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2518例肥胖2型糖尿病中医证型分类研究
引用本文:仝小林,毕桂芝,甄仲,常柏,刘霞,翟翌,陈良,董柳,李红皎,于波,王佳,周立波,张燕妮.2518例肥胖2型糖尿病中医证型分类研究[J].世界中西医结合杂志,2008,3(1):26-28.
作者姓名:仝小林  毕桂芝  甄仲  常柏  刘霞  翟翌  陈良  董柳  李红皎  于波  王佳  周立波  张燕妮
作者单位:1. 中国中医科学院广安门医院,北京,100053
2. 首都医科大学燕京医学院,北京,101300
3. 北京中医药大学,北京,100025
摘    要:目的:研究肥胖2型糖尿病(T2DM)的中医症状分布、证型特征。方法:采集门诊病例信息,按类别分析,确定主要证型。结果:2518例肥胖T2DM患者中肝胃郁热证1332例,占52.9%;胃肠实热证368例,占14.6%;气滞痰阻证171例,占6.8%;脾虚痰湿证219例,占8.7%;其他证型428例,占17%。2518例肥胖T2DM患者属中满内热者1871例,占74.3%,其中肝胃郁热证1332例,占71.2%;非中满内热者647例,占25.7%。结论:随着年龄的增长及病程的延长,实证所占比率逐渐下降,虚证或虚实夹杂证所占比率则呈逐渐上升趋势。

关 键 词:2型糖尿病  肥胖  中医证型  中满内热  肝胃郁热证
文章编号:1673-6613(2008)01-0026-03
修稿时间:2007年12月27

TCM Syndrome Differentiation of 2,518 T2DM Cases
Affiliation:Tong Xiaolin, Bi Guizhi,Zhen Zhong,et al(1. Guang'anmen Hospital, China Academy of Traditional Chinese Medicine, Beijing 100053 ; 2. Capital Medical University Yanjing Medical College, Beijing 101300;3. Beijing University of TCM,Beijing 100025)
Abstract:Objective :To study the distribution and TCM syndrome differention characteristics of type 2 diabetes mellitus (T2DM)cases. Methods:The main syndromes were determined and sorted according to the analysis of information collected clinically. Results:1, 332 T2DM cases out of 2,518 were stagnation of liver and stomach heat syndrome by 52.9%;368 cases were excess heat of stomach and intestine syndrome by 14.6%;171 were stagnation qi and phlegm syndrome by 6.8 %; 219 were spleen deficiency and phlegm retention syndrome by 8.7% ;428 were others by 17%. 1,871 cases out of 2,518 were of fullness and heat constitution by 74.3%, 1,332 of them were of stagnation of liver and stomach heat syndrome by 71.2%;then the left 647 cases were others by 25.7%. Conclusion:The rate of excess syndrome reduced while deficiency syndrome increased along with age and progress of a disease.
Keywords:T2DM  obesity  TCM syndrome types  interior fullness and heat  stagnation of liver and stomach heat syndrome
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