2型糖尿病中医体质与肥胖、血脂、血凝指标的相关性分析  

Correlation among TCM constitutions,obesity,blood fat and hemagglutination indexes in patients with type 2 diabetes

作　　者：柳红芳[1] 王皓[1] 胡照娟[1] 

机构地区：[1]北京中医药大学东直门医院肾病内分泌科中医内科学教育部重点实验室,北京100700

出　　处：《北京中医药大学学报》2011年第10期702-706,共5页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家自然科学基金资助项目(No.81072735);北京中医药大学自主创新课题资助项目(No.2009JYBZZ-JS078);首都特色基金资助项目(No.Z111107058811058)

摘　　要：目的探讨2型糖尿病患者的中医体质与相关检查、实验室指标的相关关系。方法随机收集东直门医院的2型糖尿病患者213例,判定患者的中医体质类型,并测定患者体质指数(BMI),腰围(WC)、血压、心率及相关实验室指标,运用Spearman等级相关分析,研究他们之间相关关系。结果 BMI、腰围与痰湿质成正相关性(P<0.05)。胆固醇、甘油三酯与痰湿质呈正相关性(P<0.05),纤维蛋白原含量、D二聚体与血瘀质呈正相关性(P<0.05)。结论 BMI、腰围增大,胆固醇、甘油三酯指标升高可能是痰湿质的危险因子,BMI、腰围减小是阴虚质的危险因素。提示纤维蛋白原含量、D二聚体可能是血瘀质的危险因素。Objective To study the correlation among TCM constitutions, relevant examination results and laboratory indexes in the patients with type 2 diabetes. Methods The patients with type 2 diabetes （n = 213 ） were randomly selected from Dongzhimen Hospital and their constitutional types were determined. The body mass index （BMI）, waist circumference （WC）, blood pressure, heart rate and relevant laboratory indexes were detected and analyzed by using Spearmans rank correlation analysis, and the relationship among these indexes were studied. Results BMI and WC were correlated to phlegm-damp constitution （ P 〈 0.05 ）. The levels of cholesterol （ CH ） and triglyceride （TG） were correlated to phlegm-damp constitution （P 〈 0. 05 ）. The content of fibrinogen and D-dimer were correlated to blood-stasis constitution （ P 〈 0.05 ）. Conclusion The study indicated that BMI, and increased WC, CH and TG may be the risk factors for phlegm-damp constitution. BMI and decreased WC may be the risk factors for yin-deficiency constitution. The content of fibrinogen and D-dimer may be the risk factors for blood-stasis constitution.

关 键 词：2型糖尿病 中医体质 检查指标 相关性分析 

分 类 号：R255.4[医药卫生—中医内科学]