基于属性偏序原理的老年2型糖尿病患者脉象特征研究  

Study on pulse characteristics of elderly patients with type 2 diabetes basedon attribute partial order principle

作　　者：张晓希 洪文学[2] 杨玲[1] 张明星 冯黎睿 冮顺奎[3] ZHANG Xiaoxi;HONG Wenxue;YANG Ling;ZHANG Mingxing;FENG Lirui;JIANG shunkui(Department of Traditional Chinese Medicine,Yuxi People's Hospital/Sixth Affiliated Hospital of Kunming Medical University,Yuxi Yunnan 653100,China;School of Electrical Engineering,Yanshan University,Qinhuangdao Hebei 066004,China;Department of Preventive Treatment of Disease,Kunming Hospital of Traditional Chinese Medicine,Kunming Yunnan 650500,China)

机构地区：[1]玉溪市人民医院/昆明医科大学第六附属医院中医科,云南玉溪653100 [2]河北省秦皇岛市燕山大学电气工程学院,河北秦皇岛066004 [3]昆明市中医医院治未病科,云南昆明650500

出　　处：《云南医药》2024年第4期27-32,共6页Medicine and Pharmacy of Yunnan

基　　金：国家自然科学基金(81860833);云南省院士专家工作站(2019IC044);昆明市科技计划(2019-1-S-25138000001494)

摘　　要：目的将300例老年2型糖尿病患者作为研究对象,探讨老年2型糖尿病的核心病机,并为临床治疗提供依据。方法利用舌面脉信息采集体质辨识系统采集患者脉象,运用燕山大学的数据挖掘技术,构建属性偏序结构图进行分析和研究。结果300例老年2型糖尿病患者脉象以虚脉、弦脉、结脉为主,且三者常相兼出现,构成脉虚弦、脉结虚、脉结弦等复合脉象。结论老年2型糖尿病患者脉象以虚脉、弦脉、结脉为主,符合肝肾不足、多虚多瘀的病理特点,临床治疗中应兼顾肝肾,并根据脉象弦结的不同程度辅以活血化瘀之品。Objective In this paper,300 patients with type 2 diabetes were selected as research subjects to provide a certain basis for TCM assisted diagnosis and syndrome differentiation of elderly T2DM patients.Methods The pulse of patients was collected by the physical identification system of tongue-surface pulse information acquisition,and the attribute partial order structure graph was constructed by the data mining technology of Yanshan University for analysis and research.Results In 300 elderly patients with type 2 diabetes,the main pulse patterns were deficient pulses,string-like pulses and knot pulses,and the three often appeared simultaneously,forming complex pulse patterns such as deficient string pulses,knotted deficient pulses and knotted string pulses.Conclusions The pulse patterns of elderly type 2 diabetes patients is mainly deficient,string-like and knotted pulses,which is in line with the pathological characteristics of liver and kidney deficiency,as well as multiple deficiency and stasis.In clinical treatment,it is recommended to consider both liver and kidney conditions and supplement with blood-activating and stasis-resolving herbs based on the degree of string-like and knotted in the pulse patterns.

关 键 词：糖尿病 脉象特征 属性偏序结构图 

分 类 号：R259[医药卫生—中西医结合]