【摘要】：目的:探討基于中醫(yī)體質(zhì)辨識的特色健康教育對糖尿病患者代謝控制的作用,探討其可行性和有效性,獲取干預(yù)體質(zhì)增進(jìn)糖尿病患者改善代謝指標(biāo)的證據(jù),為糖尿病健康管理提供客觀依據(jù)。方法:收集2016年7月至2016年12月,在新疆大學(xué)第四附屬醫(yī)院內(nèi)分泌科住院的、符合納入標(biāo)準(zhǔn)的2型糖尿病患者141例,按照是否愿意進(jìn)行中醫(yī)特色的健康教育分為治療組和對照組,對照組按照目前的2型糖尿病國家指南要求管理,治療組在對照組的基礎(chǔ)上依據(jù)體質(zhì)辨識結(jié)果進(jìn)行中醫(yī)健康教育和個(gè)體化中醫(yī)調(diào)養(yǎng)健康指導(dǎo),于干預(yù)前、干預(yù)3個(gè)月后檢測患者的糖化血紅蛋白、25羥維生素D以及血脂。結(jié)果:(1)中醫(yī)體質(zhì)類型在兩組的分布情況:痰濕質(zhì)、陰虛質(zhì)、氣虛質(zhì)、陽虛質(zhì)、平和質(zhì)、瘀血質(zhì)、濕熱質(zhì)、氣郁質(zhì)、特稟質(zhì)所占比例分別為38.57%、17.14%、14.29%、10%、5.71%、5.71%、4.29%、2.86%、1.43%;前5種主要體質(zhì)類型分別是:痰濕質(zhì)、陰虛質(zhì)、氣虛質(zhì)、陽虛質(zhì)、平和質(zhì)。(2)與對照組相比,治療組糖化降低優(yōu)于對照組(PO.01)(3)治療組與對照組的25羥維生素D均較前升高,但兩者間無統(tǒng)計(jì)學(xué)差異(PO.05)。結(jié)論:(1)基于中醫(yī)體質(zhì)辨識的特色健康教育較常規(guī)教育組對糖尿病患者糖化可有效控制,值得進(jìn)一步研究(2)糖尿病患者的主要體質(zhì)分型為:痰濕質(zhì)、陰虛質(zhì)、陽虛質(zhì)、氣虛質(zhì)、瘀血質(zhì)。
[Abstract]:Objective: to explore the effect of characteristic health education based on TCM physique identification on metabolic control of diabetic patients, to explore its feasibility and effectiveness, and to obtain evidence to improve metabolic index of patients with diabetes mellitus. To provide objective basis for diabetes health management. Methods: from July 2016 to December 2016, 141 patients with type 2 diabetes mellitus who were admitted to the Endocrinology Department of the fourth affiliated Hospital of Xinjiang University were collected. They are divided into treatment group and control group according to whether they are willing to carry out health education with TCM characteristics. The control group is managed in accordance with the current national guidelines for type 2 diabetes. The treatment group based on the results of physique identification of TCM health education and individualized Chinese medicine health guidance, before intervention, intervention for 3 months after the detection of patients with glycosylated hemoglobin 25 hydroxyvitamin D and blood lipids. Results: (1) the distribution of TCM physique in the two groups: phlegm dampness, yin deficiency, qi deficiency, yang deficiency, calmness, blood stasis, dampness and heat, and qi stagnation. The proportion of the special quality was 38.57%, 17.14% and 14.29%, respectively, and there were 10 things about 5.71 and 5.71 and 4.292.860.The first five main types of constitution were phlegm dampness, yin deficiency, qi deficiency, yang deficiency, and calmness. (2) compared with the control group, the first five main types of constitution were: phlegm wet, yin deficiency, qi deficiency, yang deficiency, and calmness. (2) compared with the control group, The decrease of glycosylation in the treatment group was better than that in the control group (PO.01) (3) the 25 hydroxyvitamin D in the treatment group and the control group was higher than that in the control group, but there was no significant difference (PO.05) between the two groups. Conclusion: (1) the characteristic health education based on TCM physique identification can effectively control the saccharification of diabetic patients, which is worthy of further study. (2) the main types of constitution of diabetic patients are phlegm dampness, yin deficiency, yang deficiency, qi deficiency. Blood stasis.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R259

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