基于结构化临床信息采集系统的2型糖尿病辨证分型研究

目的：研究2型糖尿病辨证及三型辨证的客观性与实用性。方法：经结构化临床信息采集系统采集533例2型糖尿病患者的诊疗信息,经计算机分型。结果：509例（95.6%）取得分型者中：阴虚证286例（56.2%）,气虚证233例（45.8%）,阳虚证180例（35.4%）,热盛证179例（35.2%）,湿痰证159例（31.2%）,湿热证80例（15.7%）,血瘀证350例（68.8%）。复证394例（77.4%）、单证115例（22.6%）。具体证型54种。阴虚热盛、气阴两虚、阴阳两虚及其兼证共222例（43.6%）。单纯虚证62例,复合虚证10例,单纯实证53例,血瘀证43例,复合实证28例;虚实夹杂证356例（69.9%）。在三大并发症组中气阴两虚型最多。结论：2型糖尿病证型复杂,三型辨证具有一定客观性与实用性。

Study on Syndrome Differentiation of Noninsulin-dependent Diabetes Mellitus Based on Structurally Clinic Informational Gathering System

Objective: To study the objectivity and practicability of syndrome differentiation and three-typed syndrome differentiation of noninsulin-dependent diabetes mellitus.Methods: We collect the diagnostic information of 533 cases suffered from type 2 diabetes mellitus by structurally clinical informational gathering system and classify syndromes by computer.Results: Among the 509(95.6%)typing cases,286 as Yin deficiency syndrome(56.2%),233 as Qi deficiency syndrome(45.8%),180 as Yang deficiency syndrome(35.4%),179 as heat excessiveness syndrome(35.2%),159 as damp phlegm syndrome(31.2%),80 as damp-heat syndrome(15.7%) and 350 as blood stasis syndrome(68.8%).394 as compound syndrome(77.4%) while 115 as single syndrome(22.6%).The number of syndromes is 54.There are 222(43.6%) cases belong to syndrome of yin deficiency and heat excessiveness ,deficiency of both qi and yin and deficiency of both yin and yang as well as their accompanied syndrome.Among all the cases there are 62 typed as single deficient syndrome,10 as compound deficient syndrome,53 as single sthenia syndrome ,43 as blood stasis syndrome.28 as compound sthenia syndrome and 356(69.9%) as intermingled deficiency and excess syndrome.Most of the cases belong to the deficiency of both qi and yin syndrome in the three complications.Conclution: The syndrome differentiation of type 2 diabetes mellitus is very complex and three-typed syndrome differentiation is of certain objectivity and practicability.