【摘要】 目的:确定2型糖尿病的规范化证型,并展开对中医证候分型与胰岛素抵抗、胰岛功能相关性的探讨,为2型糖尿病的临床辨证提供客观诊断依据。方法:采用流行病学研究方法,选取符合标准的327例患者,收集其四诊信息,填写CRF表,最后将所有资料录入数据库。通过统计软件SPSS13.0系统聚类处理,结合专家组评定意见,筛选出2型糖尿病的中医证候群。结果:2型糖尿病可分为湿热内蕴、气阴两虚、肾阳不足及瘀血阻络4个证型,气阴两虚证所占比例最多,瘀血贯穿糖尿病的发病全过程。结论:本研究按照严格的标准收集四诊资料,采用统计学分析处理,筛选了2型糖尿病的4个规范化中医证型,具有较高可信度,可供临床和研究参考。更多还原

【Abstract】 Objective:To determine standardized patterns for Type Ⅱ Diabetes and explore their correlation with insulin resistance and insulin functions so as to provide objective diagnostic proofs for clinic pattern differentiation.Methods:We selected 327 subjects according to epidemiologic study methods,collected outcomes of four examinations,filled in CRFs,and filed data into the databank.The Chinese medical patterns for Type Ⅱ Diabetes were determined by statistic analysis with Software SPSS13.0 plus advices from experts.Results:Type Ⅱ Diabetes can be categorized to four patterns,i.e.internal retention of damp-heat,deficiency of both qi and yin,inadequate Kidney yang and obstruction of collaterals by blood stasis.Deficiency of qi and yin was dominant,and blood stagnation accompanied the whole progress of Type Ⅱ Diabetes.Conclusion:Four standardized Chinese medical patterns for Type Ⅱ Diabetes were determined on strictly collected 4 examinations information by statistic analysis.The outcome was relatively highly reliable for clinical and research reference.更多还原