基于“动-定序贯”理论浅析新诊断2型糖尿病中医证候及病机特点

Diagnosis of Type 2 Diabetes Syndromes and Pathogenesis Based on the Theory of "Moving- sequential Sequential "

目的:以"动-定序贯"理论为指导,探讨新诊断2型糖尿病中医证候及病机特点,以期为新诊断2型糖尿病的中医辨证提供新思路。方法:对93例新诊断2型糖尿病患者首发症状的中医证候特征进行频次统计、描述性分析,对中医证候进行聚类分析,归纳中医证型及病机特点。结果:93例新诊断2型糖尿病患者中,以口干多饮(83例,89.2%)、疲倦(72例,77.4%)、视朦(30例,33.3%)、多尿(22例,23.7%)、乏力(19例,20.4%)为主要首发症状,病机以虚实夹杂为主,气虚证、阴虚证、血瘀证、湿证、热证为临床主要证候。结论:新诊断2型糖尿病作为2型糖尿病的特定阶段,其中医证候及病机既有传统消渴病病机特点,又存在动态变化的规律,具有其特异性。

Objective： To discuss a new diagnosis of type 2 diabetes syndromes and pathogenesis characteristics based on the theory of ＂moving-sequential sequential＂ to provide new way of thinking of syndrome differentiation of traditional Chinese medicine. Methods： 93 cases of patients with newly diagnosed type 2 diabetes were carried frequency statistics of symptoms of TCM syndrome characteristics,descriptive analysis,clustering analysis,induction of TCM syndrome types and characteristics of the pathogenesis. Results： 93 cases of patients with newly diagnosed type 2 diabetes： drink for dry mouth（ 83 cases,89. 2%）,fatigue（ 72 cases,77. 4%）,vague（ 30 cases,33. 3%）,urine（ 22 cases,23. 7%）,acratia（ 19 cases,20. 4%） as the main starting symptoms,give priority to with factors and pathogenesis,qi deficiency syndrome,Yin deficiency,blood stasis,dampness syndromes,hot certificate for the main clinical syndrome. Conclusion： Newly diagnosed type 2 diabetes as a particular stage of type 2 diabetes,the syndromes and pathogenesis has the characteristics of traditional pathogenesis,there also has a dynamic change rule and their specificity.