2型糖尿病患者中医主证脉诊客观参数分析  

Objective Parameter Analysis of Pulse Diagnosis of Main Syndrome of TCM in Type 2 Diabetes Patients

作　　者：陆俊红 徐艺峰 王忆勤[1] 郝一鸣[1] Lu Junhong;Xu Yifeng;Wang Yiqin;Hao Yiming(Shanghai University of Traditional Chinese Medicine,Shanghai Key Laboratory of Health Identification and Assessment/Laboratory of Traditional Chinese Medicine Four Diagnostic Information,Shanghai 201203,China)

机构地区：[1]上海中医药大学上海市健康辨识与评估重点实验室/中医四诊信息化实验室,上海201203

出　　处：《世界科学技术-中医药现代化》2023年第2期813-819,共7页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：上海市卫计委科研项目(20164Y0279):基于四诊客观化信息及理化指标的2型糖尿病危险因素研究,负责人:郝一鸣;上海市科委科技计划项目(21DZ2271000):上海市健康辨识与评估重点实验室,负责人:王忆勤;上海市教委专项(2021科技02-37):上海中医药慢性病防治与健康服务省部共建协同创新中心,负责人:张磊

摘　　要：目的分析2型糖尿病患者不同中医主证的脉象特征参数,为该病证临床诊断提供脉诊客观化指标。方法使用Smart TCM-I型中医生命信息分析系统采集408例2型糖尿病患者的脉象信息,提取并分析该病气虚组、阴虚组、气阴两虚组、阴阳两虚组的脉象特征及各主证对应的双手脉图时域参数。结果各证候组双手重搏前波幅值(h_(3))、急性射血期时值(t_(1))明显高于正常组,而重搏波幅值(h_(5))以及h_(5)/h_(1)值明显低于正常组(P<0.05)。各证候组间比较,气虚组双手h_(3)显著低于阴虚组,t_(1)显著低于阴虚组、阴阳两虚组;h_(5)显著高于阴虚组,h_(5)/h_(1)显著高于阴虚组、气阴两虚组、阴阳两虚组,气阴两虚组双手h_(5)显著高于阴虚组,h_(5)/h_(1)显著高于阴虚组、阴阳两虚组(P<0.05)。结论2型糖尿病患者各主证的脉象特征参数具有差异性,将为进一步研究2型糖尿病证候分类识别提供脉诊客观参数。Objective This paper analyzes the pulse characteristic parameters of different Chinese medicine certificates in patients with type 2 diabetes,and provides objective index of pulse diagnosis for the clinical diagnosis of the disease.Methods Using Smart TCM-I life information analysis system,the pulse information of 408 patients with type 2 diabetes was collected.The pulse characteristics of the four main syndromes of the disease,including Qi-deficiency group,Yin-deficiency group,Qi-Yin deficiency group and Yin-Yang deficiency group,and the time domain parameters of the two hands pulse chart corresponding to the four main syndromes of the disease were extracted and analyzed.Results Amplitude of wave before double-handed stroke(h_(3)),acute blood-shooting period values(t_(1))were significantly higher than the normal group,and weight pulsation amplitude(h_(5)),h_(5)/h_(1)was significantly lower than the normal control group(P<0.05).The h_(3)of hands in Qi-deficiency group was significantly lower than that in Yin-deficiency group,and t_(1)was significantly lower than that in Yin-deficiency group and Yin-Yang deficiency group.H_(5),h_(5)/h_(1)were significantly higher than those in Yin-deficiency group,Qi-Yin deficiency group,and Yin-Yang deficiency group.H_(5)and h_(5)/h_(1)in Qi-Yin deficiency group were significantly higher than those in Yin deficiency group and Yin-Yang deficiency group.(P<0.05)Conclusion The differences in the pulse characteristic parameters of each principal syndrome in patients with type 2 diabetes will provide objective parameters for further study of the classification and identification of type 2 diabetes symptoms.

关 键 词：2型糖尿病 脉诊 客观化 脉象参数 

分 类 号：R241.1[医药卫生—中医诊断学]