青岛地区2型糖尿病患者中医证型分型探究.pdfVIP

  提 要 目的：研究青岛地区2型糖尿病的中医分型及特点，并阐述糖尿病各证型与各种客观 指标的联系，从而为该病的中医规范化诊疗提供依据。方法：对青岛市海慈医疗集团 2010年5月至2010年12月住院及门诊收治的613例T2DM患者进行临床分析。结果： 1.筛选出五种中医证型：湿热困脾证14.5%、阴虚燥热证14.5%、气阴两虚证32.5%、 气阴两虚兼血瘀 27.4%、阴阳两虚证 11.4%。发病特点：市区高于郊区，发病年龄集 中于 50-70 岁。 2.⑴从各组病程比较可以看出湿热困脾证＜阴虚燥热证＜气阴两虚 证＜阴阳两虚＜气阴两虚兼血瘀。⑵各并发症例数按阴虚燥热组、气阴两虚证、气阴 两虚兼血瘀证方向增多。糖尿病肾病、眼病等慢性并发症发生率随病程、年龄延长而 增高。⑶ T2DM中医各证型的BMI、HbAlc、血脂、与健康对照组比，均有统计学差异。 湿热困脾的BMI、FPG、HbAlc、TC最高，其它三组之间的差别无统计学意义。结论： 青岛地区最常见的2型糖尿病证型为5类：湿热困脾证、阴虚燥热证、气阴两虚证、 气阴两虚兼血瘀、阴阳两虚证，以气阴两虚、气阴两虚兼血瘀最为多见。发病过程中 易于夹瘀、夹痰湿、湿热，病位与肺脾肾联系密切。各T2DM中医证型与年龄、病程、 慢性并发症等有统计学意义。 关键词  2 型糖尿病；中医证型；青岛    The study of the TCM syndrome types of type 2 diabetes mellitus in Qingdao Speciality：Traditional Chinese Internal Medicine Author：Zhou Wenjing Tutor：Professor Zhang Dexian Abstract Objective: To classify and analyze TCM syndrome types of type 2 diabetes mellitus in Qingdao， study the relations between each classification and the objective index，provide a basis and standard for judging the condition of patient. Method: There were 613 cases surveyed that came from the department of Endocrine ward and Clinic of Qingdao Haici Hospital. Results ：1.There are 5 TCM syndrome types of T2DM selected: syndrome of Humid heat distressing spleen (14.5%), syndrome of pathogenic dryness-heat combined with deficiency of yin(14.5%), syndrome of deficiency on both qi and yin(32.5%)， syndromes of deficiency on both qi and yin combined with blood stasis(27.4%),syndromes of deficiency on both yin and yang(11.4%) The incidence of T2DM in city is higher than outskirts and Village. The age range of onset for T2DM was between ages 50 and 70. 2. ⑴ The