2518例肥胖2型糖尿病中医证型分类研究

TCM Syndrome Differentiation of 2,518 T2DM Cases

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。

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.