中医治疗妊娠期糖尿病的探究  

Review on Treatment of GDM with TCM

作　　者：苑程鲲[1] 王萌影[1] 彭丽敏 鲁彩霞[1] 马琳琳[1] 于婧璐 YUAN Chengkun;WANG Mengying;PENG Limin;LU Caixia;MA Linlin;YU Jinglu(The First Affiliated Hospital of Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学附属第一医院,黑龙江哈尔滨150040

出　　处：《中医药学报》2022年第8期13-16,共4页Acta Chinese Medicine and Pharmacology

基　　金：黑龙江中医药管理局科研项目(ZHY2020-113)。

摘　　要：妊娠期糖尿病起病隐匿,大多数患者首次发现于妊娠24~28周行葡萄糖耐量试验时。近年来,妊娠期糖尿病发病率呈逐年上升趋势,西医治疗方案相对单一,无法制定个体化的治疗方案,为了提高GDM患者的临床疗效,辅助中医疗法是一种可行、有效的治疗方法。中医基于“调体治病”法和“辨证施治”法,对具有妊娠期糖尿病体质倾向的孕妇进行早期个体化干预,调整体质偏颇状态,治病于微时,可以有效地降低妊娠期糖尿病的发病率;根据妊娠期糖尿病患者的证候特征选用中药方剂,达到控制血糖兼以安胎的治疗目的。The onset of gestational diabetes mellitus(GDM)is insidious.Most patients were firstly diagnosed by the glucose tolerance test at 24-28 weeks of gestation.In recent years,the incidence rate of GDM has been on the rise year by year.Western medicine treatment scheme is relatively single,and it is impossible to formulate an individualized treatment scheme with western medicine.In order to improve the clinical efficacy of GDM,auxiliary TCM therapy is a feasible and effective treatment method.TCM can carry out early and individualized intervention based on the methods of‘regulating body constitute to treat diseases’and‘treating diseases based on syndrome differentiation’in the pregnant women with constitutional tendency of GDM,it can regulate the biased body constitution and treat the disease when it was mild,therefore it can effectively reduce the occurrence of GDM.Choosing TCM formulas according to the syndrome characteristics can better control blood glucose and prevent miscarriage in the patients with GDM.

关 键 词：妊娠期糖尿病 调体治病 辨证施治 

分 类 号：R256.51[医药卫生—中医内科学]