中国中医药信息杂志
中國中醫藥信息雜誌
중국중의약신식잡지
CHINESE JOURNAL OF INFORMATION ON TRADITIONAL CHINESE MEDICINE
2014年
11期
30-32
,共3页
2型糖尿病%血糖波动性%平均血糖波动幅度%中医证候
2型糖尿病%血糖波動性%平均血糖波動幅度%中醫證候
2형당뇨병%혈당파동성%평균혈당파동폭도%중의증후
type 2 diabetes%blood glucose variability%mean blood glucose variability%TCM syndrome
目的：探讨2型糖尿病患者血糖波动与中医证候的相关性。方法选取本院2010年1月－2013年12月病历资料完整并接受3 d动态血糖监测的2型糖尿病患者64例,辨证分为实证组和虚证组,实证组包括热盛津亏证、痰湿内阻证、血瘀脉络证,虚证组包括气阴两虚证、阴阳两虚证。观察患者血糖均值(MBG)、平均血糖波动幅度(MAGE),并分析与中医证候的相关性。结果虚证组与实证组 MBG 比较差异无统计学意义(P＞0.05),MAGE 比较差异有统计学意义(P＜0.05)。实证组各证型间 MAGE 比较差异无统计学意义(P＞0.05)；虚证组阴阳两虚证MAGE高于气阴两虚证,差异有统计学意义(P＜0.05)。结论2型糖尿病患者血糖波动与平均血糖无关,而与中医证候具有相关性,虚证类证候血糖波动性较大,阴阳两虚证血糖波动性最大。
目的：探討2型糖尿病患者血糖波動與中醫證候的相關性。方法選取本院2010年1月－2013年12月病歷資料完整併接受3 d動態血糖鑑測的2型糖尿病患者64例,辨證分為實證組和虛證組,實證組包括熱盛津虧證、痰濕內阻證、血瘀脈絡證,虛證組包括氣陰兩虛證、陰暘兩虛證。觀察患者血糖均值(MBG)、平均血糖波動幅度(MAGE),併分析與中醫證候的相關性。結果虛證組與實證組 MBG 比較差異無統計學意義(P＞0.05),MAGE 比較差異有統計學意義(P＜0.05)。實證組各證型間 MAGE 比較差異無統計學意義(P＞0.05)；虛證組陰暘兩虛證MAGE高于氣陰兩虛證,差異有統計學意義(P＜0.05)。結論2型糖尿病患者血糖波動與平均血糖無關,而與中醫證候具有相關性,虛證類證候血糖波動性較大,陰暘兩虛證血糖波動性最大。
목적：탐토2형당뇨병환자혈당파동여중의증후적상관성。방법선취본원2010년1월－2013년12월병력자료완정병접수3 d동태혈당감측적2형당뇨병환자64례,변증분위실증조화허증조,실증조포괄열성진우증、담습내조증、혈어맥락증,허증조포괄기음량허증、음양량허증。관찰환자혈당균치(MBG)、평균혈당파동폭도(MAGE),병분석여중의증후적상관성。결과허증조여실증조 MBG 비교차이무통계학의의(P＞0.05),MAGE 비교차이유통계학의의(P＜0.05)。실증조각증형간 MAGE 비교차이무통계학의의(P＞0.05)；허증조음양량허증MAGE고우기음량허증,차이유통계학의의(P＜0.05)。결론2형당뇨병환자혈당파동여평균혈당무관,이여중의증후구유상관성,허증류증후혈당파동성교대,음양량허증혈당파동성최대。
Objective To explore the correlation of blood glucose variability and TCM syndromes in type 2 diabetic patients. Methods A total of 64 type 2 diabetic patients from China-Japan Friendship Hospital during Jan. 2010 to Dec. 2013 with complete clinical data were measured by continuous glucose monitoring system (CGMs) for 3 days. Patients were divided into empirical group and deficiency group. The empirical group included heat excess and fluid deficiency syndrome, phlegm-dampness stagnation syndrome and blood stasis syndrome. The deficiency group included qi-yin deficiency syndrome and yin-yang deficiency syndrome. The mean blood glucose (MBG), and mean amplitude of glycemic excursions (MAGE) were compared between the groups and types in each group, and the correlation with TCM syndrome types were analyzed. Results There was no significant difference in MBG between two groups (P>0.05). MAGE in deficiency group was higher than that in empirical group (P<0.05). No difference of MAGE existed among TCM syndrome types in empirical group (P>0.05), but in deficiency group, MAGE in yin-yang deficiency syndrome was higher than that in qi-yin deficiency syndrome (P<0.05). Conclusion Blood glucose variability has no correlation with MBG in type 2 diabetic patients. Glucose showed significant variability in deficiency group, and the most serious glucose variability was found in type of yin-yang deficiency syndrome.
