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2 型糖尿病患者中存在“阴虚”、“阳虚”、“血瘀”体质者健康相关生命质量下降:台中糖尿病体质研究。

Reduced health-related quality of life in body constitutions of yin-xu, and yang-xu, stasis in patients with type 2 diabetes: taichung diabetic body constitution study.

机构信息

Graduate Institute of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung 40402, Taiwan ; Department of Traditional Chinese Medicine, Taichung Veterans General Hospital, Taichung 40402, Taiwan ; School of Chinese Medicine, College of Chinese Medicine, China Medical University, 91 Hsueh-Shih Road, Taichung 40402, Taiwan.

Graduate Institute of Chinese Medicine, College of Chinese Medicine, China Medical University, Taichung 40402, Taiwan ; School of Chinese Medicine, College of Chinese Medicine, China Medical University, 91 Hsueh-Shih Road, Taichung 40402, Taiwan.

出版信息

Evid Based Complement Alternat Med. 2014;2014:309403. doi: 10.1155/2014/309403. Epub 2014 Jun 29.

Abstract

Aim. To evaluate how health-related quality of life (HRQOL) and traditional Chinese medicine (TCM) constitutions of Yin-Xu, Yang-Xu, and Stasis are related in type 2 diabetes patients. Method. Seven hundred and five subjects were recruited in 2010 for this study from a Diabetes Shared Care Network in Taiwan. Generic and disease-specific HRQOL were assessed by the short form 36 (SF-36) and the diabetes impact measurement scale (DIMS). Constitutions of Yin-Xu, Yang-Xu, and Stasis were then assessed by the body constitution questionnaire (BCQ), a questionnaire consisting of 44 items that evaluate the physiological state based on subjective symptoms and signs. Results. Estimated effects of the Ying-Xu and Stasis on all scales of the SF-36 were significantly negative, while estimated effects of the Yang-Xu on all scales (except for SF, RE, MH, and MCS) were significantly negative. For DIMS, the estimated effects of the Ying-Xu and Stasis on all scales were significantly negative except for Stasis on well-being, while Yang-Xu has a significantly negative effect only on symptoms. Conclusions. This study demonstrates that TCM constitutions of Yin-Xu, Yang-Xu, and Stasis are closely related to a reduction in HRQOL. These findings support the need for further research into the impact of intervention for TCM constitutions on HRQOL in patients with type 2 diabetes.

摘要

目的。评估 2 型糖尿病患者的健康相关生活质量(HRQOL)和中医阴阳虚、阳盛和血瘀与中医体质的关系。方法。本研究于 2010 年从台湾的糖尿病共享护理网络中招募了 705 名受试者。使用短表 36(SF-36)和糖尿病影响测量量表(DIMS)评估一般和特定于疾病的 HRQOL。然后通过体质问卷(BCQ)评估阴阳虚和血瘀体质,该问卷由 44 个项目组成,根据主观症状和体征评估生理状态。结果。阴虚和血瘀对 SF-36 所有量表的估计效应均显著为负,而阳盛对 SF-36 所有量表(除 SF、RE、MH 和 MCS 外)的估计效应均显著为负。对于 DIMS,阴虚和血瘀对所有量表的估计效应均显著为负,除血瘀对幸福感外,而阳盛仅对症状有显著负效应。结论。本研究表明,中医阴阳虚、阳盛和血瘀体质与 HRQOL 降低密切相关。这些发现支持进一步研究针对 2 型糖尿病患者中医体质的干预对 HRQOL 的影响。

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