摘要
目的:探讨2型糖尿病及其并发症患者的中医证候规律。方法:查阅2003年1月至2014年12月广东省中医院住院病案系统第一诊断为2型糖尿病及相关并发症的患者11,421例,运用SPSS17.0统计软件进行频数分析和对应分析,找寻2型糖尿病及其并发症的中医病名、证型分布、证素规律、辨证方法及相关因素。结果:2型糖尿病对应的中医病名为消渴,2型糖尿病伴神经并发症对应的中医病名为消渴筋痹,2型糖尿病足病对应的中医病名为消渴脱疽,2型糖尿病肾病对应的中医病名为消渴肾病,2型糖尿病足病和2型糖尿病肾病对应的中医病名为水肿,2型糖尿病伴眼并发症对应的中医病名为视瞻昏渺;主要证型为气阴两虚血瘀和气阴两虚证;湿热瘀阻,气阴两虚为基本病机;病性证素主要为气虚、阴虚、湿、热、痰、浊、血瘀;病位证素主要为脾、胃、肾;辨证方法以八纲辨证和气血辨证为主,以脏腑辨证和病因辨证为辅。结论:2型糖尿病及其并发症患者基本病机为气阴两虚,病位证素主要为脾、胃、肾,病性证素主要为湿、热、痰、浊、瘀等。
Objective： To investigate the rule of TCM syndromes in type 2 diabetes mellitus and its complications. Methods： We searched the hospital records database of Guangdong hospital of TCM, to screen out 11,421 patients whose first diagnosis is type 2 diabetes mellitus and related complications from January 2003 to December 2014. Using frequency analysis and correspondence analysis with SPSS17.0 statistical software. The TCM disease name, syndrome distribution, syndrome element rule, syndrome differentiation method and related factors of type 2 diabetes mellitus and its complications were investigated. Result： The TCM disease name of Type 2 diabetes is corresponding to ＂Xiaoke＂, the TCM disease name of Type 2 diabetes with neurological complications is corresponding to ＂Xiaoke Jinbi＂, the TCM disease name of Type 2 diabetes with Type 2 diabetic foot disease is corresponding to ＂Xiaoke Tuoju＂, the TCM disease name of Type 2 diabetes with Type 2 nephropathy is corresponding to ＂Xiaoke kidney disease＂, the TCM disease name of Type 2 diabetic foot disease and type 2 diabetic nephropathy is corresponding to ＂edema＂, the TCM disease name of Type 2 diabetes with ocular complications is corresponding to ＂Shizhan Hunmiao＂. The main syndrome are Qi and Yin deficiency and blood stasis, Qi and Yin deficiency. The basic pathogenesis are damp heat and blood stasis, deficiency of Qi and Yin. The main syndrome elements of disease are Qi deficiency, Yin deficiency, dampness, heat, phlegm,turbidity and blood stasis. The main location elements of the disease are spleen, stomach and kidney. The method of syndrome differentiation is mainly composed of eight-principle pattern identification and Qi-blood pattern identificationand, bowel and visceral pattern identification and disease cause pattern identification are auxiliary. Conclusion： The basic pathogenesis of type 2 diabetes and its complications are deficiency of Qi and Yin,and the main location elements of the disease are spleen, stomach and kidney. The main syndrome elements of the disease are damp, heat, phlegm, turbidity and stasis.
作者
段力
梁庆顺
赵晓华
林玉平
符宇
范冠杰
DUAN Li;LIANG Qing-shun;ZHAO Xiao-hua;LIN Yu-ping;FU Yu;FAN Guan-jie(Guangzhou University of Chinese Medicine, Guangzhou Guangdong 510405, China;Guangdong Hospital of Traditional Chinese Medicine, Guangzhou Guangdong 510120, China)
出处
《中医药导报》
2018年第8期43-46,64,共5页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
广东省科技厅项目:大数据开放型的个性化健康医疗公共服务平台(2014B010118005)
关键词
2型糖尿病
并发症
证候规律
type 2 diabetes
complication
syndrome principle
