世界中医药

目的:探究近5年关于糖尿病前期、糖尿病及慢性并发症的证候研究情况及证候分布规律。方法:检索中国知网学术期刊数据库(CNKI),2008年1月1日至2013年6月1日关于糖尿病前期、糖尿病及慢性并发症的相关期刊文献,并分析总结其证候的分布规律。结果:收集整理合格文献共84篇,运用统计学方法对收集文献进行分析:近5年研究相关证候文献主要是糖尿病(24篇)、糖尿病肾病(17篇)、糖尿病周围神经病变(10篇);糖尿病及慢性并发症总的主要证候为阴虚证(50.91%)、气虚证(43.05%)、血瘀证(29.73%)、痰浊(湿)证(24.32%)。结论:气虚、阴虚作为基本病机贯穿糖尿病整个病程,并随着其病程的推移血瘀、痰浊(湿)等病理因素日显突出。因此在防治糖尿病及并发症的发生发展过程中应重视益气养阴,并结合病情配以活血化瘀或祛痰化浊之法。

English Summary:

To explore the syndromes and their distribution of pre-diabetes, diabetes and its chronic complications on literature in recent five years. Methods:We searched related journal articles about pre-diabetes, diabetes and its chronic complications in China Academic Journals Database (CNKI), from January 1, 2008 to June 1, 2013 and analyzed the distribution of the syndromes of each group. Results:There were 84 articles were qualified. Statistical methods were used to analyze the articles. In recently five years, the main syndromes on literature were diabetes (24), diabetic nephropathy (17), diabetic peripheral neuropathy (10); the main syndromes of diabetes and chronic complications are yin deficiency syndrome (50.91%), qi deficiency syndrome (43.05%)， blood stasis (29.73%), phlegm/dampness syndrome (24.32%). Conclusion:Yin deficiency and qi deficiency are the two major syndromes throughout the course of diabetes. Blood stasis and phlegm turbidity/dampness are becoming prominent along with the development of the disease. Therefore, to prevent and cure diabetes and its complications in its developing process, the treating method of boosting qi and nourishing yin, combining with invigorating blood and dissolving stasis and eliminating phlegm turbidity in reference to the condition should be focused.

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