203例2型糖尿病的中医辨证分型研究

目的 :观察 2型糖尿病的中医辨证分型及其与性别、病程的关系。方法 :将 2 0 3例 2型糖尿病患者辨证分为肝肾阴虚型、脾肾阳虚型和胆胃湿热型 ,同时记录兼血瘀证者 ,将其分布例数进行男女两性之间、0～ 5a病程组和 5a以上病程组之间的比较。结果 :胆胃湿热型的例数太少无法进行统计学处理 ,肝肾阴虚型和脾肾阳虚型的例数在两性之间无显著差异 (P >0 .0 5 ) ,在 0～ 5a病程组和 5a以上病程组之间有显著差异 (P <0 .0 5 ) ,且脾肾阳虚型随病程增加而增多 ;兼血瘀证病例在两性之间无显著差别 (P >0 .0 5 ) ,在 0～ 5a病程组和 5a以上病程组之间有显著差别 (P <0 .0 5 ) ,且随病程增加而增多。结论 :2型糖尿病的中医辨证主要为肝肾阴虚型和脾肾阳虚型 ,血瘀证在病程早期即出现 ,随着病程的增加脾肾阳虚型和兼血瘀证的患者比例也增加。

Typing 203 Cases of Diabetes B by Means of TCM Differentiation of Syndromes

Purpose: To observe the typing 203 cases of diabetes B by means of TCM differentiation of syndromes and its relationship with sexes and course of disease. Method: 203 cases of diabetes B were divided, by means of differentiation of syndromes, into deficiency of liver-yin and kidney-yin type, deficiency of spleen-yang and kidney-yang type and damp-heat of gallbladder and stomach type. Meanwhile, the patients with complicated blood stasis were noted down and the distraction cases of different sexes and those of 0-5a course of disease group and over 5a course of disease were compared. Result: The cases of the damp-heat of gallbladder and stomach type were too less to be analyzed in statistics. There was no remarkable difference between two sexes as to the cases of the deficiency of liver-yin and kidney-yin type and those of the deficiency of spleen-yang and kidney-yang type. There was an evident difference between the cases of 0-5a course of disease group and the cases of over 5a course of disease group, and the cases of the deficiency of spleen-yang and kidney-yang type increased with the course of disease. As to the patients with complicated blood stasis, there was no remarkable difference (P>0.05) between two sexes, but there was an evident difference between the cases of 0-5a course of disease group and the cases of over 5a course of disease group, and cases increase with the course of disease. Conclusion: TCM differentiation of syndromes of diabetes B is mainly for the deficiency of liver-yin and kidney-yin type and the deficiency of spleen-yang and kidney-yang type, the syndrome of blood stasis emerged at the early stage of the course of disease, and the rate of patients with deficiency of spleen yang and kinder-yang and the complicated blood stases increased with the course of disease.