糖尿病合并肝脏损伤中医辨证规律的探讨.pdf

症和乙型肝炎关系最为密切。 对DM合并肝损伤的构成比进行组间比较后，发现DM合并肝损伤组的证 型以气阴两虚型最为常见，与阴虚燥热型和阴阳两虚型比较，有显著性差异，提 示糖尿病合并肝损伤以本虚为主，而本虚以气阴两虚为主，给临床益气养阴提供 了用药依据：而DM无合并肝损伤组三个证型比较无明显差异。而两组兼证的比 较发现，瘀血阻滞乃糖尿病合并肝损伤的最为常见的兼证，同其它兼证相比有显 著性差异。从舌象分析，糖尿病合并肝损害患者痰湿较重，但其它临床证候又难 以充分体现，表明其病位虽与脾胃肝胆相关(消化道表现占36．4％)，但由于受 糖尿病气阴两虚主导病机影响，使其中焦湿热或肝胆湿热不明显，这与单纯肝损 害的临床特征有明显差异。 结论 糖尿病合并肝损害具有发病年龄偏大，病程较长，体重偏胖等特点，并且与 嗜酒、嗜食肥甘厚腻都有一定的相关性；其主要病因为合并脂肪肝及病毒性肝炎； 气阴两虚兼夹瘀血为本病主要的中医证型。 关键词 糖尿病合并肝损伤；中医辨证；临床研究 ABSTRACT Thedifferentiationof and for symptomssigns classificationof ofdiabetestheliver syndrome merges hurtinChinesemedicine study Chinesemedicalclinicalelements Speciality：Traditional Author：Lin chongxi Tutor：Prof．Lisaimei Objective Thediabetesisakindofclinicalfamiliarendocrinedisease．thediabetesis relatedwithliver mostfamiliarcanwiththeresultthatthevirus doselY disease,the liverfiberturnsand this ofdisease liver,NAsH，fat cirrhosis，andtype hepatitis，fat tO tothehumanhealth．TheSOthatvaluesthe usuallybringsendangerbiggest body research factorthatdiabetesliverdiseaseOCCUITCnCe concerning well，furtherstudying its theChinesemedicinemedicinedialecticsthetreatment pathologychanges，using thediabetesliverdisease thenew forthetreatment． especially,dcveloppingpath Methods theliverto theinsidedoctoroutbreakfactortothediabetCSof (1)Thmughmerge the hurtthe that more to covariance hospitalization proceedcompletelyanalyze，