糖尿病胃轻瘫中医证候特点及其证候与胃排空障碍的关系

探讨糖尿病胃轻瘫的证候特点以及证候与胃肠动力异常变化的关系。将 14 6例确诊为糖尿病胃轻瘫的病例进行中医辨证分型和X线钡透固体胃排空检测 ,比较不同证型组间的差异。结果 :糖尿病胃轻瘫的脾虚兼证型占 84 9% ,而胃阴虚兼证型仅占 15 1%。胃排空障碍严重程度脾虚兼痰浊组和脾虚兼痰瘀组分别与脾虚兼气滞组比较有显著差异 (P <0 0 0 1) ,而脾虚兼痰浊组和脾虚兼痰瘀组比较无显著差异 (P >0 0 5 )。提示糖尿病胃轻瘫的证候特点为虚实夹杂 ,兼夹的病邪性质不同 (痰浊 /痰瘀与气滞 )与胃排空障碍严重程度有关 ,DGP的证候与其胃肠动力学的异常改变有着一定的关系。

Chinese Medical Syndrome Characteristics of Diabetic Gastroparesis and Their Correlation with Gastric Emptying Dysfunction

To study the Chinese medical syndrome characteristics and their correlation with gastrointestinal motility, 146 subjects were differentiated in Chinese medical syndrome and examined by barium meal to make a contrast among syndromes. Results: 84.9% of the subjects were of spleen asthenia, and 15.1% of stomach-yin deficiency; there were significant differences in the severity of gastric emptying dysfunction between spleen asthenia with phlegm-turbidity, spleen asthenia with phlegm blood-stasis and spleen asthenia with qi stagnation (P<0.001), no difference between the former two syndromes (P>05). It is suggested that diabetic gastroparesis is characterized by deficiency-excess complex, and related to gastrointestinal motility.