2型糖尿病两种证型临床指标及血管并发症的研究  

Research of the Clinical Indexes and Vascular Complication for the Two Symptoms Patients with Non Insulin-dependent Diabetes Mellitus (NIDDM)

作　　者：李仁柱[1] 王建生[1] 高斌[1] 陈文实[1] 张士勇[1] 

机构地区：[1]安徽省蚌埠市第三人民医院(蚌埠市中心医院)中西医结合科,233000

出　　处：《中华全科医学》2009年第11期1176-1177,共2页Chinese Journal of General Practice

基　　金：安徽省蚌埠市科技局批准立项(蚌科[2007]33号文件)

摘　　要：目的探讨2型糖尿病的中医治疗。方法选取200例2型糖尿病气阴两虚型和血瘀脉络型患者各100例,记录两组患者年龄、性别及糖尿病病程,予血糖、血脂、血流变学、颈动脉彩超及心脏彩超检查,比较其之间的差异。结果血瘀脉络组患者总胆固醇、甘油三酯、低密度脂蛋白、全血粘度(高切/低切)、血浆粘度、红细胞聚集指数、颈动脉血管病变例数及心脏瓣膜病变率显著高于气阴两虚组。结论血瘀脉络组2型糖尿病患者的临床检验指标、颈动脉血管病变例数及心脏瓣膜病变率高于气阴两虚组。Objective To investigate the Chinese medicine treatment for NIDDM. Methods 200 diabetes patients were selected. 100 patients had deficiency in both Qi and Yin and 100 patients had hemostagnant tissue（ vein blood stasis group）. The ages, sex and diabetes history were recorded and the index, i.e. blood-glucose, blood fat, hemorrheology, carotid color ultrasonic and cardiac color ultrasonic, etc. were examined and compared. Results The total cholesterol, triglyceride, low density fat protein, whole blood viscosity （ high-cut/low-cut）, plasmatic viscosity, collecting index of red blood ceils, carotid vascular lesion and heart valve-lesion ratio in the patients of the vein blood stasis group were significantly higher than those of the Qi and Yin Deficiency Group. Conclusion The index of clinical tests, carotid vascular lesion and ventricular lesion ratio in vein blood stasis group were higher than those of the patients having deficiency of both Qi and Yin.

关 键 词：2型糖尿病 中医证型 血糖 血脂 血流变学 血管并发症 

分 类 号：R587.1[医药卫生—内分泌] R255.4[医药卫生—内科学]