| 2型糖尿病合并非酒精性脂肪肝的辨证分型 |
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| 引用本文： | 张强,朱磊,权兴苗,杨宏杰,郑敏,范朝华,李昀昊,张丹,何燕铭.2型糖尿病合并非酒精性脂肪肝的辨证分型[J].海南医学,2013,24(12):1717-1722. |
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| 作者姓名： | 张强 朱磊 权兴苗 杨宏杰 郑敏 范朝华 李昀昊 张丹 何燕铭 |
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| 作者单位： | 张强 (上海中医药大学附属岳阳中西医结合医院内分泌科,上海,200437)；朱磊 (上海市杨浦区平凉社区卫生服务中心,上海,200082)；权兴苗 (上海中医药大学附属岳阳中西医结合医院内分泌科,上海,200437)； 杨宏杰 (上海中医药大学附属岳阳中西医结合医院内分泌科,上海,200437)； 郑敏 (上海中医药大学附属岳阳中西医结合医院内分泌科,上海,200437)； 范朝华 (上海中医药大学附属岳阳中西医结合医院内分泌科,上海,200437)； 李昀昊 (上海中医药大学附属岳阳中西医结合医院内分泌科,上海,200437)； 张丹 (上海中医药大学附属岳阳中西医结合医院内分泌科,上海,200437)； 何燕铭 (上海中医药大学附属岳阳中西医结合医院内分泌科,上海,200437)； |
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| 基金项目： | 上海高校选拔培养优秀青年教师科研专项基金(项目编号：szy10067) |
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| 摘 要： | 目的对2型糖尿病合并非酒精型脂肪肝患者进行中医辨证分型,为2型糖尿病合并非酒精性脂肪肝患者辨证论治提供理论依据。方法通过问卷调查方式,对200例2型糖尿病合并非酒精性脂肪肝患者进行中医临床症状采集,运用因子分析、聚类分析等统计学方法进行总结及频次分析,最后总结出2型糖尿病合并非酒精型脂肪肝患者的中医证型及各证型所占比例。结果 2型糖尿病合并非酒精性脂肪肝的中医证型分为肾阴亏虚、湿热内蕴、痰瘀互结和肝郁气滞四型,其所占比例分别为：肾阴亏虚型为34%,湿热内蕴型为33%,痰瘀互结型22%,肝郁气滞型11%。结论 2型糖尿病合并非酒精性脂肪肝的中医证候可分为肾阴亏虚、湿热内蕴、痰瘀互结和肝郁气滞型,其中以前两证型为主,对日后中医临床辨证论治具有一定参考价值。
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| 关 键 词： | 2型糖尿病 非酒精型脂肪肝 辨证分型 |
Syndrome type of type 2 diabetes mellitus combined with non-alcoholic fatty liver disease |
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| ZHANG Qiang,ZHU Lei,QUAN Xing-miao,YANG Hong-jie,ZHENG Min,FAN Chao-hua,LI Yun-hao,ZHANG Dan,HE Yan-ming.Syndrome type of type 2 diabetes mellitus combined with non-alcoholic fatty liver disease[J].Hainan Medical Journal,2013,24(12):1717-1722. |
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| Authors: | ZHANG Qiang ZHU Lei QUAN Xing-miao YANG Hong-jie ZHENG Min FAN Chao-hua LI Yun-hao ZHANG Dan HE Yan-ming |
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| Institution: | 1 . 1. Department of Endocrinology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, Shanghai 200437, CHINA; 2. Shanghai Yangpu District Pingliang Community Health Service Center, Shanghai 200082, CHINA |
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| Abstract: | Objective To analyze the TCM syndrome type of type 2 diabetes mellitus （T2DM） with non-al-coholic fatty liver disease （NAFLD）, and to provide basis for the diagnosis and treatment of T2DM combined with NAFLD. Methods The TCM clinical symptoms of 200 patients of T2DM combined with NAFLD were collected by questionnaire, and the frequency of the TCM symptoms were investigated by using factor analysis and cluster analysis. Finally, the TCM syndrome type and syndromes proportion of T2DM combined with NAFLD were summarized. Results TCM syndromes of T2DM combined with NFLD were divided into Yin deficiency, dampness, phlegm and blood, liver Qi stagnation IV proportion, accounting for 34%, 33%, 22% , 11%, respectively. Conclusion The TCM syndromes of T2DM combined with NAFLD can be divided into Yin deficiency, dampness, phlegm and blood and liver qi stagnation, mainly Yin deficiency, dampness, which provides certain reference value for the future TCM clinical diagnosis and treatment. |
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| Keywords: | Type 2 diabetes mellitus （T2DM） Non-alcoholic fatty liver disease （NAFLD） Syndrome type |
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