2型糖尿病中医证型与动态血糖变化相关性的临床研究

发布时间：2018-03-13 08:14

本文选题：型糖尿病　切入点：中医证型　出处：《中华中医药杂志》2017年03期 　论文类型：期刊论文

【摘要】：目的:探讨2型糖尿病(T2DM)不同中医证型与动态血糖变化的相关性,为临床证治提供参考。方法:选取60例T2DM患者,进行中医证型与血糖波动指标的观察,通过观察寻找其相关性。结果:3组受试者24h平均血糖比较,痰(湿)热互结组热盛伤津组气阴两虚组;血糖水平的标准差(SDBG)有明显差异,痰(湿)热互结组热盛伤津组气阴两虚组(P0.01);平均血糖漂移幅度、最大血糖波动幅度、日内漂移次数等指标比较,热盛伤津组痰(湿)热互结组气阴两虚组(P0.05,P0.01)。结论:痰(湿)热互结患者整体血糖水平较高,且三餐后血糖升高较为明显;热盛伤津患者,低血糖现象发生频率较高,且整体血糖波动幅度较大;气阴两虚患者,整体血糖水平偏高,血糖波动差异不显著。
[Abstract]:Objective: to explore the correlation between different TCM syndromes and dynamic blood glucose changes in type 2 diabetes mellitus (T2DM), and to provide reference for clinical treatment. Methods: 60 patients with T2DM were selected to observe the TCM syndromes and blood glucose fluctuation index. Results there were significant differences in the mean blood glucose in 24 hours between the three groups, the deficiency of qi and yin and the standard deviation of blood glucose level in the phlegm (wet) hot junction group. In the phlegm (wet) heat mutual junction group, the indexes such as average blood glucose drift range, maximum blood glucose fluctuation range, intraday drift times, and so on, were compared in the heat Sheng shangjin group, Qi-Yin deficiency group, P0.01 group, and so on. Conclusion: the blood glucose level of the patients with phlegm (wet) heat mutual junction is higher than that of the patients with hyperthermia after three meals, and the frequency of hypoglycemia is higher in the patients with heat and heat injury, and the incidence of hypoglycemia is higher in the patients with hyperthermia. And the whole blood sugar fluctuates greatly, the whole blood sugar level is on the high side in the patients with deficiency of qi and yin, but the fluctuation of blood sugar is not significant.
【作者单位】：开封市中医院;
【分类号】：R259

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