血尿酸水平在2型糖尿病阴虚热盛证型中的分布.DOCVIP

临床医学论文-血尿酸水平在2型糖尿病阴虚热盛证型中的分布 【摘要】? 　　目的 探讨2型糖尿病中医阴虚热盛证型患者的血尿酸水平分布规律,为中医证型客观化提供参考依据。方法 对49例西医已确诊为2型糖尿病,且进行中医辨证分型为阴虚热盛型患者,再按照是否兼湿证和兼瘀证而分为单纯型、兼湿型、兼瘀型、兼湿兼瘀型4组，检测血尿酸水平。结果 单纯阴虚热盛证型组，在血尿酸水平上高于阴虚热盛兼证组。差异均有显著性，P0.05；阴虚热盛兼湿、兼瘀、兼湿兼瘀三组之间两两比较，差异均无显著性，P0.05。结论 导致2型糖尿病阴虚热盛证型组血尿酸水平升高的原因可能在于“单纯阴虚热盛”组血尿酸水平的明显增高；湿和瘀可能都不是引起2型糖尿病阴虚热盛证型组血尿酸升高的原因。 【关键词】? 2型糖尿病　高尿酸血症　阴虚热盛　湿证　瘀证 　　Relationship between uric acid and the Yin deficiency and heat excess syndrome tape of traditional Chinese medicine in type two diabetes ??? WANG Dong-yun,GONG Ying,WANG Kui-liang.TCM Hospital,Wulumuqi 830000,China ??? 【Abstract】? Objective? To discuss elementarily the relationship between uric acid and the Yin deficiency and heat excess syndrome type of traditional Chinese medicine in type 2 diabetes mellitus （T2DM）,which provide objective index for differentiation of symptoms and signs in T2DM. Methods? 49patients who were finally diagnosed as DM2 and Yin deficiency and heat excess syndrome（YDHES） were divided into the simple Yin deficiency and heat excess, the Yin deficiency and heat excess syndrome combined with wetness, the Yin deficiency and heat excess syndrome combined with blood stasis, the Yin deficiency and heat excess syndrome combined with wetness and blood stasis. The indexes of serum uric acid in each syndrome were tested. Results? The simple Yin deficiency and heat excess syndrome was obviously higher than the Yin deficiency and heat excess syndrome combined with wetness syndrome on the blood level of the uric acid（P0.05）,and there was no statistical significance among the Yin deficiency and heat excess syndrome combined with wetness syndrome and with blood stasis syndrome and with both wetness and blood stasis syndromes（P0.05）. Conclusion? The cause leading to increase serum uric acid of the Yin deficiency and heat excess syndrome in T2DM could be the high level of uric acid in the simple Yin deficiency and heat excess syndrome and the two facts both wetness and blood stasis couldn抰 lead to incre