiency (29.52%),Qi-depression (27.62%),Qi-deficiency (21.90%);coronary heart disease and heart infarction was mainly manifested as with blood-stasis ( 30.61%),Qi-deficiency ( 22.45%);stroke was mainly manifested as blood-stasis (26.92%),Yang-deficiency (21.15%),Qi-deficiency (19.23%).There were differences in diet intake,exercise habits and sleeping habits between the elderly patients with biased constitution and the elderly patients with gentleness constitution ( P <0.05).Conclusion:The constitution type of elderly patients with type 2 diabetes mellitus and sarcopenic was related to chronic dis-eases and life habits.The prevention and treatment of chronic diseases should take care of the physical characteristics and the TCM constitutions.关键词
老年糖尿病/肌少症/中医体质/生活习惯Key words
Senile diabetes mellitus/Sarcopenic/Constitution of traditional Chinese medicine/Life habits分类
医药卫生引用本文复制引用
石劢,金江丽,陈禹,林兵,马小陶,陈杰..老年2型糖尿病肌少症患者的中医体质类型及其与并发症、生活习惯的关系研究[J].世界中医药,2017,12(12):3162-3166,5.基金项目
国家卫生计生委保健局第五期保健课题( W2013BJ25 ) ( W2013BJ25 )