代谢综合征证型分布与胰岛素抵抗的相关性研究  

Clinical Analysis of Insulin Resistance and Differentiation of Metabolic Syndrome of TCM Syndrome

作　　者：张广增[1] 邱涛[1] 李香巨 王力丰[1] 刘亚辉[1] 杨敏[1] 刘丽梅[1] 

机构地区：[1]河北省唐山市协和医院,063000 [2]丰南区人民医院心内科,063000

出　　处：《中国误诊学杂志》2010年第36期8827-8828,共2页Chinese Journal of Misdiagnostics

摘　　要：目的探讨代谢综合征不同中医辨证分型与胰岛素抵抗之间的联系。方法选择160例代谢综合征患者经中医辨证分型分为肝肾阴虚型、痰湿壅盛型、瘀血阻络型、阴阳两虚型,统计相关的临床指标。结果四组辨证分型中痰壅盛型的SBP、BMI和WC、HOMA-IR最大,与其他三组相比,差异有统计学意义(P<0.001)。结论中医辨证分型与胰岛素抵抗有密切关系,代谢综合征患者出现的高胰岛素抵抗指数可能是痰湿壅盛辨证的客观依据之一。Objective To discuss the relationship between insulin resistance and differentiation of metabolic syndrome（MS） of TCM syndrome.Methods 160 patients with metabolic syndrome were divided into four groups according to TCM syndrome differentiation：deficiency of Yin in liver and kidney;excess phlegm dampness;blood stasis in collateral;deficiency of both yin and yang.After detecting and analyzing the related clinical parameters of the four groups,we compared these with normal patients.Results There were statistical differences of the four groups on insulin resistance.Conclusion There is close relationship between TCM syndrome differentiation and insulin resistance.

关 键 词：代谢综合征X/中医病机 胰岛素抗药性 人类 

分 类 号：R749.25[医药卫生—神经病学与精神病学]