阴阳平衡理论对糖尿病患者生存质量的影响  

Effect of Yin- Yang Theory on Quality of Life in Patients with Type 2 Diabetes Mellitus

作　　者：杨海燕[1] 金艳蓉[1] 李军[1] 蔡新伦[1] 丁喆[1] 

机构地区：[1]昆明市中医医院心血管病内分泌病科,云南昆明650011

出　　处：《辽宁中医杂志》2015年第11期2075-2077,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：云南省教育厅科学研究基金项目(2012C045)

摘　　要：目的:观察偏阴虚组与偏阳虚组2型糖尿病患者生存质量、生化指标的特点,探讨中医阴阳调护理论在改善2型糖尿病患者的生存质量方面的应用。方法:将200例糖尿病患者分为偏阴虚组与偏阳虚组,分别比较两组患者之间生存质量、生化指标有无差异。结果:2型糖尿病患者阳虚组患者社会功能、躯体疼痛、总体健康的得分较阴虚组患者降低,差异有显著性(P<0.05);阳虚组精力的下降更为明显,与阴虚组的患者比较,差异有明显的显著性(P<0.01);阴虚证患者的躯体健康得分较阳虚组降低,差异有显著性(P<0.05)。阴虚组糖化血红蛋白、果糖胺均高于阳虚组,阴虚组空腹C肽及胰岛素水平低于阳虚组,差异有显著性(P<0.05)。而阳虚组血尿素氮、尿微量白蛋白水平高于阴虚组,差异有明显的显著性(P<0.01);阳虚组总胆固醇、低密度脂蛋白胆固醇水平、血肌酐水平高于阴虚组,差异有显著性(P<0.05)。结论:2型糖尿病患者的生存质量、生化指标与阴阳偏盛有有一定的相关性,通过调整阴阳,可改善患者的生存质量。Objective： To observe the characteristics of the quality of life（ QOL） and biochemical index between Yin- deficiency group and Yang- deficiency group in patients with type 2 diabetes mellitus（ T2DM）. To explore the application of Yin-Yang theory in improving the QOL in patients with T2 DM. Methods： 200 cases of patients with T2 DM were divided into Yin- deficiency group and Yang- deficiency group. The QOL and biochemical index were compared between the two groups. Results： The social function,body pain,general health scores in Yang- deficiency group with T2 DM were decreased significantly compared with those of the Yin- deficiency group（ P〈 0. 05） and the energy scores in Yang- deficiency group were decreased more obviously compared with that of the Yin- deficiency group（ P 〈0. 01）. The body health scores in Yin- deficiency group were decreased significantly compared with Yang- deficiency group（ P〈 0. 05）. The level of glycosylated hemoglobin,fructosamine in Yin- deficiency group were higher than that of Yang- deficiency group. The level of fasting C peptide and insulin in Yin- deficiency group were lower than that of Yang- deficiency group and the difference was significant（ P〈 0. 05） while the level of blood urea nitrogen and urinary albumin in Yang- deficiency group were higher than that of Yin- deficiency group and the difference was obviously significant（ P 〈0. 01）. The level of total cholesterol,low- density lipoprotein cholesterol and blood creatinine in Yang- deficiency group were higher than that of Yin- deficiency group and the difference was significant（ P 〈0. 05）. Conclusion： The QOL and biochemical index in patients with T2 DM was partially correlated with Yin- Yang excess.

关 键 词：2型糖尿病 生存质量 阴阳平衡理论 

分 类 号：R587.1[医药卫生—内分泌]