|本期目录/Table of Contents|

[1]杨正荣 暴雪丽 董陈露 龚燕冰.2型糖尿病合并冠心病中医证型相关性研究进展[J].环球中医药,2017,10(05):631-635.[doi:10.3969/j.issn.1674-1749.2017.05.037]
　YANG Zhengrong,Bao Xueli,Dong Chenlu,et al.Study progress on TCM syndrome differentiation of type 2 diabetic mellitus combined with coronary heart disease[J].,2017,10(05):631-635.[doi:10.3969/j.issn.1674-1749.2017.05.037]
点击复制

2型糖尿病合并冠心病中医证型相关性研究进展()
     
分享到：

《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
第10卷
期数:
2017年05期
页码:
631-635
栏目:
综述
出版日期:
2017-05-06

文章信息/Info

Title:
Study progress on TCM syndrome differentiation of type 2 diabetic mellitus combined with coronary heart disease
作者:
杨正荣 暴雪丽 董陈露 龚燕冰
100029 北京中医药大学研究生院[杨正荣(硕士研究生)、暴雪丽(硕士研究生)、董陈露(硕士研究生)]; 北京中医药大学第二临床医学院[杨正荣(硕士研究生)、暴雪丽(硕士研究生)、董陈露(硕士研究生)、龚燕冰]
Author(s):
YANG Zhengrong; Bao Xueli; Dong Chenlu; et al.
Graduate School of Beijing University of Traditional Chinese Medicine,Beijing 100029,China
关键词:
2型糖尿病合并冠心病;  中医辨证分型;  相关性研究
Keywords:
T2DM combined with CHD;  TCM syndrome differentiation;  Correlation study
分类号:
R587.1
DOI:
10.3969/j.issn.1674-1749.2017.05.037
文献标志码:
-
摘要:
综合近年来有关2型糖尿病合并冠心病中医辨证分型的客观化研究,发现对2型糖尿病合并冠心病的中医辨证分型与相关实验室指标、冠状动脉病变特征、脉搏波速度、相关候选基因等方面的相关性研究已经取得了很大的进展。临床上本病属于本虚标实,虚实夹杂之证,以气阴两虚为主,以血瘀痰阻为标,其证型与相关的临床理化指标密切相关,多以气阴两虚型、或气阴两虚夹瘀或夹痰型、或痰瘀互结型、或痰浊内阻型为常见。但目前该病临床研究尚缺少国家标准化的中医辨证分型,认为应制定统一的中医辨证分型标准化,尤其通过结合现代客观化指标,形成较为一致的中医量化客观指标,最终将有利于提高2型糖尿病合并冠心病的现代中医诊疗水平。
Abstract:
The summarization of the objective study of syndrome differentiation type about T2DM(Diabetic Mellitus)combined with CHD(Coronary Heart Disease), and the result showed the relevant research had made great progress in T2DM combined with CHD TCM Syndromes and laboratory parameters, characteristics of coronary artery disease, pulse wave velocity and related candidate genetic. The disease belongs to asthenia in origin and asthenia in superficiality, intermingled deficiency and excess. The main syndrome is Qi and Yin Deficiency, blood stasis and phlegm in the second place. The type of syndrome was closely related to relevant physical and chemical indexes. The mostly common type of syndromes were deficiency of Qi and Yin, or deficiency of Qi and Yin combined with blood stasis type, or intermin-gled phlegm and blood stasis type, or stagnation of endogenous retention of phlegm type. But the clinical study of this disease is lack of national standard of TCM Typing, it is suggested to form a unified classification of TCM standardization, especially through the combination of modern objective indicators to form a consistent objective index of TCM, the final will be conducive to improving the level of modern TCM diagnosis and treatment of T2DM combined with CHD.

参考文献/References:

