CAJ | 학술논문

目的：探讨昆明某单位职工糖尿病危险因素与中医体质关系，为本地区中医防治糖尿病发生提供一定依据。方法：运用横断面调查法，对昆明某单位322位职工进行中医体质辨识、糖尿病风险评估及体检。采用 Logistic 回归分析糖尿病风险因素，评估中医体质与糖尿病患病风险因素的关系。结果：糖尿病患病率为15.2％，糖尿病前期患病率13.6％；年龄、体重指数、中心性肥胖、糖尿病家族病史、血脂异常与糖尿病发病相关（P ＜0.05）；中医体质分布与糖尿病家族史、糖尿病患病情况差异具有统计学意义（P ＜0.05）。结论：运动情况、体重超重、肥胖、中心性肥胖、家族糖尿病史、高胆固醇可能是昆明某单位职工患糖尿病危险因素；糖尿病前期及糖尿病患病职工以气虚、湿热、阴虚、痰湿体质居多。
목적：탐토곤명모단위직공당뇨병위험인소여중의체질관계，위본지구중의방치당뇨병발생제공일정의거。방법：운용횡단면조사법，대곤명모단위322위직공진행중의체질변식、당뇨병풍험평고급체검。채용 Logistic 회귀분석당뇨병풍험인소，평고중의체질여당뇨병환병풍험인소적관계。결과：당뇨병환병솔위15.2％，당뇨병전기환병솔13.6％；년령、체중지수、중심성비반、당뇨병가족병사、혈지이상여당뇨병발병상관（P ＜0.05）；중의체질분포여당뇨병가족사、당뇨병환병정황차이구유통계학의의（P ＜0.05）。결론：운동정황、체중초중、비반、중심성비반、가족당뇨병사、고담고순가능시곤명모단위직공환당뇨병위험인소；당뇨병전기급당뇨병환병직공이기허、습열、음허、담습체질거다。
Objective To investigate the TCM-based constitution in patients with impaired glucose and diabetes in a certain unit of KunMing area.Providing the prevention methods for prevalence of diabetes which were based on TCM.Methods Under the guid-ance of constitution,this research use cross -sectional study to analysis 322 cases and surveyed on their TCM constitution and blood glucose.Result The prevalence of prediabetic state was 13.6% and prevalence of diabetes was 15.2%.It showed that age,body weight index,central obesity,family history of diabetes,dyslipidemia were relevant with prevalence of diabetes (all P <0.05).The logistic regression analysis showed that sports,overweight,obesity,central obesity,family history of diabetes,high cholesterol were risk factors.The distribution of TCM constitution were related with history of diabetes and prevalence of diabetes (all P <0.05). Conclusion Sports,overweight,obesity,central obesity,family history of diabetes,high cholesterol were risk factors of prevalence of diabetes;People’s TCMconstitution with phlegm -dampness,dampness -heat,qi -deficiency,yin -deficiency were vulnerable to diabetes.