高血压病患者血清胰岛素、C肽水平与中医辨证分型的关系  

Relationship between Serum Insulin, C-Peptide in Hypertension and Syndrome Differentiation-Typing in TCM

作　　者：黄俊山[1] 白介辰[2] 黄国良 黄荣璋[1] 郑师碧[1] 郑关毅[1] 邓祥雄[1] 唐平[1] 颜跃斌 郑书金 刘小莺 

机构地区：[1]福建医科大学附属协和医院,福州350001 [2]福建中医学院 [3]福建省内分泌研究所

出　　处：《中国中西医结合杂志》2000年第3期190-191,共2页Chinese Journal of Integrated Traditional and Western Medicine

基　　金：福建省中医药科研基金!(No.12697A045)

摘　　要：目的：探讨高血压病患者胰岛素抵抗及高胰岛素血症与中医证型的相关规律。方法：将高血压病的４种证型及健康对照组各选３０例，测定血中胰岛素及Ｃ肽水平等。结果：高血压病患者血中胰岛素水平显著高于健康对照组，并且各证型之间也存在明显差异，其顺序为痰湿■盛＞肝火亢盛＞阴阳两虚＞阴虚阳亢＞健康对照。结论：高血压病患者高胰岛素血症以实证为重而虚证较轻。其变化规律与中医病因病机相符合，这对于中医。To study the relationship between insulin-resistance (IR), hyperinsulinemia and TCM Syndrome Differentiation-typing. Methods: The serum insulin, C-peptide level of the four Syndrome-types of hy pertension (30 cases each type) and the control group (30 cases) were determined. Results: The serum insulin level in hypertension patients were significantly higher than that of control group, and there were obvious difference among the four types of Syndrome. The following order was: The abundant phlegm-dampness type >exuberant Liver-Fire type>both Yin-Yang deficiency type > Yin deficiency and Yang-Excess type > control type. Conclusions: The Excess Syndrome was severe and deficiency Syndrome was mild in hyperinsulinemia. The pattern of change was in accordance with etiology and pathogenesis of TCM. It has the guiding significance to the clinical practice and research of TCM and integrated TCM-WM.

关 键 词：高血压 胰岛素抵抗 辨证分型 

分 类 号：R259.4[医药卫生—中西医结合]