首页|期刊导航|中医临床研究|呼和浩特市2型糖尿病患者微血管病变相关因素分析

呼和浩特市2型糖尿病患者微血管病变相关因素分析OA

An analysis of the related factors of microvascular lesions in patients with type 2 diabetes in Hohhot city

中文摘要英文摘要

目的:探讨呼和浩特市 2 型糖尿病患者微血管病变与发病病程、身体质量指数(body mass index,BMI)、吸烟、饮酒、中医证型的关联.方法:采用病例回顾调查,选取内蒙古自治区中医医院内分泌住院患者,住院时间为2022年1月1日―2023年12月31日,收集符合纳入与排除标准的1 657例2型糖尿病患者的中医证型、年龄、性别、微血管病变、吸烟史、饮酒史数据,同时使用 SPSS 22.0、EXCEL 软件进行统计处理.结果:气阴两虚证可能是 2 型糖尿病中后期最常见的病理状态,是微血管并发症发生的重要病机基础;微血管病变患者在吸烟、饮酒方面的差异无统计学意义(P>0.05);病程是微血管病变最强的危险因素.随着病程延长,糖尿病肾病和糖尿病性视网膜病变的发生率显著且持续上升;控制体质量对于预防糖尿病肾病具有重要意义.结论:呼和浩特市2型糖尿病微血管病变患者受中医证型、BMI、病程的影响,与饮酒及吸烟因素影响不大.

Objective:To explore the relationship among microvascular lesions in patients with type 2 diabetes mellitus(T2DM)in Hohhot city and the disease duration,BMI,smoking,alcohol consumption,and traditional Chinese medicine(TCM)syndrome patterns.Methods:A retrospective case study was used.The data on TCM syndrome type,age,gender,microvascular lesions,smoking history,and drinking history of 1 657 T2DM patients who met the enrollment standards were collected from January 1,2022 to December 31,2023.The data on TCM syndrome type,age,gender,microvascular lesions,smoking history,and alcohol consumption history were collected from 1 657 T2DM patients who met the enrollment standards.Statistical analyses were performed by using SPSS 22.0 and EXCEL software.Results:Qi(气)and Yin(阴)deficiency syndrome was the most common pathological basis in the middle and late stages of type 2 diabetes,and was an important pathogenic basis for the occurrence of microvascular complications.There was no statistical difference among microvascular lesions smoking and drinking(P>0.05).The disease duration was identified the strongest risk factor for microvascular lesions.As the disease duration was prolonged,the incidence of diabetic nephropathy and diabetic retinopathy was significantly and continuously increasing.Weight control was particularly significance to prevent diabetic nephropathy.Conclusion:Type 2 diabetes microvascular lesions in Hohhot are associated with TCM syndrome type,BMI,and disease duration,and it has little correlation with alcohol consumption and smoking.

李广称;邢丽娜;骆仲凯;党林林;刁雪茹;安慕洁;王权

内蒙古自治区中医医院,内蒙古 呼和浩特,010000包头市蒙医中医医院,内蒙古 包头,014000内蒙古自治区中医医院,内蒙古 呼和浩特,010000内蒙古自治区中医医院,内蒙古 呼和浩特,010000内蒙古医科大学,内蒙古 呼和浩特,010000内蒙古医科大学,内蒙古 呼和浩特,010000内蒙古自治区中医医院,内蒙古 呼和浩特,010000

医药卫生

内分泌2型糖尿病微血管病变

EndocrineType 2 diabetes mellitusMicrovascular lesion

《中医临床研究》 2026 (9)

51-54,4

省部共建中医湿证国家重点实验室工作站开放课题(SZGZZ20240044):2型糖尿病湿证病机演变规律及其物质基础的队列研究.

10.3969/j.issn.1674-7860.2026.09.009

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