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2型糖尿病伴高尿酸血症患者临床特点及证候分析

罗贞 李胜鳌 聂静晓 钱真真 商学征

世界中医药2017,Vol.12Issue(11):2639-2642,4.
世界中医药2017,Vol.12Issue(11):2639-2642,4.DOI:10.3969/j.issn.1673-7202.2017.11.018

2型糖尿病伴高尿酸血症患者临床特点及证候分析

Clinical Characteristics and Traditional Chinese Medicine Syndrome Analysis of Type 2 Diabetes Mellitus with Hyperuricemia

罗贞 1李胜鳌 2聂静晓 2钱真真 2商学征2

作者信息

  • 1. 深圳市龙华区中心医院,深圳,518110
  • 2. 北京中医药大学东方医院,北京,100078
  • 折叠

摘要

Abstract

Objective:To investigate the clinical features and traditional Chinese medicine (TCM) syndromes of patients with type 2 diabetes mellitus (T2DM) complicated with hyperuricemia.Methods:A total of 142 patients with T2DM who were hospitalized in endocrinology department of Dongfang Hospital of Beijing University of Chinese Medicine from June 2013 to June 2015 were divided into high uric acid group (69 cases) and normal urinary acid group (73 cases) according to the level of uric acid.And then the clinical characteristics and TCM syndromes of the 2 groups were compared and analyzed.Results:The drinking proportion,body measure index (BMI),diastolic blood pressure,lipid metabolism,homeostasis model assessment of insulin resistance (HO-MA-IR),urinary albumin excretion rate (UAE),creatinine,combined with coronary heart disease,lower extremity vascular lesions,fatty liver,urinary stones and concurrent nephropathy,retinopathy etc.in high uric acid group were higher than uric acid normal group,and the difference was statistically significant (P < 0.05);The main symptoms of qi and yin deficiency,yin-deficiency and fire-hyperactivity syndrome,heat in liver and stomach syndrome,phlegm,blood stasis,turbidity and the proportion of the composition ratio increased,and the difference was statistically significant (P < 0.05).Conclusion:Complications of the patient with T2DM complicated with hyperuricemia are serious.The main features of TCM syndrome are qi and yin deficiency,yindeficiency and fire-hyperactivity syndrome,heat in liver and stomach syndrome,with phlegm,blood stasis and turbidity.

关键词

2型糖尿病/高尿酸血症/临床特点/中医证候

Key words

Type 2 diabetes mellitus/Hyperuricemia/Clinical features/TCM syndrome

分类

医药卫生

引用本文复制引用

罗贞,李胜鳌,聂静晓,钱真真,商学征..2型糖尿病伴高尿酸血症患者临床特点及证候分析[J].世界中医药,2017,12(11):2639-2642,4.

世界中医药

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1673-7202

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