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308例2型糖尿病中医临床证型调查分析
引用本文:张晓阳,郭赛珊,张孟仁,王景,李颖.308例2型糖尿病中医临床证型调查分析[J].北京中医药大学学报,2008,31(6).
作者姓名:张晓阳  郭赛珊  张孟仁  王景  李颖
作者单位:中国医学科学院中国协和医科大学北京协和医院,北京,100730
摘    要:目的 了解当前糖尿病患者中医临床证及证型的构成情况.方法 对308例2型糖尿病患者进行中医证候的横断面调查;应用计算机根据辨证分型标准对患者进行辨证分型.结果 8个基本证中湿热证179例次、血瘀证155例次、阴虚证122例次、火旺证89例次、气虚证16例次、血热证2例次、阳虚证和血虚证0例;证型分布:单证型107例、两证相兼型115例、三证相兼型53例、四证相兼型2例、无证型31例.结论 湿热证、血瘀证、阴虚证是构成糖尿病临床复杂证型的基础,湿热证已成为当今糖尿病最常见的临床基本证型.

关 键 词:2型糖尿病  辨证分型  临床调查

TCM syndrome types in 308 cases of type 2 diabetes
ZHANG Xiao-yang,GUO Sai-shan,ZHANG Meng-ren,WANG Jing,LI Ying.TCM syndrome types in 308 cases of type 2 diabetes[J].Journal of Beijing University of Traditional Chinese Medicine,2008,31(6).
Authors:ZHANG Xiao-yang  GUO Sai-shan  ZHANG Meng-ren  WANG Jing  LI Ying
Abstract:Objective To find out the structure of TCM syndromes and syndrome types in the patients with diabetes.Methods A cross-sectional investigation on TCM symptoms was given to 308 cases of type 2 diabetes,and then the syndrome differentiation and classification of TCM were made in the cases by computer according to the criterion of syndrome differentiation and classification(including 8 basal syndromes,i.e.damp-heat syndrome,blood stasis syndrome,yin deficiency syndrome,fire-excess syndrome,qi deficiency syndrome,blood-heat syndrome,yang deficiency syndrome and blood deficiency syndrome,and 29 zang-fu syndromes in various syndromes).Results In 8 basal syndromes there were 179 cases of damp-heat syndrome(58.1 %),155 blood stasis syndrome(50.3 %),122 yin deficiency syndrome(39.6 %),89 fire-excess syndrome(28.9 %),16 qi deficiency syndrome(5.2 %),2 blood-heat syndrome(0.6 %),and no yang deficiency syndrome and blood deficiency syndrome.The distribution of syndrome types showed as follows: 107 cases of single type(34.7 %),115 cases combined two types(37.3 %),53 cases combined three types(17.2 %),2 cases combined four types(0.6 %) and 31 without any types(10.1 %).Conclusion Damp-heat syndrome,blood stasis syndrome,yin deficiency syndrome are the base of clinical complicated types of diabetes,and damp-heat syndrome has become the most common syndrome type of diabetes in clinic.
Keywords:type 2 diabetes  syndrome differentiation and classification  clinical investigation  
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