270例2型糖尿病患者体质类型和中医临床证型调查研究

Study on TCM Constitutional Types and Clinical Syndromes of 270 Patients with Type Ⅱ Diabetes

目的:通过对270例2型糖尿病患者中医体质、中医证型的临床分析研究;了解患者中医体质与其证型分布;探求体质、证型等因素与T2DM的关系,为2型糖尿病的临床及预防提供依据。方法:通过问卷方式,调查研究270例2型糖尿病患者的体质及证型,对结果进行统计分析,故而了解2型糖尿病患者的常见体质及证型分布。结果:2型糖尿病患者常见体质为痰湿质77例(28.52%),阴虚质63例(23.33%),气虚质、湿热质42例(15.56%)。2型糖尿病患者中医证型中,痰热(湿)互结证有89例(32.96%),气阴两虚证有64例(23.70%),肝肾阴虚证有53例(19.63%),热盛津伤证有42例(15.56%),阴阳两虚证有22例(8.15%),兼血瘀证有30例(11.11%),兼痰浊证有27例(10.00%)。患者性别、年龄等因素对中医体质和中医证型的分布存在影响。结论:2型糖尿病患者常见体质为痰湿质、阴虚质、湿热质、气虚质;2型糖尿病患者中医证型中,以痰热(湿)互结证最多;患者性别、年龄等因素对中医体质和中医证型的分布存在影响。该结论为2型糖尿病的防治及临床辨证论治提供了客观依据。

Objective： To understand the TCM constitutional types and clinical syndromes of Type II Diabetes and pursue the relation among constitutional types,syndromes,other factors and asthma by investigating multi-factors in 270 patients with Type II Diabetes so as to provide evidence for the prevention and treatment of the asthma. Methods： Two hundred and seventy patients with Type II Diabetes were selected to study their TCM constitutional types and clinical syndromes by questionnaires. The distribution of the TCM constitutional types and clinical syndromes were mastered by statistics analyzing the information above. Results： The main constitutional types of Type II diabetes were phlegm-damp type（ 77 cases,accounting for 28. 52%,yin-deficiency type（ 63 cases,accounting for 23. 33%）,dampheat type and qi-deficiency type（ 42 cases,accounting for 15. 56%）. As for the TCM clinical syndromes,89 cases（ 32. 96%） were phlegm and heat（ damp） syndrome,64cases（ 23. 70%） were qi and yin deficiency syndrome,53 cases（ 19. 63%） were syndrome of yin deficiency of liver and kidney,22 cases（ 8. 15%） were deficiency syndrome of both yin and yang,30 cases（ 11. 11%） were blood stasis,and 27 cases（ 10. 00%） were phlegm turbidity syndrome. The factors such as sex,age would affect the distribution of TCM constitutional types and clinical syndromes. Conclusion： The main constitutional types of Type II Diabetes patients are phlegm-damp type,yin-deficiency type,damp-heat type and qi-deficiency type. Most patients have the TCM clinical syndrome of phlegm heat（ wet）. Factors such as sex and age affect the distribution of TCM constitutional types and clinical syndromes. This conclusion provides the objective evidence for the clinical syndrome differentiation and treatment of Type II Diabetes.