海南地区糖耐量减低人群中医症候特点

Characteristics of TCM syndromes in patients with impaired glucose tolerance in Hainan area

目的探讨海南地区糖耐量减低（IGT）人群的中医证候分布规律，分析海南地区IGT人群主要中医证型与IGT相关生化指标之间的关系，从而为海南地区中医及中西医结合防治IGT提供理论依据。方法收集2010—2013年海南省中医院内分泌科、心血管内科、神经内科、老年病科300例IGT患者的一般资料、相关生化指标及中医四诊资料，根据证候标准进行辨证分型，并对各个证型之间的空腹血浆血糖、OGTT实验2h血糖数据进行分析。结果在300例IGT患者中，最常见三种证型为脾虚痰湿证130例，占43．3％、阴虚气滞证110例，占36．7％，气阴两虚证60例，占20．0％，其中以脾虚痰湿证最多。结论在海南地区IGT患者出现的多个临床症状及体征中，“神疲乏力”出现最频繁。脾虚痰湿证、气阴两虚证、阴虚气滞证是海南地区IGT患者主要的中医证型，其中脾虚痰湿证最常见。

Objective To discuss the distribution of TCM syndromes in patients with impaired glucose tolerance in Hainan area and explore the relationship between TCM syndrome types and biochemical indexes of IGT patients, in order to provide theoretical basis for preventing and treating IGT with TCM and TCM combined with western medicine Hospital in Hainan area. Methods The general information, biochemical indexes and TCM diagnostic data of 300 IGT patients from department of endocrinology cardiovascular medicine, neurology, geriatrics in Hainan provincial TCM Hospital from 2010 to 2013 were collected. Fasting plasma glucose and OGTT 2H glucose of syndrome types based on the standard of CTM syndromes were analzyed. Results （1） In 300 IGT patients, 130 cases had syndrome of phlegm-dampness due to deficiency of the spleen syndrome （43.3%）, 110 cases showed of yin deficiency and qi stagnation （36.7%）, 60 cases showed syndrome of deficiency of both qi and yin （20%）. Conclusion The most frequent clinical symptom and sign of IGT patients of Hainan area was lassitude. The main syndromes of IGT patients in Hainan area were phlegm-dampness due to spleen deficiency, deficiency of both qi and yin, in deficiency and qi stagnation, and the most common pattern of syndrome was syndrome of phlegm-dampness due to spleen deficiency.