初诊消渴病分型与血脂变化特点探要

目的]探讨初诊消渴病中医辨证4种分型与血脂变化的相关性。方法]将100例初发消渴病患者辨证分型为阴虚燥热、痰湿中阻、气阴两虚和气阴两虚兼血瘀四种证型，记录其一般情况、体重指数（BMI）、腰围（WC）、总胆固醇（TC）、甘油三酯（TG）、低密度胆固醇（LDL）和高密度胆固醇（HDL）等值。结果]痰湿中阻型BMI、WC和TG较其他三组均显著升高（P〈0．01），TC较气阴两虚组和气阴两虚兼血瘀组均显著升高（P〈0．05）。结论]初发消渴患者中痰湿中阻型与血脂异常密切相关，消渴合并腹型肥胖人群更易发生血脂异常。

Investigation of the relation of syndrome differentiation of first-diagnosed diabetes mellitus and dyslipidemia

Objective ] To investigate the relation of syndrome differentiation of first - diagnosed diabetes mellitus and dyslipidemia. Methods] 100 first -diagnosed diabetes patients were invided into 4 groups according to syndrome differentiation ： fire due to Yin deficiency, phlegm - damp obstruction, Qi and blood deficiency, Qi and blood deficiency with blood staffs. Register their name, body massindex （BMI） ,waistline （ WC）, totalcholesterol （ TC ）, triglyeride （ TG）, low - density lipoprotein cholesterol （ LDL - C ） and high - density lipoprotein cholesterel （ HDL - C）. Result ] BMI, WC and TG of phlegm - damp obstruction group are observably higher than those of other 3 groups（P 〈0.01 ） and it＇s TC is also higher than that of Qi and blood deficiency,Qi and blood deficiency with blood staffs groups（P 〈0.05）. Conclusion] Phlegm -damp obstruction group has close relation with dyslipidemia . Diabetes mellitus combined with abdomen -fatness tend to suffer dyslipidemia.