首页|2型糖尿病气虚证和阴虚证常见脉象的脉搏波特征研究

2型糖尿病气虚证和阴虚证常见脉象的脉搏波特征研究

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目的:基于脉搏波理论分析2型糖尿病气虚证和阴虚证常见脉象的脉搏波参数特征,为中西医结合治疗2型糖尿病提供客观化数据和技术支持。方法:临床采集分析72例2型糖尿病气虚型患者和82例2型糖尿病阴虚型患者的脉搏波参数信息,运用数学软件和统计学方法对数据进行处理分析。结果:临床2型糖尿病气虚证和阴虚证脉象出现频率最高的分别是细脉、弦数脉。2型糖尿病细脉组寸、关、尺三部两两比较,在主波幅度(h1)、主波峡幅度(h2)、重搏前波幅度(h3)、降中峡幅度(h4)、h3/h1方面的差异有统计学意义(P<0。05)。2型糖尿病弦数脉组寸、关、尺三部两两比较,在h1、h2、h3、h4方面的差异有统计学意义(P<0。05)。2型糖尿病细脉组寸、关、尺三部的h1、h2、h3、h3/h1、h4/h1均高于正常对照组,寸部h4、h4/h1、收缩期面积(As)均高于正常对照组。2型糖尿病弦数脉组寸、关、尺三部的h1、h2、h3、h4、h3/h1均高于正常对照组,关部h4/h1、寸部和关部的As均高于正常对照组,差异均具有统计学意义(P<0。05)。结论:2型糖尿病气虚证和阴虚证的常见脉象参数具有一定的特征性,且各组脉搏波参数能反映不同脉象的生理病理特征,为脉诊信息客观化提供参考依据,为2型糖尿病气虚证和阴虚证的规范化诊疗提供依据。
A study on pulse wave characteristics of common pulse conditions of Qi deficiency syndrome and Yin deficiency syndrome in type 2 diabetes
Objective:Based on the pulse wave theory,the pulse wave parameter characteristics of common pulse signs in type 2 diabetes mellitus patients with Qi(气)deficiency and Yin(阴)deficiency were analyzed respectively to provide objective data and technical support for the treatment of type 2 diabetes mellitus in the integrative medicine.Methods:The pulse wave parameters of 72 type 2 diabetes mellitus patients with Qi deficiency and 82 type 2 diabetes mellitus patients with Yin deficiency were collected to analyze the relevant data by mathematical software and statistical methods.Results:The most frequent pulse in type 2 diabetes mellitus patients with Qi deficiency and Yin deficiency in the clinical study were thready pulse and stringy-rapid pulse,respectively.There were significant differences in h1,h2,h3,h4,and h3/h1 among the three pulse types of Cun pulse(寸脉),Guan pulse(关脉)and Chi pulse(尺脉)in the type 2 diabetes mellitus thready pulse group(P<0.05).There were significant differences in h1,h2,h3,h4,and h3/h1 among the three pulse types of Cun pulse,Guan pulse and Chi pulse in the type 2 diabetes mellitus stringy-rapid pulse group(P<0.05).The levels of h1,h2,h3,h3/h1,h4/h1 of the above three pulse types in the type 2 diabetes mellitus thready pulse group were higher than those in the normal control group,and the levels of h4,h4/h1,and As of Cun pulse were higher than the normal control group.The levels of h1,h2,h3,h4,h3/h1 of the above three pulse types in the type 2 diabetic mellitus stringy-rapid pulse group were higher than those in the normal control group,h4/h1 level of Guan pulse,As levels of Cun pulse and Guan pulse were higher than those in the normal control group,and the differences were all statistically significant(P<0.05).Conclusion:The common pulse parameters of Qi deficiency syndrome and Yin deficiency syndrome of type 2 diabetes mellitus have certain characteristics,and the pulse wave parameters in each group can reflect the physiological and pathological characteristics of different pulses,providing a reference basis for the objectification of pulse diagnosis information,and providing a basis for the standardized diagnosis and treatment of Qi deficiency syndrome and Yin deficiency syndrome of type 2 diabetes mellitus.

Type 2 diabetes mellitusQi deficiency syndromeYin deficiency syndromePulse wave

陈琥颖、龚文波、贾梦娜、丁溢群、陈一夫、廖晟极

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浙江中医药大学第三临床医学院,浙江 杭州,310053

浙江中医药大学附属宁波市中医院,浙江 宁波,315010

浙江省宁波市北仑区中医院,浙江 宁波,315800

2型糖尿病 气虚证 阴虚证 脉搏波

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(32)