摘要
目的评价基于中医体质辨识下的中西医结合防治社区糖尿病的疗效。方法采用整群抽样法抽取社区45-65岁糖尿病患者700例，分为观察组和对照组，依托信息化平台，对照组实施常规社区糖尿病规范化管理及治疗，观察组在对照组基础上结合中医体质辨识进行有针对性的中医养生防病指导建议和干预1年。观察2组患者干预前后FPG、2 hPG、HbAlc，以及糖尿病症状量表的分级变化。结果干预后，观察组与对照组FPG、2 hPG水平比较，差异均有统计学意义（尸值分别为0．001、0．014）。2组干预前后及组间交互比较，FPG差异无统计学意义（P=0．336），2 hPG差异有统计学意义（P=0．002）。观察组总有效率为51．1％（179／350）、对照组为45．1％（158／350），2组比较差异有统计学意义（u=-2．302，P=0．021）。结论在中医体质辨识下，中西医结合疗法可有效控制社区糖尿病患者的血糖，改善临床症状，减轻糖尿病症状分级。
Objective To investigate the effect of community diabetic prevented and treated by integrated traditional Chinese and western medicine based on TCM constitution identification. Methods There were 700 patients with diabetes aged 45 to 65 by cluster sampling in community, divided into two groups： experimental group and observation group. The observation group was treated with standardized management and treatment of diabetes. The experimental group was in addition to treated with standardized management and treatment of diabetes, but also given targeted Chinese medicine health guidance and intervention based on TCM Constitution identification. The research last for one year. To observe the fasting blood glucose, 2-hour postprandial blood glucose, glycosylated hemoglobin and diabetic symptoms scale of the two groups before and after intervention. Results The fasting blood glucose and 2-hour postprandial blood glucose had significant difference before and after the intervention （P〈0.01）, between the experimental and observation group （P=-0.001, 0.014）. It had significant differences between the two groups in postprandial 2 h blood glucose by analysed of interaction comparison （P=0.002）. The scores of diabetic symptoms had significant difference before and after the intervention in different groups （P〈0.01）. And it also had significant differences in analysis of interaction comparison （P〈0.01）. Before and after the intervention of diabetes symptoms curative effect index difference was statistically significant （mann whitney U=-2.302, P=-0.021）. Conclusions Community diabetic prevented and treated by integrated traditional Chinese and western medicine based on TCM constitution identification plays a certain role in the control of blood sugar. It can effectively improve the patient＇s disease symptoms. While the mechanism still need further study.
作者
翁哲芳
胡小英
蒋良华
诸光花
Weng Zhefang;Hu Xiaoying;Jiang Lianghua;Zhu Guanghua(Department of Traditional Chinese Medicine,Jiangchuan Community Healthcare Service Center,Minhang District,Shanghai 200240,Chin;General Practice,Jiangehuan Community Healthcare Service Center)
出处
《国际中医中药杂志》
2018年第10期913-917,共5页
International Journal of Traditional Chinese Medicine
基金
上海市卫生和计划生育委员会科研课题资助项目（201540004）
关键词
糖尿病
体质学说
中西医结合疗法
社区卫生服务
Diabetes mellitus
Physical constitution theory
Integrated Chinese traditional and western medicine therapy
Community health services
