2型糖尿病常见证型分布规律研究  

Study on distribution regularity of TCM syndromes in type 2 diabetes

作　　者：谭倩 景录先[2] 王文霞[2] 吴燕[2] 王世东[2] 陈雪[2] 

机构地区：[1]北京市宣武区中医医院,北京100050 [2]北京中医药大学东直门医院,北京100700

出　　处：《中华中医药杂志》2011年第6期1388-1391,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家"十一五"科技支撑计划资助项目(No.2006BAI21B01)~~

摘　　要：目的:探讨2型糖尿病及其并发症常见证候分布规律。方法:查阅2003年-2007年北京中医药大学东直门医院住院病历数据库,筛选西医第一诊断为2型糖尿病及其并发症的病历1 611例,对其中医病、证诊断运用SPSS 11.5统计软件进行频数分析,分析2型糖尿病及其常见并发症的中医病名、证候分布规律及相关因素。结果:2型糖尿病及其并发症的证型分布仍以传统认识的气阴两虚为主(47.51%),气虚血瘀证为消渴病与脱疽的常见证型。辨证方法不同,以病因辨证,主要为湿、热;以八纲辨证,主要为气虚、阴虚、火热、血瘀;以脏腑辨证,主要涉及肝、脾、肾三脏。结论:2型糖尿病及其并发症证候分布及演变具有一定规律,"热伤气阴"基本病机和"微型癥瘕"病理假说很可能是导致其分布规律的内在原因。Objective： Study on distribution regularity of TCM syndromes in type 2 diabetes. Methods： Records during the year 2003-2007 were collected, so as a database was established. Description of frequency was used to analyze the TCM disease name, syndrome name of the samples of T2DM and its complications. Chi-square -test was used to analyze the difference of the syndrome portions of the TCM diseases. Results： The first syndrome of the patients of T2DM and the complications was qi and yin deficiency （47.51%）, qi deficiency and blood stasis were the most common syndrome of Xiaoke and Tuoju. Conclusion： The distribution and evolution of T2DM syndromes had some regularity. DM basic pathological mechanism of ‘heat hurting qi-yin’ and pathological hypothesis of ‘micro-zhengjia’ had probably been the cause of the distribution of T2DM and its complications.

关 键 词：2型糖尿病 证候学 分布规律 

分 类 号：R259[医药卫生—中西医结合]