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2型糖尿病不同中医证型红细胞Ins-RTPK活性变化机理探讨
引用本文:祁建生,张恩平,李秀娟,汪碧萍,吴作干.2型糖尿病不同中医证型红细胞Ins-RTPK活性变化机理探讨[J].浙江中西医结合杂志,2002,12(2):71-73.
作者姓名:祁建生  张恩平  李秀娟  汪碧萍  吴作干
作者单位:福建省中医药研究院,福州,350003
基金项目:福建省自然科学基金资助项目 ( 1999~ 2 0 0 2 ) 0 9910 0 14
摘    要:目的 :研究 2型糖尿病病人不同中医证型红细胞 Ins- RTPK活性变化。方法 :对 2型糖尿病 1 0 8例分别进行中医辨证分型 ,另设正常对照 3 0例 ,分别测定红细胞 Ins- RTPK活性及 2 4 h尿1 7- OHCS排出量。结果 :中医各证型红细胞 Ins- RTPK活性下降 ,其变化规律呈气滞血瘀型≌阴虚热盛型 >气阴两虚型 >阴阳两虚型 ;各证型 2 4 h尿 1 7- OHCS也有一定改变。结论 :不同中医证型的实验室变化说明 2型糖尿病病理机制与下丘脑 -垂体 -肾上腺皮质轴的功能改变有关。

关 键 词:2型糖尿病  胰岛素受体  胰岛素受体酪氨酸蛋白激酶  肾上腺皮质
修稿时间:2001年5月28日

Mechanism Exploration of Type Ⅱ Diabetes Cases with Different TCM Diagnosis
Qi Jiansheng,Zhang Enping,L i X iujuan,et al..Mechanism Exploration of Type Ⅱ Diabetes Cases with Different TCM Diagnosis[J].Zhejiang Journal of Integrated Traditional Chinese and Western Medicine,2002,12(2):71-73.
Authors:Qi Jiansheng  Zhang Enping  L i X iujuan  
Institution:Qi Jiansheng,Zhang Enping,L i X iujuan,et al.The TCM Research institute of Fujian Province,Fuzhou35 0 0 0 3
Abstract:Objective:To explore the changes of Ins- RTPK of red blood cells in type diabetes cases.Methods: 10 8type II diabetes cases were diagnosed based on TCM differential diagnosis with another30 cases as the control. Detections were m ade on the Ins- RTPK activity and 2 4hour urine17- OHCS levels.Results:The Ins- RTPK activity of red blood cells was reduced in all the cases which was more significant in the following order:Qi stagnation and blood stasis cases,Yin weakness and too much heat cases,weakness of both Qi and Yin,Yin and Yan weakness cases.17- OHCH change was also observed in different TCM diagnosis type diabetes cases. Conclusion:The lab test changes in different type diabetes cases indicated that it was related to the hypothalamus- hypophysis- adrenal gland functions.
Keywords:Type Diabetes  Insulin receptor  Tyrosine protease  Adrenal cortex
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