摘要
目的:依据流行病问卷发现2型糖尿病常见证型及各型所占比例,探讨各证型与客观指标的关系。方法:流行病问卷调查2型糖尿病患者428例,对428例2型糖尿病患者中医辨证,归属于6个中医证型,观察记录中医证候、身体质量指数(BMI)、肝功能、血脂、血糖等相关指标。结果:428例患者中气阴两虚型最多(264例,占61.7%)。各中医证型的发病的年龄层多有不同,早期多为肺热津伤型,中晚期多为阴阳两虚及气阴两虚兼瘀证;糖尿病病程比较,阴阳两虚型病程最长;指标比较空腹血糖(FBG)和餐后血糖水平在阴虚火旺型最高;阴虚火旺型糖化血红蛋白(Hb A1c)水平最高;糖尿病足、糖尿病周围神经病变(DPN)发生率较高,多个证型均有发生。结论:不同中医证型发病期有显著差异性,气阴两虚为常见证型,同时2型糖尿病与BMI、血脂肝功能指数具有一定相关性,且中晚期糖尿病多具有并发症产生。
Objective： To find out the common syndrome types and the proportion of each syndrome types of type 2 diabetes mellitus and investigate the relationship between each syndrome type and objective indicators. Methods： Four hundred twenty-eight patients with type 2 diabetes mellitus were surveyed with epidemiological questionnaire. Four hundred twenty-eight patients with type 2 diabetes mellitus could be concluded in 6 syndrome types according to and syndrome differentiation, and the syndromes, BMI, liver function, blood fat, blood glucose and so on were all observed and recorded. Results： The most common syndrome of 428 patients with type 2 diabetes mellitus was syndrome of deficiency of both qi and yin （246 cases, 61.7%）. Each type of onset of TCM there were many different ages, mostly hyperactivity jin injury early, medium and late, mostly yin and yang yin deficiency Syndrome and silt; duration of diabetes compared with the longest duration of yin and yang type; index compares fasting blood glucose （FBG） and postprandial glucose levels highest in wang; wang glycated hemoglobin （HbAlc） the highest level; diabetic foot, diabetic peripheral neuropathy （DPN） higher incidence of multiple syndromes have occurred. Conclusion： There is significant difference in the period of disease among different syndrome types, and syndrome of deficiency of both qi and yin is the most common syndrome. There is a certain correlation among type 2 diabetes mellitus, BMI, blood fat and liver function, and complications often occur in middle-late stage of diabetes.
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2015年第3期732-735,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
关键词
2型糖尿病
中医证型
舌苔
脉象
慢性并发症
Type 2 diabetes mellitus
Chinese medical syndrome pattern
Tongue fur
Pulse
Chronic complications
