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2型糖尿病合并脂代谢紊乱的中医证候学研究
引用本文:柳红芳,陶飞宝. 2型糖尿病合并脂代谢紊乱的中医证候学研究[J]. 中国医药导报, 2010, 7(23)
作者姓名:柳红芳  陶飞宝
作者单位:北京中医药大学东直门医院肾病内分泌科&中医内科学教育部重点实验室,北京,100700
基金项目:北京中医药大学中青年教师资助项目 
摘    要:目的:探讨2型糖尿病合并脂代谢紊乱的中医证候学特点以及高脂血症各临床分型与不同血脂指标的相关性。方法:将155例2型糖尿病患者按有无血脂异常分为高脂血症组和非高脂血症组,测定TG、LDL-C、HDL-C、TC并判定中医证候,采用Pearson检验研究各证型与血脂各指标的相关性。结果:高脂血症组与非高脂血症组痰湿证、血瘀证差异均有统计学意义(P<0.05)。痰湿证积分、血瘀证积分与TG水平呈显著正相关(r=0.209,P=0.009;r=0.161,P=0.046),与HDL-C水平呈显著负相关(r=-0.208,P=0.009;r=-0.167,P=0.025),阳虚证积分与HDL-C、apoA1水平呈显著正相关(r=0.236,P=0.003;r=0.210,P=0.016)。结论:痰湿证、血瘀证为2型糖尿病合并脂代谢紊乱的主要证候,痰瘀互结为2型糖尿病合并脂代谢紊乱的关键病机。痰湿证、血瘀证与血脂成分存在相关性。

关 键 词:2型糖尿病  脂代谢紊乱  证候学

The TCM symptomatology of type 2 diabetes mellitus with dyslipidemia
LIU Hongfang,TAO Feibao. The TCM symptomatology of type 2 diabetes mellitus with dyslipidemia[J]. China Medical Herald, 2010, 7(23)
Authors:LIU Hongfang  TAO Feibao
Affiliation:LIU Hongfang; TAO Feibao (Department of Nephrology and Endocrinology; Dongzhimen Hospital; Beijing University of Chinese Medicine & Key Labo ratory of Chinese Internal Medicine; Ministry of Education; Beijing 100700; China);
Abstract:Objective:To investigate the TCM symptomatology characters of the type 2 diabetes mellitus with dyslipidemia and correlation between the TCM clinical types of hyperlipoidemia and the different blood liquid components.Methods:The 155 patients with type 2 diabetes mellitus were divided into the group of hyperlipoidemia and the group of non-hyper lipoidemia according to blood liquid.The levels of TG,LDL-C,HDL-C and TC were detected in two groups respectively.TCM syndromes were determined.The Pearson test metho...
Keywords:Type 2 diabetes mellitus  Dyslipidemia  Symptomatology
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