中医体质类型与妊娠期糖尿病的关系及可能影响因素分析  

Relationship between TCM Constitution Types and Gestational Diabetes Mellitus and Possible Influencing Factors

作　　者：蒙菲[1] 卢琼芳[1] 丘驰[1] 周海娟[1] MENG Fei;LU Qionghua;QIU Chi;ZHOU Haijuan(Guigang People's Hospital of Guangxi,Guigang 537100,Guangxi,China)

机构地区：[1]贵港市人民医院,广西贵港537100

出　　处：《实用中医内科杂志》2020年第4期91-93,共3页Journal of Practical Traditional Chinese Internal Medicine

基　　金：广西贵港市科技项目(贵科攻1607009)。

摘　　要：目的探析中医体质类型与妊娠期糖尿病(GDM)的关系及可能影响因素。方法选取2017年1月-2017年12月来医院定点孕期体检的614名孕妇作为对象,以问卷调查方式完善一般资料及中医体质类型调查并录入体质辨识软件进行分析,分析中医体质类型与妊娠期糖尿病(GDM)的关系及可能影响因素。结果 GDM组与对照组孕妇在妊娠年龄、分娩次数、分娩方式、糖尿病家族史、GDM史、饮食偏嗜习惯等一般资料差异比较上均具有统计学意义(P <0. 05),而两组在孕前BMI、不良孕史、巨大儿分娩史、PCOS史、HBs Ag携带史等一般资料比较上差异均无统计学意义(P> 0. 05)。GDM组中平和体质患者58例,偏颇体质患者84例,其中以痰湿质、阴虚质、湿热质为主,两组孕妇中医体质分型差异明显(P <0. 05)。Logistic回归分析显示,剖宫产分娩史、偏嗜甜食饮食习惯、孕中期Ghb Alc水平及湿热、痰湿、阴虚等体质分型均是影响GDM的独立危险因素。结论妊娠年龄、分娩次数、分娩方式、糖尿病家族史、GDM史、饮食偏嗜习惯是GDM患者的一般临床特点,其中以偏颇体质的痰湿质、阴虚质、湿热质占比较高,同时剖宫产分娩史、偏嗜甜食饮食习惯、孕中期Ghb Alc水平均是影响GDM的独立危险因素。Objective To explore the relationship between TCM constitution types and gestational diabetes mellitus (GDM)and possible influencing factors. Methods A total of 614 pregnant women who were admitted to our hospital from January 2017 to December 2017 were enrolled. The questionnaires were used to improve the general information and TCM constitution type survey and enter the physical fitness identification software to analyze the physical fitness types of TCM. The relationship between gestational diabetes mellitus (GDM) and possible influencing factors. Results There were statistically significant differences between the GDM group and the control group in terms of gestational age,number of delivery,mode of delivery,family history of diabetes,history of GDM,and dietary preference habits (P < 0. 05). There were no significant differences in general data including BMI,adverse pregnancy history,history of macrosomia,history of PCOS,or history of HBs Ag carrying (P > 0.05). In the GDM group,58 patients were found to have a balance constitution,and 84 patients with partial constitutions,including phlegm-dampness,Yin deficiency and damp-heat. The difference in body constitution between the two groups was significant (P < 0. 05). Logistic regression analysis showed that the history of cesarean delivery,the preference for sweet food,the level of Ghb Alc in the second trimester,and the classification of damp-heat,phlegm-dampness and Yin deficiency were independent risk factors for GDM. Conclusion The age of pregnancy,the number of delivery,the mode of delivery,the family history of diabetes,the history of GDM,and the dietary preference habit are the general clinical features of GDM patients. Among them,the phlegm-dampness,Yin deficiency and damp-heat constitutions are relatively high. The history of uterine delivery,the preference for sweet food and the Ghb Alc level in the second trimester are independent risk factors for GDM.

关 键 词：中医体质类型 妊娠期糖尿病 相关性 影响因素 研究分析 

分 类 号：R587.1[医药卫生—内分泌]