从“治未病”探讨2型糖尿病合并颈动脉粥样硬化的防治

Prevention and Treatment of Carotid Atherosclerosis in Type 2 Diabetes Mellitus by Theory of“Preventive Treatment of Disease"

[目的]从中医"治未病"思想方面综述了糖尿病患者颈动脉粥样硬化的防治,强调早期防治的重要性。[方法]检索近年来2型糖尿病患者颈动脉粥样硬化危险因素的相关研究,全面总结传统危险因素以及最新发现的危险因素。贯彻中医"治未病"思想,从"未病先防"和"既病防变"两大方面探讨糖尿病患者颈动脉粥样硬化的防治。[结果]对尚未发现颈动脉粥样硬化的糖尿病患者,早期对危险因素的控制,并及时给予干预,能预防糖尿病血管病变的发生与发展;对已有颈动脉粥样硬化的糖尿病患者,进行积极治疗,能降低脑卒中、心肌梗死等危重病的发生率。[结论]对2型糖尿病患者颈动脉粥样硬化的危险因素进行早期控制及干预,贯彻"未病先防"和"既病防变"的思想,能有效的减少糖尿病血管病变的发生与发展,提高患者的生活质量,但早期诊断的技术及指标有待更进一步的研究。

[Objective] To emphasize the importance of early prevention and treatment, this article discusses on the theory and application of preventive treatment of disease from traditional Chinese medicine in prevention and treatment of carotid atherosclerosis in patients with diabetes. [Methods] With de- tailed research into related study of risk factors affecting carotid atherosclerosis in type 2 diabetic patients from recent years, comprehensive summary of tra- ditional risk factors and risk factors of the latest findings were demonstrated. The prevention and treatment of carotid atherosclerosis in type 2 diabetes mellitus was discussed in two aspects by theory of ＂preventive treatment of disease＂. [Result] In diabetic patients without carotid atherosclerosis, early and timely intervention can prevent the occurrence and development of the diabetes vascular lesions; In diabetic patients with carotid atherosclerosis, active treatment can reduce the incidence of stroke, myocardial infarction and other critical care. [Conclusion] In patients with type 2 diabetes, risk factors affect- ing carotid atherosclerosis should be controlled and intervened early, which can effectively reduce the occurrence and development of the diabetes vascular lesions to improve the quality of life, but early diagnosis technology and indicators need to be further researched.