论文下载：486例2型糖尿病患者非糖尿病一级亲属中医体质类型调查分析

486例2型糖尿病患者非糖尿病一级亲属中医体质类型调查分析(1)

http://www.100md.com 2012年1月1日王文锐倪海祥魏佳平姚实林孙平王彩萍吕忠勤何慧虹

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     摘要：目的：初步了解浙江平湖地区2型糖尿病患者非糖尿病一级亲属中医体质类型分布情况。方法：采用王琦《中医体质分类研究》问卷对就诊我院糖尿病专科门诊及入住糖尿病专科病房的2型糖尿病患者子女进行方便抽样横断面现场调查486例。结果：平和质52例(26.3%)，单纯偏颇体质220例，兼夹偏颇体质214例；偏颇体质类型中累计频率由高到底依次为气虚质(61.4%)、阴虚质(56.4%)、痰湿质(50.8%)、阳虚质(21.6%)、气郁质(20.2%)、湿热质(17.9%)、血瘀质(10.5%)、特禀质(7.2%)；兼夹偏颇体质中2种体质兼夹125例，其中气虚兼阴虚质42例，气虚兼痰湿质48例，3种体质兼夹40例，4种体质兼夹26例，5种体质兼夹14例， 6种体质兼夹9例。结论：2型糖尿病患者非糖尿病一级亲属人群9种中医体质分布存在差异，偏颇及兼夹偏颇体质多见为主要特征。

    关键词：2型糖尿病；一级亲属；体质学说；流行病学调查

    中图分类号：R587.1 文献标识码：B 文章编号：1673-7717(2012)01-0113-03

    Investigation of TCM Constitution of Non-Diabetic First Degree Relatives of Diabetics

    WANG Wenrui1，NI Haixiang2，WEI Jiaping2，YAO Shilin3，SUN Ping1，WANG Caiping1，LU Zhongqin1，HE Huihong1

    (1.Pinghu Hospital of Traditional Chinese Medicine，Pinghu 314200，Zhejiang，China；

    2.Zhejiang Hospital of Traditional Chinese Medicine，Hangzhou 310006，Zhejiang，China；

    3.Anhui Hospital of Traditional Chinese Medicine，Hefei 230038，Anhui，China)

    Abstract:Objective:The TCM constitution distribution of non-diabetic first degree relatives of diabetics in Pinghu is primarily found out. Methods:According to questionnaire designed by Wangqi,486 cases of diabetic offsprings in our hospital were involved. Results:There were 52 cases(26.3%)of harmonious constitution;220 cases of single-side constitution; 214 cases of mixed constitution. Among the single-side constitution, the frequency order from high to low is: Qi deficiency(61.4%)、Yin deficinecy(56.4%)、phlegm and dampness(50.8%)、Yang deficiency(21.6%)、Qi depression(20.2%)、dampness and heat(17.9%)、blood stasis(10.5%)、special constitution(7.2%). There are 125 cases of two-sides constitution：42 cases of Qi deficiency with Yin deficiency; 48 cases of Qi deficiency with phlegm and dampness；there are 40 cases of three-sides constitution；26 cases of four-sides constitution; 14 cases of five-sides constitution. Conclusion：There are differences among non-diabetic first degree relatives of 2 type diabetics.

    Key words:2-diabetics；first degree relative；constitution theory；epidemiological investigation

    杨文英等[1]关于中国人的糖尿病患病率研究结果报告：中国普通成年人中糖尿病已达到流行性的比例，约有9420万20岁以上的成年人(9.7%的成年人口)患有糖尿病，且其中60.7%未得到诊断，此外，1.482亿成年人(15.5%)处于糖尿病前期。2型糖尿病发病的危险因素主要与遗传因素、环境因素、糖尿病家族史、妊娠糖尿病及巨大儿分娩史，年龄、高血压、脂代谢紊乱、肥胖等有关，具有高度的遗传异质性和明显的家族聚集性[2]。同时糖尿病的患病率也存在显著地域性差别，总体呈现出城市高于农村的趋势，而且高经济收入地区患病率普遍较高，可能与不同的生活方式有关[3]。作为沿海经济开放区的浙江平湖 ......

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