2型糖尿病合并非酒精性脂肪肝的辨证分型

摘要

目的 对2 型糖尿病合并非酒精型脂肪肝患者进行中医辨证分型,为2 型糖尿病合并非酒精性脂肪肝患者辨证论治提供理论依据.方法 通过问卷调查方式,对200 例2 型糖尿病合并非酒精性脂肪肝患者进行中医临床症状采集,运用因子分析、聚类分析等统计学方法进行总结及频次分析,最后总结出2 型糖尿病合并非酒精型脂肪肝患者的中医证型及各证型所占比例.结果 2 型糖尿病合并非酒精性脂肪肝的中医证型分为肾阴亏虚、湿热内蕴、痰瘀互结和肝郁气滞四型,其所占比例分别为:肾阴亏虚型为34%,湿热内蕴型为33%,痰瘀互结型22%,肝郁气滞型11%.结论 2 型糖尿病合并非酒精性脂肪肝的中医证候可分为肾阴亏虚、湿热内蕴、痰瘀互结和肝郁气滞型,其中以前两证型为主,对日后中医临床辨证论治具有一定参考价值.%Objective To analyze the TCM syndrome type of type 2 diabetes mellitus (T2DM) with non-alcoholic fatty liver disease (NAFLD), and to provide basis for the diagnosis and treatment of T2DM combined with NAFLD. Methods The TCM clinical symptoms of 200 patients of T2DM combined with NAFLD were collected by questionnaire, and the frequency of the TCM symptoms were investigated by using factor analysis and cluster analysis. Finally, the TCM syndrome type and syndromes proportion of T2DM combined with NAFLD were summarized. Results TCM syndromes of T2DM combined with NFLD were divided into Yin deficiency, dampness, phlegm and blood, liver Qi stagnation IV proportion, accounting for 34%, 33%, 22% , 11%, respectively. Conclusion The TCM syndromes of T2DM combined with NAFLD can be divided into Yin deficiency, dampness, phlegm and blood and liver qi stagnation, mainly Yin deficiency, dampness, which provides certain reference value for the future TCM clinical diagnosis and treatment.