目的:研究肥胖2型糖尿病(T2DM)的中医症状分布、证型特征。方法:采集门诊病例信息,按类别分析,确定主要证型。结果:2518例肥胖T2DM患者中肝胃郁热证1332例,占52.9%;胃肠实热证368例,占14.6%;气滞痰阻证171例,占6.8%;脾虚痰湿证219例,占8.7%;其他证型428例,占17%。2518例肥胖T2DM患者属中满内热者1871例,占74.3%,其中肝胃郁热证1332例,占71.2%;非中满内热者647例,占25.7%。结论:随着年龄的增长及病程的延长,实证所占比率逐渐下降,虚证或虚实夹杂证所占比率则呈逐渐上升趋势。
Objective :To study the distribution and TCM syndrome differention characteristics of type 2 diabetes mellitus (T2DM)cases. Methods:The main syndromes were determined and sorted according to the analysis of information collected clinically. Results:1, 332 T2DM cases out of 2,518 were stagnation of liver and stomach heat syndrome by 52.9%;368 cases were excess heat of stomach and intestine syndrome by 14.6%;171 were stagnation qi and phlegm syndrome by 6.8 %; 219 were spleen deficiency and phlegm retention syndrome by 8.7% ;428 were others by 17%. 1,871 cases out of 2,518 were of fullness and heat constitution by 74.3%, 1,332 of them were of stagnation of liver and stomach heat syndrome by 71.2%;then the left 647 cases were others by 25.7%. Conclusion:The rate of excess syndrome reduced while deficiency syndrome increased along with age and progress of a disease.