388例消渴病(2型糖尿病)的证型分布及其相关因素研究

Research on permit type distribution and related factors of 388 cases of diabetes mellitus

目的:探讨本地区消渴病(2型糖尿病)的证型分布及其相关因素。方法:选取我院住院部消渴病患者388例为研究对象,对其进行回顾性分析,探讨中医证型,并分析其与年龄、性别、BMI及并发症之间的关系。结果:气阴两虚型(占25.26%)>痰瘀阻络型(占21.91%)>阴虚燥热型(占18.81%)>肝郁气滞(占13.14%)>阴阳两虚型(占9.54%);其他证型(11.34%)。男性与女性在患消渴病的危险性上基本相同,而肝郁气滞型消渴病中女性患者多于男性。阴阳两虚型患者年龄高于其他证型,痰瘀阻络型患者BMI、血脂高于其他各证型,阴虚燥热型Hb A1c高于其他证型,而合并高血压、冠心病低于其他各型(P<0.05),阴阳两虚型与痰瘀阻络型患者患糖尿病肾病、视网膜病变患者高于其他组(P<0.05)。结论:对于消渴病,临床治疗当辨证施治、遣方择药,以提高疗效,缩短疗程。

Objective： To explore factors and syndrome distribution of diabetes. Methods ： 388 cases were analyzed for syndrome and relationship among age, gender, BMI and complication. Results： Qiyin Liangxu type （25.26%）〉Tanyu Zuluo type （21.91%） 〉Yinxu Zaore type （18.81%）〉Ganyu Qizhi type （13.14%）〉Yinyang Langxu type （9.54%）, other syndromes （11.34%）. Male and female were same at risk of diabetes, but the female were more than male in Ganyu Qizhi type. The patients of Yinyang Liangxu were older than the others; the BMI and blood fat in Tanyu Zuluo are more than the others; the HbAlc in Yinxu Zaore are higher than the others and less combining hypertension with coronary disesae （P〈0.05）; the diabetic nephropathy and retinopathy of patients in Yinyang Liangxu and Tanyu Zuluo were more than the others （P〈0.05）. Conclusion： TMC medicine in differentiation could improve efficacy and shorten the course in treating diabetes.