摘要
2型糖尿病合并非酒精性脂肪性肝病多由禀赋不足、饮食失节、情志失调、劳逸失调引起。痰湿质、气虚质、湿热质、血瘀质、气郁质为2型糖尿病合并非酒精性脂肪性肝病患者的主要体质类型,2型糖尿病合并非酒精性脂肪性肝病的证型主要有肝郁脾虚证、脾虚痰盛证、湿热内蕴证、痰瘀内阻证、肝肾阴虚证。2型糖尿病合并非酒精性脂肪性肝病的治疗方法为辨证论治和中医外治疗法。目前主要护理干预措施有心理护理、饮食护理、运动干预、健康教育等。中医药和中医外治,在改善患者临床症状、生化指标、胰岛素抵抗、糖脂代谢等方面取得了显著疗效,但临床研究的样本数据较少,其相关的作用机制也少见报道,病因病机、体质、证候分型、治疗规范尚未统一,有待进一步深入研究以不断完善和创新。
Type 2 diabetes mellitus combined with nonalcoholic fatty liver disease is mainly caused by lack of endowment,eating disorders,emotional disorders,and work and leisure disorders.Phlegm dampness constitution,qi deficiency constitution,damp heat constitution,blood stasis constitution and qi stagnation constitution are the main physical types of the patients.The syndrome types mainly include liver stagnation and spleen deficiency syndrome,spleen deficiency and phlegm excess syndrome,damp heat accumulation syndrome,phlegm stasis and internal obstruction syndrome,liver and kidney yin deficiency syndrome.The treatment methods are syndrome differentiation and external treatment.At present,the main nursing interventions include psychological nursing,diet nursing,exercise intervention,health education and so on.Chinese medicinals and TCM external treatment have achieved remarkable effects in improving patients′ clinical symptoms,biochemical indicators,insulin resistance,glucose and lipid metabolism.However,there are er sample data in clinical research,and the relevant mechanism of action is rarely reported.The etiology,pathogenesis,constitution,syndrome classification and treatment criteria have not been unified yet,which needs further in-depth research to continuously improve and innovate.
作者
王雪娟
覃艳新
潘红霞
黄小丽
黄瑞成
张永琴
WANG Xue-juan;QIN Yan-xin;PAN Hong-xia;HUANG Xiao-li;HUANG Rui-cheng;ZHANG Yong-qin(The First Affiliated Hospital of Guangxi University of TCM,Nanning,Guangxi,China,530023;Guangxi University of TCM,Nanning,Guangxi,530001)
出处
《河南中医》
2019年第12期1937-1940,共4页
Henan Traditional Chinese Medicine
基金
广西高校中青年教师基础能力提升项目(P18011)
关键词
2型糖尿病
非酒精性脂肪性肝病
病因病机
辨证论治
护理干预
type 2 diabctes mellitus(T2DM)
non alcoholic fatty liver disease(NAFLD)
etiology and pathogenesis
syndrome differentiation and treatment
nursing intervention
