摘要
目的:探讨患者糖耐量受损与脾虚肝郁、气滞痰阻证之间的关系。方法:随机选取60名糖耐量正常的患者作为正常对照组,在确诊为糖耐量受损的患者中,根据中医辨证标准,随机选取60名患者纳入脾虚肝郁证组,60名患者纳入非脾虚肝郁证组,比较三组的一般情况、血糖、胰岛素、血脂、胰岛素抵抗及β细胞功能等。结果:脾虚肝郁证组、非脾虚肝郁证组的BMI、WHR、FPG、2h-PG、FINS、TG、TC、LDL-C、HOMA-IR均不同程度高于正常对照组,HDL-C、HOMA-β低于正常对照组,脾虚肝郁证者程度更为严重,且脾虚肝郁证组与非脾虚肝郁证组各指标间存在显著差异。结论:脾虚肝郁证是糖尿量受损的主要证型,胰岛素抵抗及β细胞功能缺陷是糖耐量受损证属脾虚肝郁证患者的致病因素。
Objective: To discuss the relationship between impaired glucose tolerance and the Pixu Ganyu, Qizhi Tanzu. Methods: 60 patients with normal sugar tolerance were selected as the control group. According to the syndrome differentiation, 60 patients were selected as Qixu Ganyu group; another 60 patients were selected as the non-Qixu Ganyu group. Blood sugar, insulin, blood fat and so on were compared among 3 groups. Results: BMI, WHR, FPG、 2h-PG, FINS, TG, TC, LDL-C, HOMA-IR in the Qixu Ganyu group and the non- Qixu Ganyu group were very different from the control group. The Qixu Ganyu group was more serious. Conclusion: The Pixu Ganyu is the main syndrome. The pathogenic factors are the insulin resistance and the damaged β cells.
出处
《中医临床研究》
2015年第23期146-148,共3页
Clinical Journal Of Chinese Medicine
关键词
糖尿量受损
脾虚肝郁证
相关性研究
Reduce glucose tolerance
The Pixu Ganyu
Correlational research