摘要
目的研究糖调节受损（IGR）与中医体质的相关关系。方法在2010年1月至12月北京大学第一医院中医科就诊的患者中，筛选出符合IGR诊断标准者102例，同期随机选取糖代谢正常者80例作为对照，计算体质指数（BMI），进行中医体质问卷调查并分析。结果女性发生IGR的危险是男性的3．735倍（P〈0．01）。在BMI方面，BMI24—27．9kg／m2的人群发生IGR的危险是BMI〈24kg／m2人群的12．757倍（P〈0．01），BMI≥28kg／m2的人群发生IGR的危险是BMI〈24kg／m2人群的17．364倍（P〈0．01）。在年龄方面，≥40岁人群发生IGR的危险是〈40岁人群的3．047倍（P〈0．01）。在中医体质方面，血瘀体质发生IGR的危险度最低，阴虚体质发生IGR的危险是血瘀体质人群的5．769倍（P〈0．05），痰湿体质发生IGR的危险是血瘀体质人群的4．664倍（P〈0．05），其余3种体质发生IGR的危险与血瘀体质相比也均较高，但差异无统计学意义（均P〉0．05）。结论女性发生IGR的危险高于男性；年龄越大，发生IGR的危险越高；BMI越高，发生IGR的危险越高。在IGR患者中，以阴虚体质和痰湿体质最为常见。
Objective To explore the possible correlation between impaired glucose regulation （IGR）and the somatotypes of traditional Chinese medicine （TCM）. Methods One hundred and two patients who were in accord with the diagnostic criteria of IGR were selected from the patients who visited the clinics of TCM in Peking University First Hospital in January to December of 2010. At the same time, 80 patients with normal glucose metabolism were also selected randomly. Body mass index （BMI）was calculated for the patients and questionnaire of somatotypes of TCM was filled in among the cases. Results The incidence of IGR in women was 3.735 times higher than that in men （P〈0.01）. In persons with BMI among 24-27.9 kg/m2, the incidence of IGR was 12.757 times, and in those with BMI over 28 kg/m2, 17.364 times higher than that in persons with BMI〈24 kg/m2 （both P〈0.01）. The incidence of IGR in persons with the age over 40 years old was 3.047 times higher than those below 40 years old （P〈0.01）. Those with blood stasis had the lowest risk to develop IGR. The risk to develop IGR in persons with Yin deficiency was 5.769 times, and in those with Tanshi was 4.664 times higher than those with blood stasis of TCM （both P^0.05）. The incidences of other 3 types of TCM were also higher than the incidence in persons with blood stasis, but had no statistical significance （all P〉0.05）. Conclusions The risk of developing IGR in women is higher than that in men. The older the age and the higher the BMI, the higher the risk to develop IGR. In patients with IGR, Yin deficiency and Tanshi of TCM are often seen.
出处
《中国中西医结合急救杂志》
CAS
北大核心
2012年第1期1-4,共4页
Chinese Journal of Integrated Traditional and Western Medicine in Intensive and Critical Care
基金
国家重点基础研究发展计划（973）项目（2009CB523003）
关键词
糖调节受损
性别
年龄
体质指数
中医体质
Impaired glucose regulation
Sex
Age
Body mass index
Somatotypes of traditional Chinese medicine
