天津市城市人群2型糖尿病中医诊断治疗情况

探讨天津市城市地区2型糖尿病中医辨证分型与治疗情况。 方法：回顾性调查2003-2007年天津市城市地区多中心不同等级中医医院2型糖尿病住院患者中医辨证分型情况，初步分析2型糖尿病患者的各中医证型构成比。 结果：天津市城市地区人群2型糖尿病患者证型分布比例由高到低依次为气阴两虚、痰湿内阻、阴虚热盛、阴阳两虚和血瘀气滞型。气阴两虚、阴阳两虚以及痰湿内阻型2型糖尿病患者主要集中在60岁以上人群，阴虚热盛型以50-59岁患者居多，而血瘀气滞型糖尿病患者在40-49岁分布比例较高。气阴两虚型患者当归使用频次最高，阴虚热盛型患者陈皮使用频次最高，阴阳两虚型患者白芍使用频次最高，痰湿内阻型患者甘草使用频次最高，血瘀气滞型患者杏仁使用频次最高。 结论：天津市城市地区2型糖尿病主要以气阴两虚、痰湿内阻和阴虚热盛型为主，主要集中在50岁及以上的中老年人群中。中药治疗原则以补气养血、燥湿化痰为主，当归、陈皮、白芍、甘草（生甘草、炙甘草）和杏仁是使用频次较高的5味中草药。

Traditional Chinese medicine diagnosis and treatment of type 2 diabetes in Tianjin urban population

Objective： To explore the traditional Chinese medicine （TCM） diagnosis and treatment of type 2 diabetes in Tianjin urban population.
Methods： A cross-sectional study was conducted on hospital patients with type 2 diabetes in TCM hospitals of different levels in Tianjin from 2003 to 2007. The multiphasic stratified cluster sampling method was adopted in selecting the target hospital. Finally 3 496 patients were selected as the survey sample. Then the constituent ratios of diabetes in different syndrome types were calculated.
Results： In this study, the descending sort proportion of TCM syndrome types of type 2 diabetes in Tianjin urban population was deficiency of both qi and yin, stagnation of phlegm-dampness, exuberant heat due to yin deficiency, deficiency of both yin and yang, and blood stasis and qi stagnation. Most of the diabetes patients with deficiency of both qi and yin, deficiency of both yin and yang, and stagnation of phlegm-dampness were older than 60 years. Most of the diabetes patients with exuberant heat due to yin deficiency were 50 to 59 years old, while the diabetes patients with blood stasis and qi stagnation were 40 to 49 years old. The frequency of Danggui （Angelica sinensis） use was high in the diabetes patients with deficiency of both qi and yin; the frequency of Chenpi （Citrus reticulate Blanco） use was high in the diabetes patients with exuberant heat due to yin deficiency; the frequency of Baishao （Radix Paeoniae Alba） use was high in the diabetes patients with deficiency of both qi and yin; the frequency of Gancao （Radix Glycyrrhizae） use was high in the diabetes patients with stagnation of phlegm-dampness; and the frequency of Xingren （Semen Armeniacae） use was high in the diabetes patients with blood stasis and qi stagnation.
Conclusion： The main syndrome types of diabetes patients in Tianjin urban area are deficiency of both qi and yin, stagnation of phlegm-dampness and exuberant heat due to yin deficiency. And the patients are mainly older than 50 years. The most frequently used herbs are Danggui （Angelica sinensis）, Chenpi （Citrus reticulate Blanco）, Baishao （Radix Paeoniae Alba）, Gancao （Radix Glycyrrhizae） and Xingren （Semen Armeniacae）.