220例妊娠期糖尿病患者中医临床证型调查研究

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1、220例妊娠期糖尿病患者中医临床证型调查研究杨瑛笛孙晓峰丘文君(广州中医药大学附属第一医院产科广东广州510405)【摘要】目的：通过对220例妊娠期糖尿病中医证型的临床分析研宄，了解妊娠期糖尿病的常见中医证型和探求年龄、确诊孕周和体重指数等因素与各常见中医证型的关系，为妊娠期糖尿病的临床治疗及预防提供依据。方法：通过问卷方式，调查研究220例妊娠期糖尿病患者的中医证型，结合患者年龄、确诊孕周和体重指数等因素，对结果进行统计分析。结果：220例妊娠期糖尿病的中医证型为心神阴虚65例(29.5%),气阴两虚52例(23.6%),脾虚湿困21例(9.5%)

2、,肝郁气滞19例(8.6%),脾肾阳虚17例(7.7%),肾阴虚8例(3.6%),肾阳虚5例(2.3%),心气虚5例(2.3%),肝胃阴虚4例(1.8%),脾虚血亏2例(0.9%)。证候积分<14分定义为未定证型，共22例(10%)。脾虚湿困证患者平均年龄33.14±4.21岁，较其余四种常见证型组的平均年龄明显升高，P<0.05,有明显统计学意义。结论：妊娠期糖尿病患者中医证型中，以心神阴虚证最多。患者年龄对妊娠期糖尿病的中医证型分布存在影响；在高龄妊娠期糖尿病患者中，脾虚湿网证较为多见。【关键词】妊娠期糖尿病；中医证型；脾虚湿困证【中

3、图分类号】R271【文献标识码】B【文章编号】2095-1752(2016)22-0365-02【Abstract】ObjectiveTounderstandthemainTCMclinicalsydromesofgestationaldiabetesmellitusandpursuetherelationamongages,gestationalweeksondiagnosis,BMIandthecommonTCMclinicalsydromesbyinvestigatingmulti-factorsin220patientswithgestatio

4、naldiabetesmellitussoastoprovidefoundationfortheclinicaltreatmentandpreventionofgestationaldiabetesmellitus.Methods220patientswithgestationaldiabetesmellituswereselectedtostudytheirTCMclinicalsydromesbyquestionnaires.ThedistributionoftheTCMclinicalsydromesweremasteredbystatistic

5、sanalyzingtheinformaionabove.ResultsThemainTCMclinicalsydromesofgestationaldiabetesmellitusweremindYindeficiencysyndrome(65cases,accountingfor29.5%),QiandYindeficiencysyndrome(52cases,accountingfor23.6%),Spleendeficiencywithdampharassmentsyndrome(21cases,accountingfor9.5%),Liver

6、depressionandqistagnationsyndrome(19cases,accountingfor8.6%),SpleenandkidneyYangdeficiencysyndrome(17cases,accountingfor7.7%),kidneyYindeficiencysyndrome(8cases,accountingfor3.6%),kidneyYangdeficiencysyndrome(5cases,accountingfor2.3%),Heartqideficiencysyndrome(5cases,accountingf

7、or2.3%),LiverstomachYindeficiencysyndrome(4cases,accountingfor1.8%),Spleendeficiencyanemia(2cases,accountingfor0.9%),Syndromedoesnotexceed14pointsisdefinedasundeterminedtype(22cases,accountingfor10.0%).Patientswithanaverageageof33.14±4.21yearsinSpleendeficiencywithdamphar

8、assmentsyndromegroup,whoseageswereincreasesmark