摘要
目的探讨糖耐量低减(IGT)人群中医证型特点,为临床施治提供依据。方法通过口服糖耐量试验筛选IGT病例,记录包括腰臀比、体重指数、血压、血糖、肝肾功能、血脂等一般项目;从"正虚""邪凑"两方面选择典型症状设计中医证候问卷,专人采集四诊资料,累计积分,归纳证型。结果筛选出134例资料完整的IGT病例。在代表"正虚"的4种证型中,"气虚证"居于第1位,发生率接近50%,"阴虚证"居第2位;在代表"邪凑"的3种证型中,"燥热证">"湿热证">"血瘀证","燥热证"和"湿热证"总发生率超过40%。结论IGT人群证候特点:"正虚"以"气虚"为主,"阴虚"为辅;引起IGT的"邪凑"以热邪为主,分为燥热和湿热两种类型。
Objective To investigate the characteristics of symptoms and syndromes of impaired glucose tolerance （IGT） for clinical evidence. Methods The waist/hip, weight index, blood pressure, blood glucose, liver and kidney function, and blood lipid were observed in IGT patients, questionnaire was used to survey clinical symptoms and syndromes. Results In the four deficiency syndromes, qi-deficiency syndrome ranked first, up to 50%; in the three excess syndromes, dryness-heat syndrome came first and followed by dampness-heat syndrome and blood-stasis syndrome, with the first two syndromes over 40%. Conclusion Impaired glucose tolerance （IGT） is characterized by qi deficiency in deficiency syndrome and by dryness heat and dampness heat in excess syndrome.
出处
《上海中医药杂志》
北大核心
2008年第10期36-37,共2页
Shanghai Journal of Traditional Chinese Medicine
关键词
糖耐量低减
证候调查
正虚
邪凑
Impaired glucose tolerance（IGT）
symptom survey
healthy qi deficiency
pathogenic factor
作者简介
朱蕴华（1978-），女，硕士，主治医师，主要从事中西医结合预防糖尿病以及糖尿病并发症的研究工作。
