| 糖尿病周围神经病变中医证候的分析与思考 |
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| 引用本文： | 王映璇,罗广波,何嘉莉,李秀铭,范冠杰.糖尿病周围神经病变中医证候的分析与思考[J].辽宁中医学院学报,2011(5):41-43. |
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| 作者姓名： | 王映璇 罗广波 何嘉莉 李秀铭 范冠杰 |
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| 作者单位： | [1]广州中医药大学第二临床医学院,广东广州510405 [2]广东省中医院内分泌科,广东广州510120 |
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| 基金项目： | 国家中医药管理局公益性行业科研专项项目（200707004） |
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| 摘 要： | 目的：分析近30年来糖尿病周围神经病变中医证候分布特点,为临床辨证提供参考依据。方法：采用主题检索及关键词检索方法检索1978—2010年在国内正式期刊上公开发表的糖周辨证治疗及辨证分型的文献进行统计分析,采用证候要素分析研究糖周的证候特点。结果：符合入选要求文献22篇。入选病例1912例,涉及10个证候,频率由高到低依次为：气虚、血瘀、阴虚、痰浊、热蕴、阳虚、气滞、寒凝、血虚,其中气虚、血瘀、阴虚、痰浊、热蕴、阳虚6个证候要素检出率大于10%。南方、北方患者主要证候要素分布未见明显差异。结论：近30年糖周证候频率由高到低依次为：气虚、血瘀、阴虚、痰浊、热蕴、阳虚、气滞、寒凝、血虚,表现了其本虚标实的病机。
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| 关 键 词： | 糖尿病周围神经病变 证候 规律 |
Analysis and Ponder about TCM Syndrome of DPN |
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| WANG Ying-xuan,LUO Guang-bo,HE Jia-li,LI Xiu-ming,Advisor：FAN Guan-jie.Analysis and Ponder about TCM Syndrome of DPN[J].Journal of Liaoning College of Traditional Chinese Medicine,2011(5):41-43. |
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| Authors: | WANG Ying-xuan LUO Guang-bo HE Jia-li LI Xiu-ming Advisor：FAN Guan-jie |
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| Institution: | 1.Guangzhou University of Chinese Medicine,Guangzhou 510405,Guangdong,China;2.Guangdong Hospital of Traditional Chinese Medicine,Guangzhou 510120,Guangdong,China) |
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| Abstract: | Objective：This word is aimed to provide some references for clinical syndrome differentiation,by analyzing the distributions of syndrome of diabetes with peripheral nerves disease（DPN）in recent 30years.Methods：Using subject retrieval and |
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| Keywords: | retrieval we collect literatures on syndrome differentiation treatment and syndrome of DPN during 1978-2010 A statistical study on these literatures is then carried out to study the features of DPN by syndrome factors analyzing Results：There are 1912 cases on all related 22 literatures we find According to our analyzing results 9 syndrome factors are involved including qi deficiency blood stasis yin deficiency phlegm heat yang deficiency qi stasis coldness and blood deficiency listed in the decreasing order of occurrence frequency Moreover there are two further observations：the detectable rates of qi deficiency blood stasis yin deficiency phlegm and heat are over 10% the distributions of syndrome of DPN are almost the same Conclusion：The syndrome of DPN include qi deficiency blood stasis yin deficiency phlegm heat yang deficiency qi stasis coldness and blood deficiency with their frequencies decreased as listed This indicates that the pathogenesis of DPN is asthenia in origin and robust in superficiality Key words：diabetes with peripheral nerves disease syndrome regular pattern |
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