高血压病患者血清胰岛素、C肽水平与中医辨证分型的关系

目的：探讨高血压病患者胰岛素抵抗及高胰岛素血症与中医证型的相关规律。方法：将高血压病的４种证型及健康对照组各选３０例，测定血中胰岛素及Ｃ肽水平等。结果：高血压病患者血吸纱水平显著高于健康对照组，并且各证型之间也存在明显差异，其顺序为痰湿壅盛〉肝火亢盛〉阴阳两虚〉阴虚阳亢〉健康对照。结论：高血压病患者胰岛素血症以实证为重而虚证较轻。

Relationship between Serum Insulin, C-Peptide in Hypertension and Syndrome Differentiation-Typing in TCM

To study the relationship between insulin-resistance (IR), hyperinsulinemia and TCM Syndrome Differentiation-typing. Methods: The serum insulin, C-peptide level of the four Syndrome-types of hy pertension (30 cases each type) and the control group (30 cases) were determined. Results: The serum insulin level in hypertension patients were significantly higher than that of control group, and there were obvious difference among the four types of Syndrome. The following order was: The abundant phlegm-dampness type >exuberant Liver-Fire type>both Yin-Yang deficiency type > Yin deficiency and Yang-Excess type > control type. Conclusions: The Excess Syndrome was severe and deficiency Syndrome was mild in hyperinsulinemia. The pattern of change was in accordance with etiology and pathogenesis of TCM. It has the guiding significance to the clinical practice and research of TCM and integrated TCM-WM.