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2 型糖尿病患者的血瘀证与外周动脉疾病的关系。

The Relationship between Stasis-Stagnation Constitution and Peripheral Arterial Disease in Patients with Type 2 Diabetes.

机构信息

Graduate Institute of Chinese Medicine, China Medical University, Taichung 40402, Taiwan ; Department of Integration of Traditional Chinese and Western Medicine, China Medical University Hospital, Taichung 40447, Taiwan.

School of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung 40402, Taiwan ; Division of Endocrinology and Metabolism, Department of Medicine, China Medical University Hospital, Taichung 40447, Taiwan.

出版信息

Evid Based Complement Alternat Med. 2014;2014:903798. doi: 10.1155/2014/903798. Epub 2014 Feb 11.

Abstract

Objectives. In traditional Chinese medicine, Yu-Zhi (YZ, indicating stasis and stagnation) constitution describes a body that tends to express abnormal circulatory conditions. This study identified the linkage between YZ constitution and peripheral arterial disease (PAD) in patients with type 2 diabetes. Methods. Patients over 20 years of age who had had type 2 diabetes for 5 years or longer were recruited. PAD was diagnosed if the ankle-brachial index score was ≤0.9 in either leg. Level of YZ constitution was accessed by an YZ Constitution Questionnaire. Results. A total of 712 patients (354 men and 358 women) with a mean age of 61.5 ± 10.6 years and diabetes duration of 13.1 ± 6.7 years were recruited. The prevalence of PAD among our patients was 7.2%. Multivariate logistic regression revealed significant correlations between PAD and, respectively, YZ score, age, diabetes duration, current smoking, and hs-CRP. Conclusion. In addition to traditional risk factors, YZ constitution was statistically associated with PAD in patients with type 2 diabetes. This result invites further research into the effectiveness of traditional Chinese medicine to treat YZ constitution.

摘要

目的。在中医中,瘀滞体质(YZ)描述的是一种容易出现异常循环状况的体质。本研究旨在确定 2 型糖尿病患者的 YZ 体质与外周动脉疾病(PAD)之间的联系。

方法。招募年龄在 20 岁以上且患有 2 型糖尿病 5 年及以上的患者。如果双侧踝臂指数评分均≤0.9,则诊断为 PAD。通过 YZ 体质问卷评估 YZ 体质水平。

结果。共纳入 712 例患者(354 名男性和 358 名女性),平均年龄为 61.5±10.6 岁,糖尿病病程为 13.1±6.7 年。我们的患者中 PAD 的患病率为 7.2%。多变量逻辑回归显示,PAD 与 YZ 评分、年龄、糖尿病病程、当前吸烟和 hs-CRP 均呈显著相关。

结论。除了传统的危险因素外,YZ 体质与 2 型糖尿病患者的 PAD 也存在统计学关联。这一结果提示我们进一步研究中药治疗 YZ 体质的有效性。

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