摘要
目的探讨郴州农村地区中老年2型糖尿病患者中医体质分布特征,分析其患病危险因素。方法于2024年7—8月在大学生暑期“三下乡”期间运用中医体质辨识机器人对郴州许家洞镇及白露塘镇地区中老年人群中医体质类型及基本情况进行调查。结果本次共调查499名中老年人,2型糖尿病患者161名(32.30%),其中糖尿病合并高血压患者139名,中老年2型糖尿病患者中医体质分布情况为平和质1名(0.6%),气虚质1名(0.6%),气郁质5名(3.1%),湿热质58名(36.0%),特禀质3名(1.9%),痰湿质52名(32.3%),血淤质2名(1.20%),阳虚质27名(16.8%),阴虚质12名(7.5%),logistic回归分析显示年龄(OR=1.101)、湿热质(OR=8.491)、痰湿质(OR=9.961)、阳虚质(OR=7.645)、腰围(OR=1.047)、体重指数(OR=1.217)是郴州地区中老年人群患2型糖尿病的危险因素。结论湿热体质在郴州农村地区中老年人2型糖尿病患者中分布多,我们需要关注高龄、中心性肥胖及痰湿、湿热、阳虚体质的中老年人,可通过改善其生活方式,改变中医体质类型,防治糖尿病,减轻公共卫生压力。
Objective To investigate the distribution characteristics of traditional Chinese medicine(TCM)constitutions and analyze risk factors for type 2 diabetes mellitus(T2DM)among middle-aged and elderly populations in rural Chenzhou.Methods During the summer"Three trips to the countryside"volunteer program in July-August 2024,a TCM constitution identification robot was used to survey the TCM constitution types and basic demographic data of middle-aged and elderly residents in Xujiadong Town and Bailutang Town,Chenzhou.Results Among 499 surveyed participants,161(32.30%)were diagnosed with T2DM,including 139 cases with comorbid hypertension.The TCM constitution distribution of T2DM patients was as follows,balanced constitution(1,0.6%),qi deficiency(1,0.6%),qi stagnation(5,3.1%),dampness-heat(58,36.0%),special constitution(3,1.9%),phlegm-dampness(52,32.3%),blood stasis(2,1.2%),yang deficiency(27,16.8%),and yin deficiency(12,7.5%).Logistic regression analysis identified age(OR=1.101),dampness-heat constitution(OR=8.491),phlegm-dampness constitution(OR=9.961),yang deficiency constitution(OR=7.645),waist circumference(OR=1.047),and body mass index(OR=1.217)as significant risk factors for T2DM in this population.Conclusion The dampness-heat constitution was predominant among rural middle-aged and elderly T2DM patients in Chenzhou.Targeted attention should be given to advanced age,central obesity,and individuals with phlegm-dampness,dampness-heat,or yang deficiency constitutions.Lifestyle interventions to modify TCM constitution patterns may help prevent diabetes and alleviate public health burdens.
作者
何汶霞
刘泽
刘晶
罗佳盈
钱冬冬
曾青
HE Wenxia;LIU Ze;LIU Jing;LUO Jiaying;QIAN Dongdong;ZENG Qing(School of Nursing,Xiangnan University,Hunan,Chenzhou 423000,China)
出处
《中国医药科学》
2025年第18期138-141,161,共5页
China Medicine And Pharmacy
基金
湖南省自然科学区域联合基金项目(2024JJ7519)
湖南省科技厅创新型省份专项郴州产业要素科技创新服务建设平台项目(22sfq51)
国家级大学生创新创业训练项目(S202310545020)
湘南学院-郴州产业技术研究院科技与成果转化平台建设(2023sfq10)。
关键词
农村地区
中老年人
2型糖尿病
中医体质
影响因素
Rural area
Middle-aged and elderly people
Type 2 diabetes mellitus
Traditional Chinese medicine constitution
Influencing factor
