摘要
目的探讨甘肃地区原发性高血压患者胰岛素抵抗与中医证型分布的现状和临床特征。方法采集患者年龄、性别、身高、体重、血压、胰岛素水平、相关病史及中医症状,结合四诊情况由一名中医内科主任医师及两名中医内科主治医师进行中医辨证,对结果进行统计分析。结果筛选出胰岛素抵抗患者1 036例,胰岛素抵抗率51.8%;男性组和女性组组间无统计学意义(P>0.05),老年组显著高于非老年组(P<0.01);四个常见中医证型胰岛素抵抗分布为:痰湿壅盛型(59.72%)>阴阳两虚型(54.03%)>阴虚阳亢型(51.40%)>肝阳上亢型(48.73%),痰湿壅盛型与肝阳上亢型、阴虚阳亢型之间均存在统计学意义(P<0.01)。结论甘肃地区高血压患者超过50%均存在胰岛素抵抗,老年患者及痰湿患者尤甚。
Objection To study the clinical features and distribution status of insulin resistance and traditional Chinese medicine（TCM）syndrome type in essential hypertension patients.Methods Age,sex,body height and weight,BP,insulin,medical history,and TCM symptoms were collected.TCM syndromes were differentiated by the four diagnostics,Chinese medical director physicians and two TCM physicians.Results on thousand and thirty-six patients were screened by insulin resistance,about 51.8%.There was no statistic differences between men group and women group（P〈0.05）.Non-elderly patients group and elderly patients group had significant statistic differences（P〈0.01）.In four common TCM syndrome types,the distribution of insulin resistance was：Stagnation of phlegm-dampness type（59.72%）〉yin-yang deficiency（54.03%）〉yin deficiency yang hyperactivity type（51.40%） 〉yang hyperactivity type（48.73%）.The stagnation of phlegm-dampness type and yin deficiency yang hyperactivity type had statistic differences（P〈0.01）.The stagnation of phlegm-dampness type and Yang hyperactivity type had statistics differences（P〈0.01）.Conclusion Over 50% hypertension patients in Gansu area have insulin resistance.The elderly patients are easy to have insulin resistance.The patients of stagnation of phlegm-dampness type are more likely to have insulin resistance.
出处
《中西医结合心脑血管病杂志》
2015年第3期296-297,共2页
Chinese Journal of Integrative Medicine on Cardio-Cerebrovascular Disease
基金
上海市科学技术委员会科研计划项目(No.11495801800)
上海申康医院发展中心慢性病综合防治项目(No.SHDC12012318)
关键词
原发性高血压
中医证型
胰岛素抵抗
甘肃地区
essential hypertension
traditional Chinese medicine syndrome type
insulin resistance
GanSu anea
