中医体质辨识在2型糖尿病患者健康管理中的应用效果的研究.docVIP

中医体质辨识在2型糖尿病患者健康管理中的应用效果的研究 　　摘要：目的 探讨中医体质辨识对2型糖尿病患者中医慢性病精细化健康管理的应用效果。方法 选取140例北京市东城区朝阳门社区卫生服务中心日常就诊的2型糖尿病慢性病精细化健康管理患者为研究对象，进行为期2年（2013年8月1日-2015年7月31日）的临床观察，对照组（70例）实施糖尿病社区健康管理，观察组（70例）在对照组基础上实施中医体质辨识管理，根据中医体质测评结果进行药物、饮食、运动及心理指导。监测2组患者血糖、血脂、体质指数（BMI）、腰臀比，并对患者自我管理行为及生存质量进行评价。结果 干预后，2组患者空腹及餐后2 h血糖水平、BMI、腰臀比、血脂水平均明显改善，观察组改善程度优于对照组（P0.05）；2组患者自我管理行为及生存质量均较干预前明显改善，观察组改善程度优于对照组（P0.05）。结论 对糖尿病患者在中医慢性病精细化健康管理的同时，加入中医体质辨识理念，有利于患者提高自我管理行为，改善临床各项症状，从而提高生存质量。 　　关键词：中医体质辨识；2型糖尿病；慢性病；中医健康管理 　　DOI：10.3969/j.issn.1005-5304.2016.06.009 　　中图分类号：R259.871 文献标识码：A 文章编号：1005-5304（2016）06-0031-04 　　Abstract： Objective To discuss the application effect of TCM constitution recognition on TCM chronic disease refining health management for type 2 diabetes mellitus. Methods Totally 140 outpatients with type 2 diabetes mellitus from Chaoyangmen Community Health Center were selected and divided evenly into two groups after TCM constitution assessment. The study lasted for 2 years （1st August 2013?C31st July 2015）. The control group （70 cases） received diabetes community health management. In addition to routine community health management， TCM constitutional management was also administrated in the intervention group. The latter group received medicine， food， sport guidance according to the results of TCM constitution assessment. The blood glucose， blood lipid， BMI and waist-hip ratio of the two groups were monitored， and the self-management and life quality of patients were evaluated. Results After the intervention， significant improvement was found for fasting blood glucose， 2 h postprandial blood glucose， BMI， waist-hip ratio and blood lipid both in the control group and the intervention group， and the improvement in the intervention group was more obvious than the control group （P0.05）. The whole level of self-management and life quality was greatly increased in both groups， while improvement of the intervention group was much higher than the control group （P0.05）. Conclusion Integrat