高血压病合并糖尿病患者中医体质分布研究  

Study on the Distribution of Chinese Medical Constitutions of Hypertension Complicated Diabetes Patients

作　　者：韩淑辉[1] 李康增[1,2] 郑建明[3] 郑志雄[1] 林妙春[3] 许明远[1] 岳增昌[1] 

机构地区：[1]福建医科大学附属闽东医院神经内科,福建福安355000 [2]福建医科大学附属闽东医院脑血管病研究所,福建福安355000 [3]福建医科大学附属闽东医院中心实验室,福建福安355000

出　　处：《中国中西医结合杂志》2013年第2期199-204,共6页Chinese Journal of Integrated Traditional and Western Medicine

摘　　要：目的调查高血压病合并糖尿病病患者中医体质分布特点。方法选择251例2010年10月—2011年3月宁德市闽东医院心血管内科、神经内科住院的原发性高血压病患者,根据患者是否合并糖尿病分为原发性高血压合并糖尿病组(病例组,78例)及原发性高血压无糖尿病组(对照组,173例)。通过问卷调查其体质类型,比较两组体质分布,比较两组各性别、各年龄、各体形体质分布。入院次日检测患者TG、TC、LDL-C、Hb、白蛋白(ALB),比较两组阴虚、痰湿、气虚体质患者TG、TC、LDL-C、Hb、ALB及空腹血糖(FPG)水平。结果两组高血压分级、病程、合并慢性疾病情况比较,差异无统计学意义(P>0.05)。对照组主要体质类型为阴虚(26.0%)、痰湿(19.1%)、气虚(19.1%),病例组主要体质类型为阴虚(32.1%)、痰湿(30.8%)、气虚(17.9%),病例组痰湿体质比例高于对照组,差异有统计学意义(P=0.041)。两组同性别体质分布差异无统计学意义(P>0.05)。两组<80岁患者体质分布差异无统计学意义(P>0.05);与对照组>80岁组比较,病例组痰湿体质比例升高,阳虚、阴虚、气虚、湿热体质比例降低,差异有统计学意义(P=0.020)。病例组各年龄段体质分布差异无统计学意义(P>0.05);对照组各年龄段体质类型分布差异有统计学意义(P<0.05)。对照组偏瘦患者以阴虚体质、气虚体质为主,病例组偏瘦患者以阴虚体质为主,差异无统计学意义(P>0.05)。两组超重患者体质类型分布总体差异无统计学意义(P=0.458)。与本组平和体质比较,两组痰湿体质TC、LDL-C水平升高(P<0.05),病例组气虚体质TC水平升高,对照组气虚体质Hb降低,差异均有统计学意义(P<0.05);与本组气虚体质体质比较,对照组痰湿体质TC、Hb水平明显升高,病例组阴虚体质ALB升高,差异均有统计学意义(P<0.05)。与对照组比较,病例组各体质FPG均升高(P<0.05),气虚体质TC升高(P=0.007)。结论高血压病合并Objective To investigate the distribution features of Chinese medical constitutions in hypertension complicated diabetes patients. Methods Recruited were 251 primary hypertension inpatients at the Department of Neurology and the Department of Cardiology， Mindong Hospital of Ningde City from October 2010 to March 2011. They were assigned to two groups according to whether they were complicated with diabetes， i.e.， the primary hypertension complicated diabetes （as the case group， 78 cases） and the primary hypertension without complicated diabetes （as the control group， 173 cases）. The constitution types were investigated by questionnaire. The constitution type distribution was compared between the two groups. The data including gender， age， and the distribution of the constitution type were compared between the two groups. The levels of TG， TC， LDL C， Hb， FPG， and ALB were detected on the 2nd day after admission. The levels of TG， TC， LDL C， Hb， and ALB were compared between the two groups in patients of yin deficiency constitution，phlegm dampness constitution， and qi deficiency constitution. Results There was no statistical difference in the hypertension grading， the disease course， and chronic disease complications between the two groups （P〉0.05）. The main constitution types were yin deficiency （accounting for 26.0%）， phlegm dampness （accounting for 19.1%）， and qi deficiency （accounting for 19.1%） in the control group. The main constitution types were yin deficiency （accounting for 32.1%）， phlegm dampness （accounting for 30.8%）， and qi deficiency （accounting for 17.9%） in the case group. The ratio of phlegm dampness type in the case group was higher than that in the control group with statistical difference （P=0.041）. There was no statistical difference in the constitution distribution in the same gender between the two groups （P〉0.05）. There was no statistical difference in the constitution distribution in those y

关 键 词：原发性高血压 糖尿病 中医体质类型 

分 类 号：R259[医药卫生—中西医结合]