基于体质辨识基础的辨体施教对糖尿病前期人群心血管剩留风险的影响  

Effects of health education based on constitution identification on the cardiovascular residual risk in pre-diabetes population

作　　者：肖春玉 吴慧平 于海燕 冯丹 王雪 赵欣 苏宁[6] Xiao Chunyu;Wu Huiping;Yu Haiyan;Feng Dan;Wang Xue;Zhao Xin;Su Ning(Endocrinology Department,Beijing First Hospital of Integrated Traditional Chinese and Western Medicine,Beijing 100026,China;Department of Health Education,Jiangtai Community Health Service Center of Chaoyang District of Beijing,Beijing 100016,China;General Clinic,Jinzhan Second Community Health Service Center of Chaoyang District of Beijing,Beijing 100015,China;General Clinic,Dongba Community Health Service Center of Chaoyang District of Beijing,Beijing 100018,China;Department of Health Management,Beijing First Hospital of Integrated Traditional Chinese and Western Medicine,Beijing 100026,China;Endocrinology Department,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]北京市第一中西医结合医院内分泌科,100026 [2]北京市朝阳区将台社区卫生服务中心健康教育科,100016 [3]北京市朝阳区金盏第二社区卫生服务中心全科门诊,100015 [4]北京市朝阳区东坝社区卫生服务中心全科门诊,100018 [5]北京市第一中西医结合医院健康管理科,100026 [6]中国中医科学院广安门医院内分泌科,100053

出　　处：《中华现代护理杂志》2021年第19期2605-2608,共4页Chinese Journal of Modern Nursing

基　　金：北京市中医药科技发展资金项目资助(JJ2016-61)。

摘　　要：目的在体质辨识基础上进行相应的健康指导,总结糖尿病前期人群心血管剩留风险变化情况,探索减少该人群罹患心血管疾病风险的新途径。方法采用便利抽样法,选取2016年7月—2017年10月在北京市朝阳区4家社区中心就诊的糖尿病前期人群200例为研究对象,将其随机分为常规教育组和辨体施教组,每组100例。常规教育组给予常规健康教育,辨体施教组采用《中医体质分类与判定》进行体质辨识,并进行针对本体质的中医健康教育,干预前后比较两组高密度脂蛋白(HDL)、低密度脂蛋白(LDL)、甘油三酯(TG)、总胆固醇(TC)和血尿酸(UA)指标。结果干预前两组在HDL、LDL、TG、TC、UA值方面,差异均无统计学意义(P>0.05)。干预后,辨体施教组LDL值高于常规教育组,TG、UA值低于常规教育组,差异均无统计学意义(P>0.05);辨体施教组HDL高于常规教育组,TC值低于常规教育组,差异有统计学意义(P<0.05)。结论辨体施教可有效降低糖尿病前期人群心血管剩留风险,是减少该人群罹患心血管疾病风险的新途径。Objective To provide health education based on the constitution identification,summarize the changes in the cardiovascular residual risk of the pre-diabetic population,so as to explore a new way to reduce the risk of cardiovascular disease in this population.Methods From July 2016 to October 2017,convenience sampling was used to select 200 patients with prediabetes who were treated in 4 community centers in Chaoyang District,Beijing as the research object.The population was randomly divided into conventional health education group and constitution identification-based health education group,with 100 cases in each group.Conventional health education group carried out conventional health education.Constitution identification-based health education group used the"Classification and Determination of Constitution in TCM"to identify the constitution,and conduct health education of Traditional Chinese Medicine for the constitution.The high-density lipoprotein(HDL),low-density lipoprotein(LDL),triglycerides(TG),total cholesterol(TC)and blood uric acid(UA)were compared between the two groups before and after the intervention.Results Before the intervention,there was no significant difference in HDL-C,LDL-C,TG,TC and UA between the two groups(P>0.05).After the intervention,the LDL-C of the constitution identification-based health education group was higher than that of the conventional health education group,and the TG and UA were lower than those of the conventional health education group,and the difference was not statistically significant(P>0.05).The HDL of the constitution identification-based health education group was higher than that of the conventional health education group,and the TC was lower than that of the conventional education group,the difference was statistically significant(P<0.05).Conclusions Health education based on the constitution identification can effectively reduce the cardiovascular residual risk of pre-diabetes population,and it is a new way to reduce the risk of cardiovascular disease in this

关 键 词：体质辨识 辨体施教 糖尿病前期 心血管剩留风险 

分 类 号：R259[医药卫生—中西医结合]