《糖尿病合并高脂血症病证结合诊疗指南》解读

Interpretation of guidelines for the diagnosis and treatment of diabetes mellitus with hyperlipidemia combined with disease and syndrome

随着现代生活方式及饮食结构的改变,糖尿病合并高脂血症的发病率逐年升高,已成为心血管疾病的重要危险和死亡因素。为进一步推广和发挥中医药特色及优势,指南编写团队采用病证结合模式,在重视疾病诊断及辨证论治的基础上,对糖尿病合并高脂血症的诊疗进行规范。2021年8月,《糖尿病合并高脂血症病证结合诊疗指南》(以下简称《指南》)在《世界中医药》杂志发表。该《指南》基于病证结合的模式,突出“病证结合、精准诊疗;更新诊断、分而论治;食养功法、突出特色;基于循证、不唯循证”的特色,以循证医学证据和专家共识经验为基础,对糖尿病合并高脂血症的病证结合诊断、治疗、康复形成推荐方案。文章对该《指南》内容及特色进行逐一解读,以期更好地为临床医师提供简明实用的指导,推广《指南》的临床应用。

Along with the change in lifestyle and diet,diabetes mellitus with hyperlipidemia has been a major risk and death factor for cardiovascular disease with the increasing incidence of diabetes mellitus with hyperlipidemia year by year.In order to promote and make full use of unique characteristics and advantages of TCM,the guidance writing group adopted the pattern of combination with disease and syndrome to make a standardized approach to diagnosis and treatment based on emphasis on diagnosis and treatment.Guidelines for the Diagnosis and Treatment of Diabetes Mellitus with Hyperlipidemia Combined with Disease and Syndrome(hereinafter referred to as"the Guideline")was published in the World Chinese Medicine in August,2021.Based on the pattern of combination with disease and syndrome,the Guideline highlights the significant characteristics,such as:precise diagnosis and treatment by combined with disease and syndrome,updating criteria,rehabilitation diet therapy and exercise and following the principles which include but not limited to evidence-based medicine.According to the evidence of evidence-based medicine and expert consensus,the Guideline gives recommendations for diagnosis,treatment and rehabilitation of diabetes mellitus with hyperlipidemia.In the article,the main contents and characteristics of the new guideline were interpreted in order to provide concise and practical guidance for clinicians and promote the clinical popularization and application of the Guideline.