基于初发2型糖尿病患者中医证素分布规律研究

Study on the Distribution Rule of TCM Syndromes in Patients with Newly Diagnosed Type 2 Diabetes

目的观察基于初发2型糖尿病患者中医证素分布规律研究。方法选取我院2016年1月至2018年9月收治的初发2型糖尿病患者182例作为研究对象,门诊157例,住院25例,按照糖尿病常见复合证候辨证要点将其分为热盛伤津、湿热互结、气阴两虚、阴阳两虚、肝肾阴虚、气滞痰阻六组,对比六组患者血糖、血脂指标。结果湿热互结组的血脂均高于其他五组,热盛伤津组的血糖均高于其他五组(P<0.05)。结论初发2型糖尿病患者以热盛伤津组、湿热互结组为主,检测患者血糖、血脂水平,能明确波动异常情况,提高临床诊断准确率。

Objective To observe the distribution of TCM syndromes in patients with newly diagnosed type 2 diabetes. Methods A total of 182 patients with type 2 diabetes mellitus admitted to our hospital from January 2016 to September 2018 were enrolled. One hundred and fifty-seven outpatients and 25 hospitalized patients were divided into two groups according to the dialectical points of common syndromes of diabetes. Six groups of injuries, phlegm and heat,qi and yin deficiency, yin and yang deficiency, liver and kidney yin deficiency, and qi stagnation were compared. The blood glucose and blood lipid indexes of the six groups were compared. Results The blood lipids of the hot and humid group were higher than those of the other five groups. The blood glucose of the heat-stained group was higher than that of the other five groups(P<0.05). Conclusion Patients with newly diagnosed type 2 diabetes mellitus are mainly treated with heat-supplemented spleen group and damp-heat phlegm group. The blood glucose and blood lipid levels of the patients can be detected, and the abnormality of fluctuation can be clarified, and the accuracy of clinical diagnosis can be improved.