糖耐量异常与体质关系研究

目的:观察糖耐量异常患者中各体质类型的比例,通过统计分析了解哪一种体质类型的人更容易出现糖耐量异常,从而为糖耐量异常预防和治疗提供思路。方法:调查2011年4月至2012年4月期间深圳市第二人民医院门诊及住院患者,对符合糖耐量异常诊断者,采用标准化的中医体质量表测评各体质类型(平和质、气虚质、阳虚质、阴虚质、痰湿质、湿热质、血瘀质、气郁质、特禀质)的得分;应用判别分析法判定个体体质类型,取得分最高的体质类型,分析糖耐量异常患者体质类型的分布规律。结果:149例糖耐量异常患者中,居于前3位的体质类型是阳虚质、气虚质、阴虚质,分别占26.17%、16.78%和14.09%。结论:糖耐量异常患者阳虚质、气虚质、阴虚质居多。而阳虚、气虚、阴虚代表了9种体质的的所有虚性体质,故虚性体质的人群更易出现糖耐量异常,提示糖耐量异常预防和治疗要以调补、改善虚性体质为主。

A Study on Relationship Between Impaired Glucose Tolerance and Constitutional Types of Traditional Chinese Medicine

Objective To observe the ratios of each type of constitution of Traditional Chinese medicine(TCM) in IGT patients,and find out which type of constitution is more likely to impaired glucose tolerance,we want to find a way to prevent the occurrence of IGT.Methods We use the Physical scale of TCM to evaluate the scores of each type of constitution patients(Gentleness type,Qi-deficiency type,Yang-deficiency type,Yin-deficiency type,Phlegm-wetness type,Wet-heat type,Blood-stasis type,Qi-depression type,Special diathesis type),which accord with the diagnosis of IGT,and analyzed the TCM constitution distribution of those IGT patients.Results We observed 149 cases of the IGT patients.In the 9 types of constitution,the top three were Yang deficiency type(26.17%),Qi-deficiency type(16.78%) and Yin-deficiency type(14.09%).Conclusion Yang-deficiency type,Qi-deficency type and Yin-deficiency type are in the majority in the IGT patients.Yang-deficiency type,Qi-deficency type,and Yin-deficiency type all belong to deficiency constitution in TCM.Maybe the patients belong to deficiency constitution are more likely to develop IGT and Mending deficiency has benefit to prevent the occurrence of IGT.