2型糖尿病731例患者中医证型分布研究

The Investigation of the TCM Syndrome Type Distribution of 731 Cases of Type 2 Diabetic Patients

目的：分析731例2型糖尿病患者中医证型分布特点,并探讨常见证型与年龄、病程的关系。方法：收集731例2型糖尿病患者资料,采用SPSS20.0统计学软件对患者的中医证型、相关因素进行分析。结果：1731例2型糖尿病患者的证型构成比：气阴两虚证为32.0%,阴虚火旺证为28.9%,脾虚胃热证为14.4%,胃肠实热证为9.6%,肺胃郁热证为9.3%;2在主症合并有兼夹证中,瘀血证占45.4%,痰饮证占19.2%,湿浊证占15.7%;32型糖尿病患者证型与年龄的关系：青年（〈45岁）发生率最高的证型是阴虚火旺证;中年（45～59岁）发生率最高的证型是气阴两虚证;老年（≥60岁）发生率最高的证型是气阴两虚证。结论：气阴两虚证、阴虚火旺证是2型糖尿病患者临床最常见的证型;不同证型的分布与患者年龄和病程有一定的相关性。

Objective： To investigate the TCM syndrome type distribution of 731 patients of type 2 diabetic patients,and to explore the relationship between common syndromes and age,course of disease. Methods： Collecting 731 cases of type 2 diabetes and utilizing SPSS20. 0 statistical software were investigated to analyze the TCM syndrome type and related factors of patients. Results： 1The constituent ratios of 731 cases of type 2 diabetes： the syndrome of deficiency of both Qi and Yin was 32. 0%,syndrome of spleen Qi deficiency was 28. 9%,spleen stomach deficiency and stomach heat syndrome was 14. 4%,excess- heat syndrome of intestines and stomach was 9. 6%,the stagnated heat syndrome of stomach and lungs was 9. 3%; 2 In the company syndrome combined with main syndrome,the syndrome of blood stasis was 45. 4%,the syndrome of phlegm and fluid retention was 19. 2%,the syndrome of pathogenic damp was 15. 7%; 3The relationship between syndrome type and age of patients： young（ before 45）the syndrome of fire excess from Yin deficiency occupied the most,middle age（ 45- 59） ： the syndrome of deficiency of both Qi and Yin occupied the most,old age（ ≥60） ： the syndrome of deficiency of both Qi and Yin occupied the most. Conclusion： The syndrome of deficiency of both Qi and Yin and the syndrome of fire excess from Yin deficiency were the the most popular syndrome among type 2 diabetes. The distribution of different syndrome types were related to the age and disease course of the patients.