[1] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(2013年版)[J].中国糖尿病杂志,2014,22(8):3.
[2] Berry C,Tardif JC,Bourassa MG,et al.Coronary heart disease in parients with diabetes[J].JACC,2007,49:631-642.
[3] 倪青,于丽红,陈世波,等.1274例2型糖尿病合并冠心病证治规律数据挖掘[J].中国中医药信息杂志,2010,17(9):100-101.
[4] 张旭颖,刘兆平,杜科涛,等.2型糖尿病合并冠心病中医证候的调查研究[J].四川中医,2013,31(5):62-65.
[5] 刘志龙,汪晓娟.2型糖尿病合并冠心病辨证分型研究[J].新中医,2013,45(9):96-98.
[6] 龚燕冰.运用统计学方法探索型糖尿病病证结合的证候要素的研究[D].北京:中国中医科学院,2007.
[7] 曹鸿鹍,傅薇,张云坤,等.大株红景天对老年冠心病合并2型糖尿病患者血液流变学的影响[J].中国老年保健医学,2014,22(4):43-44.
[8] 徐青,余以本,钟磊,等.2型糖尿病血清瘦素、血液流变学水平与中医辨证分型的相关性研究[J].中国中医药科技,2010,17(1):25.
[9] 王桂玲,王磊,王忠爱,等.冠心病的中医辨证分型与血液流变学指标的关系[J].实用心电学杂志,2007,16(2):124-125.
[10] 李莉,罗小星.2型糖尿病合并冠心病中医证型与血脂关系[J].中国中医急诊,2011,20(5):724.
[11] 王政,宋海燕.2型糖尿病合并冠心病患者血清SPARC水平与冠状动脉病变的关系[J].临床荟萃,2015,30(2):174-177.
[12] Ridker PM,Cushman M,Stampfer MJ,et al.Inflammation,aspirin, and the risk of cardiovascular disease in apparently healthy men[J]. N Engl J Med,1997,336(14): 973-979.
[13] Soinio M,Marniemi J,Laakso M,et al.High-sensitivity C-reactive protein and coronary heart disease mortality in patients with type 2 diabetes:a 7-year follow-up study[J].Diabetes Care,2006,29(2):329-333.
[14] 潘力弢,高林林,曹田梅,等.2型糖尿病合并冠心病中医证型与血浆HCY、hs-CRP 相关性的研究[J].中国中医急诊,2013,22(7):1144-1145.
[15] 李冬义,刘君,杜作义,等.冠心病合并2型糖尿病的冠脉造影及临床特点分析[J].现代医院,2012,12(11):60-61.
[16] 黄静涵,陈纪林,杨跃进,等.1404例冠心病合并与不合并2型糖尿病患者冠状动脉造影特点对照分析[J].临床医学,2007,27(11):17-18.
[17] 邢雁伟,王阶,高永红,等.冠心病合并糖尿病患者冠脉病变及中医证候学特点[J].中国中医药信息杂志,2007,14(9):20-21.
[18] 梁国庆,戴小华,邵正斌,等.40例冠心病合并2型糖尿病患者冠状动脉病变及中医证型分析[J].安徽中医学院学报,2010,29(3):18-20.
[19] 杨保成.冠心病合并糖尿病冠脉病变以及其中医证侯学的特点研究[J].光明中医,2015,30(12):17-18.
[20] Jadhav UM,Kadam NN.Non-invasive assessment of arterial stiffnessby pulse-wave velocity correlates with endothelial dysfunction[J].Indian Heart J,2005,57:226-32.
[21] Laurent S,Boutouyie P,et al.Aortic stiffness is an independent predictor of all-cause and cardiovascular mortality in hypertensive patients[J].Hypertension,2001,37(5):1236-1241.
[22] 仲恒,徐丽梅.臂踝脉搏波传导速度与糖尿病合并冠心病的中医临床相关性研究[J].辽宁中医药大学学报,2016,18(1):189-192.
[23] 卢全生,雷燕,陈可冀,等.AT1R基因多态性与原发性高血压中医证型及降压中药疗效的关系[J].中国中西医结合杂志,2005,25(8):682-686.
[24] 李赛美,李小粤,熊曼琪,等.糖尿病冠心病的中医证候与血管紧张素I转换酶基因多态性关系的探讨[J].广州中医药大学学报,2003,20(4):261-263.
[25] Wilke M S,French M A,Goh Y K,et al.Synthesis of specific fatty acids contributes to VLDL-triacylglycerol composition in humans with and without type 2 diabetes[J].Diabetologia,2009,52(8):1628-1637.
[26] 韩旭,李七一,赖仁胜,等.Apo E基因多态性与冠状动脉粥样硬化性心脏病中医证型的相关性研究[J].中华中医药学刊,2009,27(11):2323-2330.
[27] 谢毅强,王华,吴月平,等.2型糖尿病大血管病变患者Apo E基因多态性与中医证候的相关性研究[J].时珍国医国药,2011,22(1):221-222.

相似文献/References:

备注/Memo

备注/Memo:
基金项目: 教育部新世纪优秀人才项目; 北京中医药大学东方医院人才培养计划
作者简介: 杨正荣(1989- ),2014级在读硕士研究生。研究方向:中西医结合内分泌代谢疾病学。E-mail:13051167768@163.com
通信作者:龚燕冰(1976- ),女,主任医师,硕士生导师。研究方向:中西医结合内分泌代谢疾病学。E-mail:13911820618@163.com
更新日期/Last Update: 2017-05-06