2735例2型糖尿病证候分布特点及“壮火食气”病机探讨  

Exploration on Distribution Regularity of TCM Syndromes in 2735 Cases of Type 2 Diabetes and the Pathogenesis of“Vigorous Fire Consuming Qi”

作　　者：李哲[1] 王世东[2] 赵进喜[2] 谭倩 景录先[1] 程悦[2] 赵文静[2] 吴燕[2] 

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学东直门医院中医内分泌病学科,北京100700 [3]北京市宣武区中医医院,北京100050

出　　处：《世界中医药》2013年第5期488-490,共3页World Chinese Medicine

基　　金：国家"十一五"科技支撑计划项目(编号:2006BAI21B01);首发基金重点支持项目(编号SF-2009-Ⅱ-06)

摘　　要：目的:探讨2型糖尿病常见证候分布特点,并探索其发病机制。方法:查阅2003-2010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型糖尿病的病历2735例,对其中医病、证诊断进行频数分析,分析2型糖尿病证候分布规律及相关因素。结果:2型糖尿病证型分布主要为气虚、阴虚、火热、血瘀,无并发症患者血瘀程度轻于有并发症患者。结论:2型糖尿病证型分布主要为气虚、阴虚、火热、血瘀,无并发症患者血瘀程度轻于有并发症患者。壮火食气、热伤气阴可能是2型糖尿病发病的关键。Objective ：To explore the distribution regularity of TCM syndromes in type 2 diabetes and its pathogenesis. Methods： After going through the clinical charts of admitted patients in Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine from year 2003 to year 2010, 2735 cases diagnosed as type 2 diabetes were selected to analyze frequency of TCM disease and syndrome, so as to obtain the distribution regularity and relevant factors. Conclusion： The syndrome distribution of type 2 diabetes were qi deficiency, yin deficiency, fire heat, and blood stasis. The blood stasis in patients without complications was slighter than those with complications. The ＂vigorous fire consuming qi＂ and ＂heat hurting QiYin＂ may be the key causes to the onset of type 2 diabetes.

关 键 词：2型糖尿病 证候 证素 壮火食气 

分 类 号：R587.1[医药卫生—内分泌]