|本期目录/Table of Contents|

[1]王文平,张玉璞,徐胜珍,等.糖尿病下肢血管病变中医辨证与血瘀证相关性研究[J].环球中医药,2013,6(10):733-0.
　WANG Wen ping,ZHANG Yu pu,XU Sheng zhen,et al.The correlation between the syndromes of diabetes mellitus accompanied with lower limb vascular lesion and blood stasis[J].,2013,6(10):733-0.
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糖尿病下肢血管病变中医辨证与血瘀证相关性研究()
     
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《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
第6卷
期数:
2013年10期
页码:
733-0
栏目:
论著
出版日期:
2013-10-06

文章信息/Info

Title:
The correlation between the syndromes of diabetes mellitus accompanied with lower limb vascular lesion and blood stasis
作者:
王文平;张玉璞;徐胜珍;刘瑞云;李宜;张英泽;
Author(s):
WANG Wenping; ZHANG Yupu; XU Shengzhen; et al.
The first Chinese medicine hospital of Baoding, department of endocrinology，Hebei 071000, China
关键词:
糖尿病下肢血管病变; 中医分型; 瘀血证
Keywords:
Diabetes mellitus accompanied with lower limb vascular lesion; Syndrome differentiation; Blood stasis
分类号:
R2856
DOI:
-
文献标志码:
A
摘要:
目的研究糖尿病下肢血管病变中医辨证与瘀血相关性。方法198例已确诊2型糖尿病患者中医辨证分型为气血两虚寒凝、湿热闭阻、脾肾阳虚型,进行中医瘀血证积分、血脂、血流变、病程观察,研究各分型瘀血证程度。结果(1)瘀血贯穿于糖尿病下肢血管病变的全过程;(2)糖尿病下肢血管病变各证型瘀血程度不同,由轻到重依次为气血两虚寒凝、湿热闭阻、脾肾阳虚;(3)病程长短与瘀血程度呈正相关,病程越长瘀血表现越重;(4)瘀血程度越重,其血脂、血流变异常越明显。结论临床中治疗2型糖尿病下肢血管病变时应重视活血化瘀。
Abstract:
ObjectiveTo analyze the correlation between the syndromes of diabetes mellitus accompanied with lower limb vascular lesion and blood stasis. Methods198 type 2 diabetics were divided into 3 types of syndromes differentiation of traditional Chinese medicine: deficiency of qi and blood combined with cold accumulation, dampnessheat blockage, spleen and kidney yang deficiency. All the peoples syndrome integral of blood stasis, blood lipid, hemorheology and course of disease were detected to analyze the degree of blood stasis. ResultsBlood stasis goes through the whole progress of diabetes mellitus accompanied with lower limb vascular lesion, but the degree of blood stasis differs among patients with different types of syndromes. Patients with spleen and kidney yang deficiency syndrome are the most serious, while patients with deficiency of qi and blood combined with cold accumulation are the least serious. There are positively correlated relationship between the course of disease and the degree of blood stasis. The longer the course is, the more serious the degree of blood stasis is. The more serious the blood stasis is, the more abnormal both the blood Lipid and hemorheology. ConclusionPromoting blood circulation to remove blood stasis is very important while treating diabetes mellitus accompanied with lower limb vascular lesion.

参考文献/References:

［1］胡敏，郭瑞林.实用糖尿病学［M］.北京：人民军医出版社，1998.
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［6］何晓兰.通络活血方治疗糖尿病下肢血管病37例［J］.浙江中医学院学报，2004，28(4)：5354.
［7］王阶，陈可冀，翁维良，等.血瘀证诊断标准的研究［J］.中国中西医结合杂志，1988，8(10)：585589.
［8］王家泰，蔡燕，冯蕾.2型糖尿病血管病变与脂代谢及血浆内皮素的关系［J］.交通医学，2000，14（4）：361362.

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备注/Memo

备注/Memo:
基金项目：河北省中医药糖尿病血管病变痰瘀证重点研究室项目
作者单位：071000 保定市第一中医院内分泌科
作者简介：王文平(1978- )，女，主治中医师。研究方向：中西医结合治疗糖尿病及其并发症。Email:wangwenping119@163.com
通讯作者：张玉璞(1961- )，主任中医师。研究方向：糖尿病及其并发症临床研究。Email:yupu1961@163.com
更新日期/Last Update: 1900-01-01