2型糖尿病患者体型与证候特点研究

目的:研究2型糖尿病(T2DM)患者体型与证候特点。方法:以居民小区为基本抽样群,采用随机、分层、整群抽样方法,对北京市宣武区、昌平区及平谷区的3个社区20岁以上长住居民5208人进行糖尿病筛查,并对其中2型糖尿病患者采取医生访谈的问卷调查形式进行中医证候学研究。结果:887例2型糖尿病患者中肥胖(含超重)621例,占70.0%,无典型"三多一少"症状患者768例,占80.8%,肥胖2型糖尿病实证患者中,肝胃郁热证占69.3%。结论:2型糖尿病与消渴病存在较大差异,无典型"三多一少"症状的肥胖患者为2型糖尿病的主体,肝胃郁热证为肥胖2型糖尿病的主要证型。

Study of the Characteristic of Chinese Medicine Syndrome of Type 2 Diabetes

Objective:To investigate the characteristic of Chinese medicine syndrome of type 2 diabetes.Methods:taking the approach of rangdom,stratification,the sample of the whole group,taking the residence community as the basic group of the sample,we have selected the diabetes patients from the 5208residence in 3 communityof Xuanwu,Chanfping and Pinggu districts beyond the age of 20,and have surveyed the Chinese medicine syndrome of type 2 diabetes patients with questionnaire by doctor interview.Results:Of 887 type 2 diabetes patients,70.0% are overweight or obese,that is 621 patients,and 30.0% are non-obese,that is 266 patients.80.8% of the patients are without typical symptoms,eating excessively,drinking excessively and too much urine but with weight losing(san duo yi shao).Of the obese type 2 diabetes patients,69.3% are stagnation of liver qi and stomach heat(gan wei yu re) in shi stagnation.Conclusion:There are vast difference between type 2 diabetes and xiaoke.Most obese type 2 diabetes are without typical symptoms of "san duo yi shao",and the main syndrome of obese type 2 diabetes is the stagnation of liver qi and stomach heat.