2型糖尿病患者中医证素特征的研究进展

Research Progress in TCM Syndrome Elements of Type 2 Diabetes Mellitus Patients

中医证素理论被广泛应用于2型糖尿病(T2DM)的病机研究中,不同类型的患者证候各有特点。T2DM患者总的来讲以气阴两虚为基础,兼有并发症者多为痰瘀互结;兼有合并症者常带有它病的证素特点;肥胖者偏于实证,以中满内热为主要特点;妊娠患者以虚证为主;老年患者病机虚实夹杂;睡眠障碍患者多伴见阴阳功能失调。以证素理论研究T2DM的证候组成规律,提高了中医临床治疗的规范性和准确性。

Chinese medicine syndrome elements theory is widely used in the pathogenesis of type 2 diabetes mellitus（T2DM）,and different types of patients have their own characteristics.The ＂ syndrome elements＂ survey shows that patients with T2DM in general have Qi and Yin Deficiency,and the complications are mostly phlegm and blood stasis; and patients with comorbidities often have the syndromes characteristics of other diseases; most patients with obesity have phlegm turbidity and excessive heat; pregnancy patients are mostly with Qi deficiency; elderly patients often contain a variety of syndrome elements; patients with sleep disorders have Yin and Yang dysfunction.The study on syndromes composition law of T2DM by traditional Chinese medicine syndrome elements theory,has improved the normativeness and accuracy of clinical treatment of traditional Chinese medicine.