2型糖尿病中医数字化、量化的四诊特征研究  

Research of Digital and Quantitative Four Diagnostic Features in Traditional Chinese Medicine for Type 2 Diabetes

作　　者：李慧[1] 张尚尚 芦煜 钱淑雯[1] 杨学智[1] 

机构地区：[1]北京中医药大学,北京100029

出　　处：《云南中医学院学报》2015年第2期43-46,共4页Journal of Yunnan University of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划(973)项目(2011CB505404);科技部"十二五"国家科技支撑计划项目(2012BAI25B05);北京中医药大学创新团队项目(2011-CXTD-05)

摘　　要：目的探索2型糖尿病数字化、量化的中医四诊特征,推进中医药对糖尿病的辨证分型、治疗、干预、预防及控制其并发症方面的应用。方法随机选取35名2型糖尿病患者作为实验组,并选取33名健康人作为健康对照组。应用四诊合参辅助诊疗仪,采集其四诊信息,并对采集到的四诊信息进行统计分析。结果脉诊结果显示,实验组脉搏波传导速度和脉的弦紧度较对照组显著升高,变异系数则较对照组下降,两组间差异有统计学意义(P<0.05),两组间的脉力、脉率、流利度、变异系数等无显著性差异(P>0.05);舌诊结果显示,实验组舌质红、绛,舌苔黄、厚、腻比例高于对照组,差异有统计学意义(P<0.05),舌苔润燥度差异无统计学意义(P>0.05);闻声诊辨体质结果显示,实验组火型体质比例高,对照组水型体质比例高,水型和火型差异有统计学意义(P<0.05),木型、土型、金型体质分布无显著性差异(P>0.05)。结论 2型糖尿病病人的四诊特征与健康人相比存在明显差异。应用四诊合参辅助诊疗仪,获取糖尿病患者的重要数字化、量化四诊信息,有助于实现对2型糖尿病中医诊断的标准化,进而通过主客观联合辨证进行中医辨证施治,干预2型糖尿病的病程。更有利于中西医结合对其进行诊疗以控制血管并发症和血管恶性事件发生。Objective By the way of the Research of digital and quantitative four diagnostic features in traditional Chinese medicine for type 2 diabetes to promote the application of traditional Chinese medicine in diabetes treatment,intervention, prevention and control of its complications. Methods To select 35 T2DM patients randomly as the experimental group, while 33 healthy people as the control group. By applying the four diagnosis auxiliary apparatus to collect four clinical diagnosis information and summarizing the statistical analysis of the four diagnostic information at the same time. Results The pulse diagnosis results were showing that compare with the healthy group, the value of T2DM pulse wave conduction velocity and string and tightness were higher, and there was statistically significant differences between the two groups （P〈0.05）, while the value of pulse power, pulse frequency and fluency, there was no significant difference （P〉0.05）;The tongue diagnosis results were showing that compare with the healthy group, the ratio of T2DM red, crimson of tongue nature and yellow, thick and greasy of tongue coating were higher some patients have crack tongue. The results of smell diagnosis were showing that fire type constitution ratio is higher, controls water type constitution ratio is higher, water and fire was statistically significant difference （P〈0.05）, wood type, soil type, metal type of physical distribution there was no significant difference（P〉0.05）. Conclusion Compared with healthy people, four clinical features of patients with type 2 diabetes exists obvious difference. By applying four diagnostic and auxiliary apparatus diabetic and acquring patients＇ important digital and quantitative four diagnostic information, helping to realize the standardization of TCM diagnosis of type 2 diabetes, and then by the way of the subjective and objective combined syndrome differentiation, to conduct evidence-based medicine of TCM and to intervene the progression type 2 diabetes. It is more ad

关 键 词：糖尿病 2型 四诊信息 数字化 量化 中医干预 

分 类 号：R241.2[医药卫生—中医诊断学]