摘要
用葡萄糖氧化酶法及放免双抗体法测定空腹及服糖1小时、2小时后血糖、血胰岛素值,并计算胰岛素敏感指数(ISI)。结果:高血压病组及其肝火亢盛、阴虚阳亢组各时点胰岛素及服糖1小时、2小时后血糖较正常对照组明显升高(P<0.05～0.01),ISI明显降低(P<0.05～0.01)。且此两证型组分别与阴阳两虚、痰湿壅盛组比较,升高和降低也有统计学意义(P<0.05～0.01)。而阴阳两虚、痰湿壅盛组除后者服糖1小时后血糖、胰岛素值较正常组有显著升高(P<0.05)外,余各指标较正常组均无显著差异。结论:高血压病患者存在胰岛素抵抗现象及证候特点以肝火亢盛、阴虚阳亢为主。
By using the methods of gluco - oxidase and radio -immunodouble antibody, the blood glucose level at fasting 1 h, 2 h after oral sugar and blood insulin were examined and the insulin - sensitive - index was determined. It was found that types of flaring - up of liver fire, exuberant - yang deficient - yin in hypertension had higher blood insulin and blood glucose 1 h and 2 h after oral sugar was taken than that of the control group (P<0. 05, P<0. 01), ISI markedly decreased (P < 0. 05 - 0. 01). When comparing that of the above 2 types with types of deficiency of both yin - yang, and exuberant damp -phlegm respectively, all the decrease and increase were of statistical significance. In the last two groups, except there were marked increase of blood sugar and insulin 1 h after taking sugar (P<0. 05), all the other index revealed no obvious increase. Conclusion: in hypertensive cases, there was insulin resistance characteristized by flaring - up of liver fire and yin -deficiency yang - exuberance .
出处
《中医杂志》
CSCD
北大核心
1999年第1期45-46,28,共3页
Journal of Traditional Chinese Medicine
关键词
高血压
辨证分型
胰岛素抵抗
中医病机
Hypertension /diagnosis syndromes typing insulin/metabolism
