不同海拔地区2型糖尿病周围神经病变患者中医证候特点分析  

Analysis of TCM Syndrome Characteristics of Patients with Type 2 Diabetes Peripheral Neuropathy at Different Altitudes

作　　者：张琳钧[1] 王海源[1] 权国昌 冯学祯[1] Zhang Linjun;Wang Haiyuan;Quan Guochang(Feng Xuezheng,Qinghai Red Cross Hospital,Xining 810000)

机构地区：[1]青海红十字医院中西医结合糖尿病科,810000

出　　处：《高原医学杂志》2020年第1期15-21,共7页Journal of High Altitude Medicine

摘　　要：目的:探究来自不同海拔地区DPN患者的危险因素、中医证候特点及其分布规律,以及对今后高原地区DPN的中医临床辨证论治提供客观的理论依据。方法:对来自西宁地区(市区海拔2261m)、玉树地区(平均海拔4200m以上)于我科就诊的327例DPN患者,采用舌诊仪、脉诊仪、肌电图等现代诊断仪器结合我科自拟的《DPN患者中医证候调查表》,进行西医疾病诊断及中医证候诊断,并建立高原地区DPN患者数据库,通过SPSS 24.0统计学软件进行数据分析,比较不同海拔地区DPN患者的危险因素及中医证候分布特点的差异。结果:从高原不同海拔地区DPN患者的年龄大小来看,两地DPN患者在(51~60)岁、(61~70)岁、>70岁这三个年龄段的西宁地区人数远多于玉树地区(P<0.01)。从病程长短来看,两地DPN患者病程大于10年的西宁地区人数远多于玉树地区,分别占当地DPN患者总人数的56.7%、25.3%,因此西宁地区DPN患者的病程长于玉树地区(P<0.01)。从吸烟情况来看,西宁地区不吸烟的患者多于玉树地区(P<0.01);从饮酒情况来看,西宁及玉树不饮酒的患者均多于饮酒的患者,差异无统计学意义(P>0.05);从生活压力情况来看,西宁地区无生活压力的患者多于玉树地区(P<0.01)。从体重情况来看,西宁地区超重及肥胖的DPN患者,分别占当地总患者人数的37.6%、7.0%,玉树地区超重、肥胖的DPN患者分别占当地总患者人数的49.4%、38.8%,因此玉树地区超重及肥胖的DPN患者远多于西宁地区(P<0.01)。从合并其他疾病来看,两地DPN患者单独合并高血压及脂代谢紊乱方面无明显差异,但同时合并高血压或脂代谢紊乱的人数有差异,西宁地区远多于玉树地区(P<0.05)。从合并其他并发症来看,两地DPN患者单独合并糖尿病眼病的人数比较,差异无统计学意义(P>0.05);但单独合并糖尿病肾病和同时合并糖尿病眼病及肾病的人数有明显差异,其中西宁地区�Abstrct Objective:This study is aimed to explore the risk factors,characteristics of TCM syndromes and their distribution rules of DPN patients from different altitudes,in order to provide objective theoretical basis for the clinical dialectical treatment of DPN in plateau areas in the future.Methods:For the 327 DPN patients treated in our department from Xining area(average altitude above 2261 meters)and Yushu area(average altitude above 4200 meters),their tongue diagnosis instrument,pulse diagnosis instrument,electromyography and other modern objective diagnostic instruments were combined with our own"DPN Patient TCM Syndrome Questionnaire"to carry out the diagnosis of Western medicine diseases and TCM syndromes,establish a DPN patient database in the plateau area,and perform data analysis through SPSS 24.0 statistical software so as to compare the risk factors and TCM of DPN patients at different altitudes Differences in the characteristics of syndrome distribution.Results:Judging from the age of DPN patients at different altitudes in the plateau,the number of DPN patients in Xining between(51~60)years old,(61~70)years old,and more than 70 years old is much higher than that in Yushu.The age of DPN patients in Xining area is much older than that in Yushu area(P<0.01).In terms of the length of the disease,the number of DPN patients more than 10 years in Xining area is much more than that in Yushu area,accounting for 56.7%and 25.3%of the total number of local DPN patients.Therefore,the disease duration of DPN patients in Xining area is much longer than the Yushu area(P<0.01).From the perspective of smoking,there are more non-smokers in Xining than in Yushu(P<0.01);from the drinking situation,in Xining and Yushu there were more non-drinking patients than drinkers without statistically significant Significance of learning(P>0.05).As the perspective of life stress,patients without stress in Xining area were more than in Yushu area(P<0.01).From the perspective of weight,overweight and obese DPN patients in Xining are

关 键 词：不同海拔 2型糖尿病周围神经病变 中医证候 分布规律 

分 类 号：R587.2[医药卫生—内分泌] R339.5[医药卫生—内科学]