天津市某街道已知2型糖尿病居民中医症状调查分析

Investigation on the Traditional Chinese Medicine symptoms of patient with established type 2 diabetes mellitus lived at some streets district of Tianjin

关键词:  2型糖尿病  流行病学调查  中医症状

Key words:  diabetes mellitus  epidemiological survey  clinical symptoms of Traditional Chinese Medicine

摘要:

[目的]调查天津市某街道居民2型糖尿病中医症状,为制定中医防治措施提供症状学依据。[方法]采用横断面调查方法,调查天津市某街道居民2型糖尿病中医症状,对已知患有2型糖尿病居民的调查问卷进行统计分析。经信度分析评价后,数据采用等级相关分析,筛选出与2型糖尿病有关的中医症状,再对这些中医症状进行因子分析。[结果]相关分析显示,活动后易疲劳、尿频、感觉疲倦、手足心出汗、全身沉重感、胁肋部胀满、饭后加重、四肢麻木、小腿酸软无力、多食等25个中医症状与2型糖尿病呈等级相关;因子分析表明,特征值大于1的有3个公因子,累计贡献率为71.02%,第1个公因子的贡献率为39.55%,第2个公因子的贡献率大小为18.16%,第3个公因子的贡献率为13.32%。公因子1包括:活动后易疲劳、尿频、感觉疲倦、手足心出汗、全身沉重感、胁肋部胀满,饭后加重、四肢麻木、小腿酸软无力、多食;公因子2包括:干呕、胃脘部胀满,遇冷加重、尿频和饮水较前明显增多;公因子3包括:胃脘部寒冷冰冷感觉、胃脘部胀满,遇冷加重。[结论]提示糖尿病中医症状有3方面,糖尿病症状维度,胃虚寒气逆和肾气化失常维度,中焦虚寒维度。

Abstract:

[Objective] To investigate the syndrome of TCM in patients with type 2 diabetes mellitus (DM) in order to provide a scientific evidence for preventing and treating it. [Methods] Using cross-sectional study,we surveyed the primary clinical symptom of these inhabitants suffering from type 2 diabetes mellitus at some street district and analyzed the questionnaire of foregone inhabitants of type 2 diabetes mellitus. After reliability analysis,using Spearman correlation analysis method we filtrated primary clinical symptom correlating with blood sugar of fingers of them in traditional Chinese medicine and analyzed them using factor analysis. [Results] Spearman correlation analysis found 25 primary clinical symptoms of type 2 patients of diabetes mellitus including fatigue after exercise,thamuria,tiredness feeling,sudation on the palm of hands and foots,heaviness in every portion of body,turgor on the rib worsen after meal,numbness on the hands and foots,weakness and lassitude on crural portion,hyperphagia correlated with blood sugar of fingers of them. Factor analysis indicated three factor components (Eigenvalue >1). They were listed in an increasing importance order and the cumulative contribution of the first 3 factors was 71.02%. The contribution of the first factor was 39.55%,the second factor 18.16% and the third factor 13.32%. The first factors included weakness after exercise,thamuria,tiredness feeling,sudation on the palm of hands and foots,heaviness of on every pore,turgor on the rib worsen after meal,numbness on the hands and foots,weakness and lassitude on the crusal portion and gluttonous symptom. The second factor consisted of vomiturition,turgor in the stomach worsen when meeting cold,thamuria,drinking water more than before. The third factor comprised of ice-cold feeling in stomach and turgor on the stomach worsen after cold. [Conclusions] The results indicated that symptoms of inhabitants of type 2 diabetes mellitus in traditional Chinese medicine were composed of three dimensionalities,that are symptoms of type 2 diabetes mellitus; weakness and coldness in the stomach and QI rising in reverse order and abnormality of functioning of QI in kidney; deficiency and cold in middle JIAO.