901例社区2型糖尿病血瘀证的影响因素研究

目的 了解血瘀证在社区2型糖尿病患者中的分布及其相关影响因素。 方法 以社区901例2型糖尿病患者为研究对象，采集其相关临床信息并进行中医辨证分析，采用单因素分析和Logistic回归分析考察血瘀证的影响因素。 结果 901例2型糖尿病患者中，单纯血瘀脉络证165例，阴虚热盛证、湿热困脾证、气阴两虚证、阴阳两虚证分别为137、135、334、130例，分别兼夹血瘀证55、57、200、101例，各证型兼夹血瘀证的比例明显不同（P<0.05）。单因素分析结果显示，年龄、病程、高血压并发症、收缩压、体质量、体型是血瘀证的影响因素，舒张压、血脂水平不是血瘀证的影响因素；二项分类Logistic回归分析结果显示，年龄、高血压并发症、收缩压是血瘀证的影响因素。 结论 血瘀证是社区2型糖尿病患者的主要证型，年龄越大，具有高血压并发症，收缩压较高者易于出现血瘀证，尚不能认为病程、体质量和体型是2型糖尿病血瘀证的影响因素。

Influencing Factors for Blood Stasis Syndrome in Patients with Type 2 Diabetes in Communities: A Study of 901 Cases

Objective To investigate the distribution of blood stasis syndrome in patients with type 2 diabetes in communities and related influencing factors. Methods A total of 901 patients with type 2 diabetes in communities were selected as subjects. Related clinical data were collected and traditional Chinese medicine (TCM) syndrome differentiation was performed. The univariate analysis and logistic regression analysis were applied to investigate the influencing factors for blood stasis syndrome. Results Among the 901 patients with type 2 diabetes, 165 had blood stasis in collaterals; 137, 135, 334, and 130 patients had yin deficiency and heat excess, damp-heat and spleen stagnation, deficiency of both qi and yin, and yin-yang deficiency, respectively, and 55, 57, 200, and 101 of them had blood stasis syndrome, with significant differences in the proportion of patients with blood stasis syndrome (P<0.05). The univariate analysis showed that age, course of the disease, a complication of hypertension, systolic pressure, body weight, and body type were the influencing factors for blood stasis syndrome, while diastolic pressure and blood lipid level were not the influencing factors for blood stasis syndrome. Binary logistic regression analysis showed that age, a complication of hypertension, and systolic pressure were the influencing factors for blood stasis syndrome. Conclusion Blood stasis syndrome is the main syndrome in patients with type 2 diabetes in communities, and the patients with old age, hypertension, and high systolic pressure tend to develop blood stasis syndrome. No evidence has proved that course of the disease, body weight, and body type are the influencing factors for blood stasis syndrome in type 2 diabetes.