|本期目录/Table of Contents|

[1]孙青,梁晓春,张倩,等.糖尿病周围神经病变中医证型分析及其与交感神经皮肤反应的关系[J].环球中医药,2012,5(05):337-0.
　SUN Qing,LIANG Xiao chun,ZHANG Qian,et al.Clinical study on relationship between syndrome of traditional Chinese medicine and sympathetic skin response in diabetic peripheral neuropathy[J].,2012,5(05):337-0.
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糖尿病周围神经病变中医证型分析及其与交感神经皮肤反应的关系()
     
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《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
第5卷
期数:
2012年05期
页码:
337-0
栏目:
中医证候学研究
出版日期:
2012-05-06

文章信息/Info

Title:
Clinical study on relationship between syndrome of traditional Chinese medicine and sympathetic skin response in diabetic peripheral neuropathy
作者:
孙青; 梁晓春; 张倩; 尹德海; 姜楠; 韩少梅;
Author(s):
SUN Qing; LIANG Xiaochun; ZHANG Qian; et al.
Department of Traditional Chinese Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing 100730,China
关键词:
糖尿病周围神经病变;  中医证型;  交感神经皮肤反应
Keywords:
Diabetic peripheral neuropathy; TCM syndrome; Sympathetic skin response
分类号:
R255.4
DOI:
-
文献标志码:
A
摘要:
目的探讨糖尿病周围神经病变(diabetic peripheral neuropathy,DPN)中医证型及其与交感神经皮肤反应(sympatheitc skin response,SSR)的关系。方法记录378名DPN患者的SSR检测结果、血糖、血脂、血压、中医症状及舌脉,按照先辨单一证候,然后将单一证候组合形成证型的辨证方式进行中医辨证。结果 DPN中医证型以阴阳两虚血瘀证最多见。随着年龄增长和病程延长,阴虚或兼痰瘀证、气阴两虚或兼痰瘀证的比例逐渐降低,阴阳两虚或兼痰瘀证的比例逐渐升高。SSR异常率为67.5%,阴阳两虚或兼痰瘀证的SSR异常率与其余各组相比显著升高(P<0.05),该组中的主要证型阴阳两虚血瘀证及阴阳两虚痰瘀互结证与SSR呈显著正相关。结论 SSR异常与阴阳两虚血瘀证及阴阳两虚痰瘀互结证之间具有相关性,为DPN的中医辨证提供了依据。
Abstract:
ObjectiveTo explore the relationship between traditional Chinese medicine(TCM) syndrome and sympathetic skin response (SSR) in patients with diabetic peripheral neuropathy (DPN). Methods378 patients with DPN were selected to record SSR test results, blood glucose, blood pressure, serum lipids, TCM symptoms and were classified as TCM syndrome Qideficiency, Yindeficiency, Yangdeficiency, bloodstasis, phlegmdampness and Qidepression. ResultsThe main syndrome type was Yin and Yangdeficiency combined with bloodstasis. With age and the course progress, the proportion of Yindeficiency, Qi and Yindeficiency decreased, and the proportion of Yin and Yangdeficiency increased. The rate of SSR abnormality was 67.5%, and abnormal SSR rate of Yin and Yangdeficiency group was significantly higher than other groups(P＜0.05). In this group, Yin and Yangdeficiency combined with bloodstasis, Yin and Yangdeficiency combined with bloodstasis and phlegmdampness were significant positive correlated with SSR abnormality. ConclusionSSR abnormality was related with Yin and Yangdeficiency combined with bloodstasis, Yin and Yangdeficiency combined with bloodstasis and phlegmdampness, to provide the basis for TCM syndrome in patients with DPN.

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备注/Memo

备注/Memo:
基金项目：首都医学发展科研基金资助项目（20022Ⅱ8）
作者单位：100730 中国医学科学院北京协和医学院 北京协和医院中医科[孙青（博士研究生）、张倩（硕士研究生）、梁晓春、尹德海]；北京中医药大学附属护国寺中医医院针灸科（姜楠）；中国医学科学院北京协和医学院统计学教研室（韩少梅）
作者简介：孙青（1983- ），2009级在读博士研究生。研究方向：糖尿病及其慢性并发症的中西医结合诊治。Email：sunqing0825@sina.com
通讯作者：梁晓春（1956- ），教授，博士生导师，中国中西医结合学会常务理事，中国中西医结合学会内分泌代谢病专业委员会副主任委员，北京中西医结合学会糖尿病专业委员会主任委员。研究方向：糖尿病及其慢性并发症的中西医结合诊治。Email：xcliang@vip.sina.com
更新日期/Last Update: 1900-01-01