应用量表积分评价糖尿病周围血管病变中医证候规律的研究

目的]揭示糖尿病周围血管病变不同证型患者量表积分的差异,为临床诊断和治疗该病提供可靠的客观依据。方法]将202例糖尿病周围血管病变患者按照中医辨证分为气阴两虚兼血瘀、气阴两虚兼湿热、阴阳两虚组,进行量表评测,研究不同证型之间的差异性。结果]气阴两虚兼血瘀组、气阴两虚兼湿热组与阴阳两虚组糖尿病控制状况评价量表评分、糖尿病生存质量特异性量表评分依次减低且差异有统计学意义(P0.01)。结论]阴阳两虚型患者糖尿病控制状况及生存质量最差,气阴两虚兼湿热型患者较好,气阴两虚兼血瘀型最好。研究显示了糖尿病周围血管病不同证型之间的发病规律、疾病控制状况及生存质量,为临床诊断和治疗该病患者提供可靠的客观依据。

Study on the rating scales and the law of the traditional Chinese medicine syndrome of diabetic peripheral vascular disease

Objective] To reveal the difference of the rating scales of the patients of the different traditional Chinese medicine(TCM )syndrome of diabetic peripheral vascular disease in order to provide solid, objective knowledge basis for accurate diagnosis and effective treatment. Methods] The 202 patients with diabetic peripheral angiopathy were divided into three groups based on symptoms, which include Qi-Yin asthenia with blood stasis, Qi-Yin asthenia with dampness-heat and Yin-Yang concurrent deficiency. The rating scale was used to evaluate differences among groups. Results] The score of the rating scale with control status scale for diabetics and diabetic quality of life showed gradually decreases in the Qi-Yin asthenia with blood stasis group, the Qi-Yin asthenia with dampness-heat group and the Yin yang concurrent deficiency group(P<0.01).Conclusion] The Yin-Yang concurrent deficiency group has worst results in control status scale for diabetics and diabetic quality of life. The Qi-Yin asthenia with dampness-heat group follows is the next and then is Qi-Yin asthenia with blood stasis group. Various occurrences, control of status scale of disease and quality of life of the patients have been identified in patients with the diabetic peripheral angiopathy syndrome so as to provide reliable, objective evidence for accurate diagnosis and effective treatment.