摘要
目的基于个体化诊疗数据采集平台,探讨265例2型糖尿病合并代谢综合征的证候特征、分布及演变趋势。方法采集来自多中心的临床病例,运用无尺度网络等数据挖掘方法对其进行分层、横断面研究。结果病程>10年者,其血瘀、气虚、阴虚发生率均较其它组高(P<0.001或0.01),血瘀证的发生率最高,达95.08%,其发生构成比是:血瘀>气虚>阴虚>湿热>热盛>血虚。病程5~10年者证候发生构成比:热盛>气虚>血瘀>阴虚>湿热>血虚。病程<5年者证候发生构成比:热盛>气虚>血瘀>湿热>阴虚。结论2型糖尿病合并代谢综合征的证候特征随病程的增加而表现为:阴虚热盛、气虚阴虚、气虚血瘀的演变过程。血瘀证贯穿于整个病程始终,兼夹证呈多样性、个体化分布。
Objective To approach characteristic, distribution, mobile tendency of syndrome about 265 cases of type 2 diabetes mellitus affiliated metablic syndrome based on the platform of individual diagnoses and treatments. Methods 265 cases gathered from multi-centric clinic were studied through layerage and cross-section by using the method of data mining such as free-scale-networks, and so on. In the group which course over 10 years, the syndrome incidence of blood stasis, deficiency of vital energy, yang asthenia were higher than other groups. The constituent ratio showed: blood stasis〉 deficiency of vital energy〉yin asthenia〉humid heat〉excessive heat〉hemopenia. In the group which course between 5-10 years, it showed that excessive heat〉deficiency of vital energy〉fin asthenia〉humid heat〉hemopenia. In the group which course less than 5 years, excessive heat〉deficiency of vital energy〉blood stasis〉humid heat〉yin asthenia. Cardlusion Characteristic of syndrome about type 2 diabetes mellitus affiliated metablic syndrome show that: extreme heat with yin asthenia, deficiency of both vital energy and yin, deficiency of vital energy and blood stasis, syndrome of blood stasis run through the whole course of disease. Incorporated syndrome show characteristic of versatility and individualization.
出处
《中国中医药信息杂志》
CAS
CSCD
2007年第11期18-21,共4页
Chinese Journal of Information on Traditional Chinese Medicine
基金
北京市科委重大项目课题(H020920010330)
关键词
2型糖尿病
代谢综合征
个体化诊疗
type 2 diabetes mellitus
metablic syndrome
individual diagnoses and treatments