目的 系统评价糖尿病前期患者中医体质类型分布规律.方法 检索糖尿病前期与中医体质相关的横断面研究,采用Stata 17.0 软件进行Meta分析.结果 共纳入13 篇研究.Meta分析结果示,糖尿病前期患者中医体质类型的比率较高为平和质、痰湿质、气虚质.痰湿质在西北地区比率较大,湿热质在华南地区比率较大.与正常人相比,痰湿质、平和质、阳虚质发生糖尿病前期风险的OR值分别为3.21、0.53、0.63.结论 平和质、痰湿质、气虚质是中国糖尿病前期患者的主要体质类型,痰湿质是其危险因素,平和质、阳虚质是其保护因素,且不同地域各体质类型分布存在差异.
Objective To systematically evaluate the distribution of traditional Chinese medicine(TCM)constitution types in patients with prediabetes.Methods A cross-sectional study of prediabetes and TCM constitution was retrieved,and Meta-analysis was performed by Stata17.0 software.Results A total of 13 studies were included.Meta-analysis resulted show that the ratio of TCM constitution types in prediabetes were mild constitution,phlegm-dampness constitution,qi-deficiency constitution.The proportion of phlegm-dampness constitution was larger in the northwest region,and the proportion of damp-heat constitution was larger in South China.Compared with normal people,the OR values of the risk of pre-diabetes in phlegm-dampness,gentleness and yang deficiency were 3.21,0.53 and 0.63,respectively.Conclusion Gentleness,phlegm-dampness and qi-deficiency are the main constitution types of pre-diabetes patients in China.Phlegm-dampness is a risk factor,and gentleness and yang-deficiency are protective factors.