糖尿病伴失眠的中医症状分析

Analysis on TCM symptoms of diabetes combined with insomnia

目的通过收集解放军309医院中医科2016年10月至2017年1月糖尿病伴失眠患者的症状、证候分布、舌象、脉象,分析并总结出其中医证治特点。方法根据患者病例资料,统计患者的症状、体征、舌象、脉象等基本情况进行统计学分析。结果糖尿病伴失眠患者最常见的证型为气阴两虚,最容易兼夹瘀血。其最常见的症状除传统意义上的口干、多饮、多尿外,乏力、四肢麻木,夜尿增多也在糖尿病伴失眠患者中普遍存在。结论糖尿病伴失眠患者以气阴两虚型患者最为多见,且大多数患者兼夹瘀血,临床上除常规使用益气养阴药物以外,还应该根据其兼伴症状的不同,酌情选择活血化瘀药物对症治疗。

Objective To analyze the characteristics of TCM syndrome and treatment of diabetes combined with insomnia in the patients by collecting the symptoms,syndrome distribution,tongue and pulse conditions from October 2016 to January 2017 in the Department of Chinese Medicine,No. 309 Hospital,PLA. Methods According to the case data of the patients,the basic conditions such as the symptoms,physical signs,tongue and pulse were analyzed. Results Qi and yin deficiency was the most common one,and easily combined with stasis. The most common symptoms included lassitude,numbness of limbs and profuse nocturnal urine besides dry mouth,polydipsia and polyuria. Conclusion Diabetes combined with insomnia is dominated as qi and yin deficiency,and commonly combined with stasis. In clinical treatment,except the routine medication for benefiting qi and nourishing yin,the symptomatic treatment is given with the herbal medicine for activating blood circulation and resolving stasis according to the combined symptoms.