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非胰岛素依赖型糖尿病辨证分型与老化度关系探讨

A Discussion on the Relationship of the Assigned Patterns of NIDDM Based on Syndrome Differentiation and Aging Degree

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【作者】 熊曼琪林安钟方永奇朱章志

【Author】 Xiong Manqi et al.(The First Affiliated Hospital of Guangzhou College of TCM, Guangdong)

【机构】 广州中医学院第一附属医院广州中医学院第一附属医院 广东 510407广东 510407广东 510407

【摘要】 本文探讨了80例非胰岛素依赖型糖尿病(NIDDM)患者衰老规律和心血管功能障碍的特点及其与辨证分型的关系。结果表明:NIDDM患者机体衰老进程加快,有微血管病变者衰老总积分升高更显著,提示气阴两虚(阳虚)、瘀疾阻滞是NIDDM衰老的基本病机;NIDDM患者心血管功能障碍明显,表现为心率加快,心脏指数明显减低,心肌耗氧量和总外周阻力显著增加,提示无器质性心脏病的NIDDM患者左心舒缩功能、大小血管功能及植物神经功能均有不同程度的减退,气阴两虚(阳虚)、瘀痰阻滞与心血管功能障碍密切相关。

【Abstract】 This paper discusses the aging laws and cardiovascular dysfunction features of 80 cases of non-insulin dependent diabetes mellitus (NIDDM) and their relationship to the assigned patterns based on syndrome differentiation. Results; the body’s aging process is speeded up , the increase of total aging integral is more obvious in those who have the micrangium disorders, which suggests that deficiency of both qi and yin (yang deficiency), blood stasis and phlegm obstruction be the basic pathological mechanism of aging in NIDDM; the cardiovascular dysfunction is notable, expressed by rapid heart rate, obvious decreased cardiac index, obvious increased myocardial oxygen consumption and total peripheral resistance, which suggests that the functions of diastoliza-tion and contraction of the left heart, large and small vessels and vegetative nerves of those who suffer from NIDDM but with no organic heart disease fail in different degree, and that deficiency of both qi and yin (yang deficiency), blood stasis and phlegm obstruction be relative closely to the cardiovascular dysfunction. In addition, this paper also discusses the mechanism of aging and cardiovascular dysfunction of those who suffer from NIDDM by means of deficiency doctrine and qi-blood theory.

  • 【文献出处】 中国医药学报 ,China Journal of Traditional Chinese Medicine and Pharmacy , 编辑部邮箱 ,1994年03期
  • 【分类号】R259.8
  • 【被引频次】14
  • 【下载频次】94
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