糖调节受损人群的中医体质分型及其与尿微量白蛋白关系的研究  

The correlations between the distribution of constitutional types of TCM and the microalbuminuria index in patients with IGR

作　　者：陈文辉[1] 李双蕾[1] 赵伟[1] 秦彦[2] 粟麟 何智勇 

机构地区：[1]广西中医药大学第一附属医院,南宁530023 [2]钦州市中医院,钦州535000 [3]广西中医药大学,南宁530001 [4]广西骨伤医院,南宁530001

出　　处：《世界中医药》2013年第7期721-724,共4页World Chinese Medicine

基　　金：国家重点基础研究发展计划(973计划)课题(编号:2009CB523003);广西中医药科技专项立项课题(编号:GZKZ10-020)

摘　　要：目的:探讨糖调节受损(IGR)人群中医体质类型的分布特点及其与尿微量白蛋白之间的关系。方法:选取IGR人群224例,血糖正常者60例,两组均采用中医体质量表问卷资料进行中医体质辨识,测定尿微量白蛋白水平,同时对IGR各体质类型与微量白蛋白尿(MAU)的相关性进行分析。结果:224例IGR人群中,平和质有8例(占3.6%);气虚质42例(占18.6%);阳虚质4例(占1.8%);阴虚质38例(占17.0%);痰湿质60例(占26.8%);湿热质28例(占12.5%);血瘀质34例(占15.2%);气郁质10例(占4.5%);无特禀质人群。其中,血瘀质、痰湿质IGR人群的MAU患病率明显高于气虚质、阴虚质、湿热质,差异有统计学意义(P<0.01)。结论:痰湿质、气虚质、阴虚质、湿热质和血瘀质可能为IGR人群的主要体质类型,瘀血质、痰湿质IGR人群的MAU患病率显著增高,提示发生血管病变风险更高。Objective： To discuss the correlations between the distribution of constitutional types of Traditional Chinese Medicine（TCM） and the microalbuminuria index in patients with impaired glucose regulation （IGR） . Methods： 224 patients with IGR and 60 cases of normal blood glucose were randomly selected,Constitutional types of two groups were distinguished used the Chinese Medical constitution questionnaires,Determined Urinary albumin levels,and analyzed the correlation of IGR various constitutional types and microalbuminuria. Results： In 224 cases of IGR,there were 8 cases of gentleness type （3.6% ） ,42 cases of qi-deficiency type （18.6% ） ,4 cases of yang-deficiency type （1.8% ） ,38 cases of yin-deficiency type （17.0% ） ,60 cases of phlegmatic hygrosis type （26.8% ） ,28 cases of dampness heat type （12. 5% ） ,34 cases of stasis type （15.2% ） ,10 cases of qi-depression type （4.5% ） ,none particular type. The prevalence of MAU in stasis and phlegmatic hygrosis types was higher than qi-deficiency,yin-deficiency and dampness heat types （P0. 01） . Conclusion： The main constitutional types of IGR were phlegmatic hygrosis type,qi-deficiency type,yin-deficiency type, dampness heat type and stasis type. The prevalence of MAU of stasis type and phlegmatic hygrosis type was significantly higher,and in- dicated a higher risk of vascular disease.

关 键 词：糖调节受损 中医体质 尿微量白蛋白 

分 类 号：R277.733.3[医药卫生—中医学]