基于古今医案云平台系统探析2型糖尿病合并高尿酸血症的中医诊疗特点

Analysis of TCM Diagnosis and Treatment Characteristics of Type 2 Diabetes Combined with Hyperuricemia Based on the Cloud Platform of Ancient and Modern Medical Records

目的:基于古今医案云平台系统探析2型糖尿病合并高尿酸血症的中医诊疗特点,为该病临床诊疗提供参考。方法:收集2021年10月1日~2022年10月30日在湖北省中西医结合医院内分泌科住院的2型糖尿病合并高尿酸血症患者的基本信息、四诊资料及中药处方,运用古今医案云平台进行数据挖掘。结果:符合纳入标准的患者共60例,涉及中药128味,使用频次高的中药依次为黄芪、党参、麦冬、五味子、土茯苓,药性以平、温、微寒、寒为主,药味以甘、苦、辛为主,归经主入肺、脾、肾经,药效以健脾和胃、利水消肿、润肠通便为主,使用频次最高的10位中药进行聚类分析分为3类中药,获得一个核心处方。结论:2型糖尿病合并高尿酸血症患者的治疗中需结合消渴病阴虚内热的基本病机,注重调理脾胃,适当运用健脾和胃、利水消肿、润肠通便之品,达到补虚泻实、阴阳平衡的目的。

Objective: This paper aims to explore the characteristics of TCM diagnosis and treatment of type 2 diabetes mellitus complicated with hyperuricemia based on ancient and modern medical records cloud platform system, and to provide reference for clinical diagnosis and treatment of this disease. Methods: The basic information, four diagnostic data and traditional Chinese medicine prescrip-tions of type 2 diabetes patients with hyperuricemia hospitalized in the Endocrinology Department of Hubei Provincial Hospital of Integrated Traditional and Western Medicine from October 1, 2021 to October 30, 2022 were collected, and the data were mined using the cloud platform of ancient and modern medical records. Result: A total of 60 patients met the inclusion criteria, involving 128 TCM flavors. The most frequently used herbs were Astragalus membranaceus, codonopsis, ophi-opogon, schisandra and pachycoia. The drug properties were mainly flat, warm, slightly cold and cold, the tastes were mainly sweet, bitter and spicy, and the main channels were into lung, spleen and kidney channels, and the drug effects were mainly to strengthen spleen and stomach, relieve swelling and relieve bowel. The 10 most frequently used Chinese medicines were classified into 3 types by cluster analysis, and a core prescription was obtained. Conclusion: In the treatment of type 2 diabetes patients with hyperuricemia, it is necessary to combine the basic pathogenesis of Yin de-ficiency and internal heat of Xiaothirst disease, pay attention to regulating the spleen and stomach, appropriately use the products that strengthen the spleen and stomach, reduce swelling and water, moisten bowel, and achieve the purpose of tonifying deficiency and reducing excess and balancing Yin and Yang.