[1]刘杰,高天野,彭涛△.中医辨证施食在2型糖尿病管理模式中的应用[J].西部中医药,2019,32(01):77-79.
　LIU Jie,GAO Tianye,PENG Tao.Application of TCM Syndrome Differentiation and Diet to the Management Mode of Type Two Diabetes Mellitus[J].Western Journal of Traditional Chinese Medicine,2019,32(01):77-79.
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中医辨证施食在2型糖尿病管理模式中的应用
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
32
期数:
2019年01期
页码:
77-79
栏目:
出版日期:
2019-01-15

文章信息/Info

Title:
Application of TCM Syndrome Differentiation and Diet to the Management Mode of Type Two Diabetes Mellitus
文章编号:
1004-6852(2019)01-0077-04
作者:
刘杰，高天野，彭涛△
柳州市中医医院，广西 柳州 545001
Author(s):
LIU Jie, GAO Tianye, PENG Tao△
Liuzhou Traditional Chiense Medical Hospital, Liuzhou 545001, China
关键词:
2型糖尿病; 辨证施食; 慢病管理
Keywords:
type two diabetes mellitus;  syndrome differentiation and diet;  the management of chronic disease
分类号:
R242
文献标志码:
B
摘要:
目的：强化中医辨证施食，探索2型糖尿病（T2DM）慢病管理的新模式。方法：将T2DM患者90例辨证分为阴虚热盛证14例、气阴两虚证45例、阴阳两虚证4例、血瘀气滞证27例，采取健康讲座、糖友会等形式进行交流，在中医辨证施食的基础上予以个性化饮食指导，观察辨证施食管理前后患者血糖、血脂、糖化血红蛋白等代谢指标与BMI、腰围、臀围变化情况及中医证候积分变化情况。结果：除阴阳两虚证外，其余三类中医证候积分均较管理前减少，差异有统计学意义(P＜0.05)；患者血糖、血脂、糖化血红蛋白等代谢指标及BMI、腰围、臀围较管理前下降，差异有统计学意义(P＜0.05)。结论：中医辨证施食的饮食管理可有效帮助患者控制血糖，改善糖、脂代谢，控制体质量，缓解阴虚热盛证、气阴两虚证及血瘀气滞证患者症状。
Abstract:
Objective: To explore the new mode for chronic disease management of type two diabetes mellitus (T2DM) by strengthening syndrome differentiation and diet. Methods: Ninety patients were differentiated and classified into 14 cases of Yin-deficiency excessive-heat pattern, 45 cases of Qi-Yin dual deficiency pattern, four cases of Yin-Yang dual deficiency pattern and 27 cases of blood-stasis Qi-stagnation pattern, they communicated by health talks, DM patients meeting and others, they were given individualized diet based on syndrome differentiation and diet, the changes of TCM syndrome scores, the changes of BMI, waistline, hipline, and the metabolic indexes including blood glucose, blood lipid, glycosylated hemoglobin and others were observed before and after the management. Results: Except Yin-Yang dual-deficiency pattern, the scores of TCM syndrome scales of the other three syndromes reduced compared with before management, and the difference had statistical meaning(P＜0.05); the metabolic indexes including blood glucose, blood lipid, glycosylated hemoglobin and others, BMI, waistline and hipline lowered compared with before management, and the difference had statistical meaning (P＜0.05). Conclusion: Syndrome differentiation and diet management could effectively help the patients control blood glucose, glucose and lipid metabolism, body weight, relieve the symptoms of the patients of Yin-deficiency excessive-heat pattern, Qi-Yin dual deficiency pattern and blood-stasis Qi-stagnation pattern.

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备注/Memo

备注/Memo:
收稿日期：2018-07-03 *基金项目：广西壮族自治区卫生和计划生育委员会自筹经 费科研课题(编号220180369)。 作者简介：刘杰(1986—)，女，硕士学位，主治医师。研究方向：中医药治疗糖尿病及其他内分泌代谢性疾病。 △通讯作者：彭涛(1969—)，男，博士学位，副主任医师。研究方向：糖尿病肾病的中医药治疗。
更新日期/Last Update: 2019-01-15