摘要
2型糖尿病(T2DM)是全球性的公共卫生问题,目前我国患病总人数已超过1亿。为指导2型糖尿病规范化中西医诊疗,中国中西医结合学会联合中华中医药学会、中华医学会共同开展中西医结合诊疗方案制订工作,本指南组织国内22位内分泌及相关领域中西医专家,通过前期调研、专家访谈、共识会议,结合循证医学证据,最终形成了2型糖尿病中西医结合诊疗指南。主要内容包括2型糖尿病的诊断标准、高危人群筛查、中医证候分型、治疗原则和方法。治疗方案涵盖健康教育与管理、营养与药膳、运动与功法、心理调节与情志疗法,以及中药辨证论治、中成药、中医外治法等中医疗法与西药的联合干预。强调以患者为中心,注重个体化治疗,旨在改善血糖控制,减少并发症,提高生活质量。本指南适用于中医、中西医结合医疗机构的临床医师及相关护理人员,也可供西医临床医师和健康管理相关专业人员参考。
Type 2 diabetes mellitus(T2DM)is a global public health issue,with the patient population in China exceeding 100 million.This guideline,developed through preliminary research,expert interviews,consensus meetings,and supported by evidence-based medical evidence,provides recommendations for the integrated diagnosis and treatment of T2DM using both traditional Chinese medicine and western medicine.The main contents of the guideline include diagnostic criteria for T2DM,screening for high-risk groups,classification of traditional Chinese medicine(TCM)syndromes,and principles and methods of treatment.The treatment plans in it cover health education and management,nutrition and medicinal meals,exercise and qigong,psychological adjustment and emotional therapies,as well as the integration of TCM treatment based on syndrome differentiation,patent Chinese medicines,and TCM external therapies with western medicine interventions.The guideline emphasizes pursuing patient-centered care and individualized treatment,aiming to improve blood glucose control,reduce complications,and enhance the quality of life.This guideline is applicable to clinical physicians and related nursing staff in traditional Chinese medicine and integrated medical institutions,and can also be referred to by clinical physicians of western medicine and health management professionals.The levels of evidence and the strength of recommendations are evaluated using the GRADE method,ensuring the scientific,practical,and effective nature of the guideline,and providing evidence-based medical support for the clinical practice of integrated traditional Chinese and western medicine.
作者
仝小林
贾伟平
王秀阁
杨叔禹
倪青
李敏
王佳
陈薇
张颖
连凤梅
赵林华
李修洋
王宜
赵霞
周军
TONG Xiaolin;JIA Weiping;WANG Xiuge;YANG Shuyu;NI Qing;LI Min(Institute of Metabolic Diseases,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Department of Endocrinology,Shanghai No.6 People's Hospital Affiliated to Shanghai Jiaotong University,Shanghai 200233,China;Department of Endocrinology and Metabolism,Affiliated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China;The First Affiliated Hospital of Xiamen University,Xiamen 361005,China;Department of Endocrinology,China Academy of Chinese Medical Sciences,Beijing 100053,China;Department of Molecular Biology,Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)
出处
《吉林中医药》
2024年第10期1117-1127,共11页
Jilin Journal of Chinese Medicine
关键词
2型糖尿病
中西医结合
诊疗指南
循证医学
type 2 diabetes mellitus
integrated Chinese and western medicine
guideline for diagnosis and treatment
evidence-based medicine
