首页|基于混合方法的赵进喜辨证论治超重/肥胖2型糖尿病经验总结

基于混合方法的赵进喜辨证论治超重/肥胖2型糖尿病经验总结

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目的:研究赵进喜教授辨证论治超重/肥胖2型糖尿病经验,并初步构建其临床思维与方药特色理论模型.方法:采用并行三角互证的聚合性混合研究方法.定量研究对门诊医案数据进行频数统计、聚类分析、关联分析、复杂网络分析.定性研究以访谈法、观察法为资料收集方法,以程序化扎根理论为资料分析方法.结果:定量研究共纳入222例超重/肥胖2型糖尿病患者资料.体质以少阳体质、厥阴体质、阳明体质多见.证候以郁热证、阴虚证、血瘀证多见.核心处方包括柴胡、黄芩、丹参、葛根、白芍、夏枯草、法半夏、蚕沙、荔枝核、甘草、黄连、地骨皮、陈皮、仙鹤草、北沙参、茯苓等.定性研究通过三级编码,共归纳出109个初始概念,40个范畴,15个主范畴.结论:赵进喜教授辨治超重/肥胖2型糖尿病的临床思维模式与方药特色是传承施今墨学派诊治糖尿病的学术思想,明辨三阴三阳体质,把握疾病不同阶段病机,基于本虚标实辨证及体质辨证基础上强调辨方证、识腹证,加减用药重视药对、药串及效药的运用.
Summary of experience in treating overweight/obese type 2 diabetes with ZHAO Jinxi syndrome differentiation based on mixed method
Objective:To study professor ZHAO Jinxi's experience in treating overweight/obese type 2 diabetes with syndrome differentiation,and to construct his clinical thinking and prescription characteristic theoretical model.Methods:A hybrid research method of convergence based on parallel triangulation was adopted.Quantitative research conducted frequency statistics,cluster analysis,association analysis and complex network of outpatient medical record data.Qualitative research uses interview and observation as data collection methods and procedural grounded theory as data analysis methods.Results:A total of 222 overweight/obese type 2 diabetes patients were included in the quantitative study.Shaoyang constitution,Jueyin constitution and Yangming constitution were more common.The most common syndromes were stagnation of heat,yin deficiency and blood stasis.The core prescriptions included Bupleuri Radix,Scutellariae Radix,Salviae Miltiorrhizae,Radix Et Rhizoma,Puerariae Lobatae Radix,Paeoniae Radix Alba,Prunellae Spica,Pinelliae Rhizoma Praeparatum,Faeces Bombycis,Litchi Semen,Glycyrrhizae Radix Et Rhizoma,Coptidis Rhizoma,Lycii Cortex,Citri Reticulatae Pericarpium,Agrimoniae Herba,Glehniae Radix,Poria,etc..Through three levels of coding,109 initial concepts,40 categories and 15 main categories were summarized in the qualitative research.Conclusion:Professor ZHAO Jinxi treating overweight/obese type 2 diabetes clinical thinking mode and characteristics of the formulas is passing on SHI Jinmo school academic thinking of diagnosis and treatment of diabetes,right from three yin and three yang physique,to grasp the disease pathogenesis,different stages based on the virtual emphasizes the reality based on syndrome differentiation and constitution differentiation syndrome,general belly,prescription modifications focus on the combined use of two or three traditional Chinese medicines,as well as emphasize the application based on the pharmacology of traditional Chinese medicine.

Overweight/obesity type 2 diabetesQualitative researchQuantitative researchMixed methodEmpirical researchData miningZHAO Jinxi

阮智超、赵进喜

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北京中医药大学东直门医院,北京 100700

超重/肥胖2型糖尿病 定性研究 定量研究 混合方法 经验研究 数据挖掘 赵进喜

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(7)
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