2型糖尿病轻度认知功能障碍的中医证候研究

Study on TCM syndrome types of type 2 diabetes metillus with mild cognitive disorder

目的:探讨2型糖尿病轻度认知功能障碍中医证候分布规律及特点,以指导临床工作。方法:收集西医诊断为2型糖尿病轻度认知功能障碍患者的资料,运用因子分析等方法进行分类研究。结果:2型糖尿病轻度认知功能障碍可归纳为5个中医证型,分别为肾虚髓减证(35.54%)、脾气亏虚证(19.83%)、肝郁血虚证(17.36%)、痰浊阻窍证(15.70%),瘀血阻络证(11.57%)。结论:2型糖尿病轻度认知功能障碍中医证候病位在肾、脾、肝,以虚证为主。

Objective： Explorement of the distribution regularity and characteristic of TCM syndrome types in type 2 diabetes metillus with mild cognitive disorder based on TCM theory, to provide a reference for clinical work. Methods： The clinical data of patients with type 2 diabetes metillus with mild cognitive disorder were collected. Then these data were analyzed with factor analysis. Results： There were 5 TCM syndrome types in type 2 diabetes metillus with mild cognitive disorder as following： deficiency of kidney and marrow syndrome accounting for 35.54%, deficiency of spleen-qi syndrome accounting for 19.83%, stagnation of the liver-qi and deficiency of blood syndrome accounting for 17.36%, stagnation of phlegm in the upper orifices syndrome accounting for 15.70% and blood stasis in the collateral channels syndrome accounting for 11.57%. Conclusion： The distribution regularity and characteristic of TCM syndrome types in type 2 diabetes metillus with mild cognitive disorder could be summarized that the location of the lesion may concentrate on kidney, spleen and liver, and the nature of the disease may be deficiency syndrome.