CAJ | 학술논문

目的：观察2型糖尿病患者生存质量与中医证候的相关性。方法采用SF-36生存质量量表对405例2型糖尿病患者进行生存质量调查，并设健康对照组比较。在中医辨证的基础上，对2型糖尿病患者的生存质量各维度与中医证候的关系进行分析比较研究。结果糖尿病患者生存质量各维度的得分显著低于健康人（P＜0．05），在SF-36量表的八个维度中，按受损程度大小依次为躯体健康、总体健康、心理健康、精力评分、社会功能、躯体疼痛、情绪角色功能、躯体角色功能。气虚证、阴虚证和肝郁证对2型糖尿病患者QOL的影响较大（P＜0．05），热盛证、肾虚证、脾虚证对糖尿病患者的生存质量也有一定影响（P＜0．05），湿热证对糖尿病生存质量无明显影响（P＞0．05）。结论2型糖尿病患者生存质量较健康人显著降低，不同中医证候对生存质量各维度有一定的影响。
목적：관찰2형당뇨병환자생존질량여중의증후적상관성。방법채용SF-36생존질량량표대405례2형당뇨병환자진행생존질량조사，병설건강대조조비교。재중의변증적기출상，대2형당뇨병환자적생존질량각유도여중의증후적관계진행분석비교연구。결과당뇨병환자생존질량각유도적득분현저저우건강인（P＜0．05），재SF-36량표적팔개유도중，안수손정도대소의차위구체건강、총체건강、심리건강、정력평분、사회공능、구체동통、정서각색공능、구체각색공능。기허증、음허증화간욱증대2형당뇨병환자QOL적영향교대（P＜0．05），열성증、신허증、비허증대당뇨병환자적생존질량야유일정영향（P＜0．05），습열증대당뇨병생존질량무명현영향（P＞0．05）。결론2형당뇨병환자생존질량교건강인현저강저，불동중의증후대생존질량각유도유일정적영향。
Objective ToobservethecorrelationbetweenthequalityoflifeandTCMsyndromes/patternsoftype2diabetesmellitus(T2DM)inthepatients.Methods QualityofLife(QOL)SF-36scale was adopted to investigate the survival quality of 405 cases of T2DMand the health control group was set up for comparison.On the basis of syndrome differentiation of TCM,the relationship of each section of QOL and TCMsyndromes/patternswereanalyzedinthepatientsofT2DM.Results Thescoreofeachsectionin T2DMpatients was significantly lower than that of the healthy group(P<0.05).Of 8 sections of SF -36 scale,according the damage severity from high to low,the results were physical functioning,general health, mental health,vitality,social role functioning,bodily pain,emotional role functioning and physical role func-tioning.Qi deficiency,yin deficiency and liver qi stagnation syndromes/patterns impacted QOL of T2DM pa-tients(P<0.05).Excessive heat,kidney deficiency and spleen deficiency syndromes/patterns had a certain impact on QOL of the patients(P<0.05 ).Damp heat syndrome/pattern had no impact on QOL of the pa-tients(P>0.05).Conclusion QOLofT2DMpatientsissignificantlylowerthanthatofhealthygroup.The different TCM syndromes/patterns have a certain impact on each section of QOL.