2型糖尿病患者中医证型分布及其并发症证型特点

目的:探讨2型糖尿病住院患者中医证型分布规律及不同中医证型与并发症、合并症的相关性。方法:199例符合纳入标准的2型糖尿病患者建立数据库,对患者性别、年龄、糖尿病病程、中医证型、血瘀兼夹症、并发症(包括糖尿病周围神经病变、糖尿病周围血管病变、糖尿病视网膜病变、糖尿病足、糖尿病肾病、糖尿病下肢动脉硬化)、合并症(包括高血压、脂代谢紊乱、冠心病、卒中、其他眼病、高尿酸血症、皮肤病)进行录入。对患者的一般情况、中医证型、并发症及合并症进行回顾性分析。结果:2型糖尿病患者中医证型以气阴两虚居多,占80.1%,且气阴两虚型2型糖尿病患者并发症居多。兼夹血瘀者占57.1%,且兼夹血瘀的2型糖尿病患者并发症居多。结论:2型糖尿病虚证以气阴两虚为主,实证以血瘀为主,且气阴两虚及兼夹血瘀者糖尿病并发症的发病率高,临床可采用益气养阴,活血化瘀为主对合并多种并发症的2型糖尿病患者进行辨证施治。

Characteristics of the Syndrome Patterns of Complication Disease and the Distributions of Syndromes of Type2 Diabetes

Objective:To discuss the distribution regularities of syndromes of type 2 diabetes,and the correlations between TCM syndromes,complications and accompanying diseases.Methods:Totally 199 patients accorded with criteria were included and established database.The information of gender,age,duration of diabetes,TCM syndrome,blood-stasis concurrent syndrome,complications (including diabetic peripheral neuropathy,diabetic peripheral vasculopathy,diabetic retinopathy,diabetic foot,diabetic ne-phropathy,diabetic arteriosclerosis in lower extremity,skin disease) and accompanying diseases (hypertension,dyslipidemia,coronary disease,stroke,other eye diseases,hyperuricemia) was typed in.The general conditions,TCM syndromes,complications and accompanying diseases were conducted retrospective analysis.Results:Qi and yin deficiency syndrome is the main deficiency syndrome in type 2 diabetes,accounting to 80.1％;and the complications of this syndrome were the most.Blood-stasis concurrent syndromes accounted to 57.1％;and the complications of blood-stasis concurrent syndrome were the most.Conclusion:Qi and yin deficiency syndrome is the major deficiency syndrome and blood-stasis syndrome is the major excess syndrome in type 2 diabetes,and the morbidity of the complications of these two syndromes is the high.In clinical practice,methods of benefiting qi and nourishing yin,activating blood flow and removing blood stasis can be applied in the syndrome differentiation and treatment of type 2 diabetes.