2型糖尿病高危脑卒中风险患者中医体质学特征分析

正脑卒中是2型糖尿病(T2DM)患者主要脑血管病并发症,具有高发病率、高致残率、高死亡率和高复发率特征~([1])。笔者在前期探讨本地区T2DM不同脑卒中风险患者中医体质类型分布规律的基础上,结合现代医学对糖尿病高危脑卒中患者临床生理病理及多重危险因素的认识,进一步分析了该类群体不同体质类型间临床生理病理及多重危险因素的差异

Analysis of TCM constitution characteristics of patients with type 2 diabetes mellitus with high risk of stroke

Objective to investigate the differences of clinical physiology, pathology and multiple risk factors in patients with type 2 diabetes with high risk of stroke. Methods the 630 cases of T2DM patients according to the modified Framingham score were screened in patients with high risk of stroke, according to the "Chinese constitution classification and decision" for the main types of constitution and the high frequency group, gender, age, course of disease, compared with BMI, WHR, stroke probability, SBP, DBP, HbA1c, SUA, TC, TG, hs-CRP, Hcy, CIMT and carotid artery plaque project.Results (1)444 cases of T2DM patients at high risk of major high frequency physical type is Qi deficiency, yin deficiency, Qi and yin deficiency, yin deficiency and phlegm dampness, Qi and yin deficiency and blood stasis. (2) yin deficiency constitution, yin deficiency and phlegm and blood stasis of Qi Yin deficiency and 3 groups of female higher than Qi deficiency group; Qi deficiency, yin deficiency and phlegm and blood stasis of Qi Yin deficiency and 3 groups of age higher than Yin deficiency group; stroke probability of yin deficiency and blood stasis quality than the other 4 groups. (3) yin deficiency and blood stasis matter group smoking rate is higher than that of qi deficiency group and yin deficiency constitution group; Qi and yin deficiency and phlegm, Qi and yin deficiency and blood stasis group 2 TC, TG higher than the other 3 groups. (4) Qi and yin deficiency and phlegm dampness, Qi and yin deficiency and blood stasis group 2 SUA higher than Yin deficiency group; Qi quality, Qi and yin deficiency and phlegm, Qi and yin deficiency and blood stasis group 3 SUA higher than Qi deficiency group.(5) Qi and yin deficiency and phlegm dampness of hs-CRP and Hcy were higher than the other 4 groups; Qi and yin deficiency and phlegm, yin deficiency and blood stasis constitution in 2 groups of CIMT, carotid plaques were higher than the other 3 groups; Yin deficiency and blood stasis matter group CIMT higher than Qi and Yin deficiency and phlegm dampness group.conclusions The main of T2DM high frequency high risk of stroke in patients with physical Qi deficiency, yin deficiency, Qi and yin deficiency, yin deficiency and phlegm dampness, Qi and yin deficiency and blood stasis. Qi and yin deficiency and phlegm dampness, Qi and yin deficiency and blood stasis: there are 2 types of pathological manifestations of higher stroke risk factors and carotid atherosclerosis.