初发2型糖尿病中医病机与证候特点研究  

Study on the TCM Pathology and Syndrome Characteristics of First Attack Diabetes Ⅱ

作　　者：周丽波[1] 魏军平[2] 刘芳[1] 王秀芝 曹爱梅[4] 刘亚军[5] 王佳[2] 陈良[2] 董柳[2] 赵昱[1] 仝小林[2] 

机构地区：[1]北京中医药大学,北京100025 [2]中国中医科学院广安门医院,北京100053 [3]北京市平谷区中医院,北京101200 [4]北京市昌平区中医院,北京1022005 [5]北京市回民医院,北京100053

出　　处：《四川中医》2008年第11期34-36,共3页Journal of Sichuan of Traditional Chinese Medicine

基　　金：北京市中医药科技项目资助(课题编号:JJ-2006-4);国家自然科学基金重大研究计划面上项目课题(批准号90709049)

摘　　要：目的:研究初发2型糖尿病(T2DM)中医病机与证候特点。方法:以居民小区为基本抽样群,采用随机、分层、整群抽样方法,对北京市近郊、远郊及市区的3个社区20岁以上长住居民5465人进行糖尿病筛查,并对其中初发T2DM患者进行中医四诊信息采集,探讨其病机与证候特点。结果:344例T2DM患者中,肥胖(含超重)患者267例(占77.6%);虚实病机所占比例从大到小依次为实热、痰湿、阴虚、血瘀、气虚、气郁、阳虚、血虚,实证明显多于虚证;痰热互结证101例(29.4%),阴虚热盛证85例(24.7%),气阴两虚证32例(9.3%),其他证型26例(7.6%),无证候者100例(29.1%)。结论:初发T2DM肥胖患者占多数,无症状占很大比例,病机以实热、痰湿多见,痰热互结证是初发T2DM的主要证型。Objective： To study the TCM pathology and syndrome characteristics of first attack Diabetes Ⅱ. Methods： A total of 5465 persons aged over 20 in 3 communities, respectively from suburb area, exurban area and urban area of Beijing, were screened in a random and stratified way. Diagnostic information on first attack Diabetes Ⅱ were collected. Results： There were 344 patients with first attack Diabetes Ⅱ , including 267 patients with obesity （including overweight） . The cases with sthenia syndrome outnumbered the cases with asthenia syndromes. There were 101 eases with combined sputum-heat syndrome （accounting for 29.4%）, 85 cases with Yin deficiency and heat excess syndrome （24.7%）, 32 cases with Qi-Ying deficiency syndrome （9.3%）, 26 eases with other syndromes （7.6%） and 100 cases with no syndromes （29.1%）} . Conclusion： Obese patients account for a major part of the patients with first at- tack Diabetes Ⅱ. There are many cases with no symptoms. Sthenic heat and phlegm-wet are the two major factors that lead to Diabetes Ⅱ. Therefore, combined sputum-heat syndrome is the major syndrome of first attack Diabetes Ⅱ.

关 键 词：初发T2DM 流行病学调查 虚实病机 中医证候 

分 类 号：R2-03[医药卫生—中医学]