首页|2型糖尿病合并皮肤瘙痒症不同中医证型的临床特征研究

2型糖尿病合并皮肤瘙痒症不同中医证型的临床特征研究

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目的:分析 2 型糖尿病合并皮肤瘙痒症患者不同中医证型的临床特征,为更好的预测及中医治疗提供依据.方法:纳入符合标准的 2 型糖尿病合并皮肤瘙痒症患者 60 例,按中医辨证分型,对临床资料进行统计学分析.结果:本研究的 2 型糖尿病合并皮肤瘙痒症患者中,男性和老年期患者比例较高,超长病程患者最多;中医证型分布以阴虚血燥型最多;中医证型分布与低密度脂蛋白胆固醇、颈动脉超声异常发生率、四肢泌汗功能检查的双手电化学传导率、双足电化学传导率具有相关性.多因素分析结果提示低密度脂蛋白胆固醇、颈动脉彩超、双手电化学传导率、双足电化学传导率是 2 型糖尿病合并皮肤瘙痒症患者不同中医证型的独立影响因素(P<0.05).结论:2 型糖尿病合并皮肤瘙痒症患者的低密度脂蛋白胆固醇、颈动脉粥样硬化、四肢泌汗功能与中医证型存在相关性.
A Clinical Investigation on the Distinct Traditional Chinese Medicine Syndromes of Type 2 Diabetes Mellitus Accompanied by Pruritus
Objective:This study was designed to analyse the clinical characteristics of different traditional Chinese medicine(TCM)syndromes in patients with Type 2 diabetes mellitus accompanied by pruritus,thereby providing a foundation for improved prognostic assessment and TCM therapeutic strategies.Methods:Sixty patients meeting the criteria for Type 2 diabetes mellitus with concurrent pruritus were enrolled.They were classified according to TCM differential diagnostics,and their clinical data underwent statistical analysis.Results:Among the participants of this study,a higher incidence was observed in males and the elderly,with those having an extended duration of the disease being most prevalent.The distribution of TCM syndromes was predominantly characterized by Yin deficiency and blood dryness.There was a significant correlation between the type of TCM syndrome and various clinical indicators such as low-density lipoprotein cholesterol,carotid artery ultrasonography abnormalities,and electrochemical skin conduc-tance on the hands and feet.Multifactorial analysis suggested that low-density lipoprotein cholesterol,carotid artery ultrasound results,and electrochemical conductance measurements of the hands and feet are critical factors influenc-ing the differentiation of TCM syndromes in patients suffering from Type 2 diabetes mellitus with pruritus(P<0.05).Conclusion:The study underscores a notable association between low-density lipoprotein cholesterol,carotid athero-sclerosis,and limb sudomotor function with the TCM syndrome types in patients with Type 2 diabetes mellitus and pruritus,highlighting their potential roles in clinical and therapeutic contexts.

Classified according to TCM differentiationlow-density lipoprotein cholesterolCarotid ultrasoundHand electrochemical skin conductanceFoot electrochemical skin conductance

裴国勇、郭泽伟、王姝祺、程永升、章凯、程璟、汪雅婷、余媛媛

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安徽省黄山市中医医院 安徽黄山 245000

中医辨证分型 低密度脂蛋白胆固醇 颈动脉超声 双手电化学传导率 双足电化学传导率

安徽省中医药传承创新科研项目

2022CCZD12

2024

中医药临床杂志
中华中医药学会

中医药临床杂志

影响因子:0.636
ISSN:1672-7134
年,卷(期):2024.36(8)
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