89例2型糖尿病患者的中医辨证分型及相关分析.docVIP

精品论文 参考文献 89例2型糖尿病患者的中医辨证分型及相关分析 张嘉宾 　　四川省自贡市富顺县中医院 ，四川 自贡643200 　　摘要：目的：分析2型糖尿病患者的中医辨证分型特点以及年龄、病程、脂代谢等其他关系。方法：选取2014年1月至2015年1月期间我院诊治的89例2型糖尿病患者临床资料，按照中医阴虚热盛、气阴两虚、阴阳两虚和湿热困脾辨证分型，并对不同证型与年龄、病程、体质指数(BMI)、胰岛素敏感指数(ISI)、糖代谢、脂代谢等方面进行相关分析。结果：中医辨证型主要以气阴两虚型为主，其他依次为阴阳两虚型,阴虚热盛型、湿热困脾性。病程5年以上兼有血瘀证表现者高于5年以下者；湿热困脾证胆固醇（TC）、甘油三酯（TG）和LDL-c增高，HDL-c降低，阴虚热盛证TC、TG和LDL-c与气阴两虚证相比有显著差异（Plt;0.05）；存在胰岛素抵抗者以气阴两虚证为居多。结论：2型糖尿病患者???着病程的延长，中医辨证型逐渐由阴虚热盛、湿热困脾向气阴两虚、阴阳两虚转变，并且会兼有血瘀。此外2型糖尿病中医辨证分型与多项临床常规检查指标间存在相关性，对中医辨证客观化对中医辨证有一定的参考价值。 　　关键词：2型糖尿病；中医辨证分型；胰岛素 　　中图分类号：R259文献标识码：A 　　Abstract: objective: analysis of traditional Chinese medicine characteristics of patients with type 2 diabetes and age, course of the disease, lipid metabolism, and other relations. Selection methods: between January 2014 and January 2015 hospital make a diagnosis and give treatment during the period of clinical data of 89 patients with type 2 diabetes, according to the TCM Yin deficiency heat, qi and Yin deficiency, Yin and Yang are two trapped of spleen deficiency and damp and hot, and the different syndrome types and age, course of the disease, body mass index (BMI) and insulin sensitive index (ISI), glucose metabolism and lipid metabolism related analysis. Results: the TCM syndrome type mainly gas Yin deficiency of type, other type of Yin and Yang two empty. Yin deficiency type heat, damp and hot trapped temperament. Course of more than 5 years under both performers of blood stasis syndrome is higher than 5 years; Damp heat trapped spleen the cholesterol (TC), triglyceride (TG) and LDL - c increased, reduced HDL - c, Yin deficiency heat is the TC, TG and LDL - c compared with qi and Yin deficiency syndrome have significant difference (P lt; 0.05); There is insulin resistance in the majority with qi and Yin deficiency syndrome is. Conclusion: in patients with type 2 diabetes to lock the extension of the course of the disease, the doctor of traditional Chinese medicine syndrome differentiation type gradually by sheng, damp a