Ⅱ型糖尿病患者中医辨证分型与脑功能关系的研究

作者	单位
刘德山	山东医科大学附属医院
陈克忠	山东医科大学附属医院
张春苓	山东医科大学附属医院
陈秀杉	山东医科大学附属医院

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中文摘要:

５１例Ⅱ型糖尿病患者按中医辩证分为阴虚热盛、气阴两虚和阴阳两虚３型；对照组为年龄、性别和文化程度与之相匹配的３０例健康人。每例均作记忆、思维、运动、情绪和脑诱发电位等脑功能测定。结果显示，阴虚热盛型患者脑功能尚接近正常，气阴两虚型和阴阳两虚型患者脑功能均明显减退。提示糖尿病不同证型有其不同的病理生理基础，各证型间的脑功能变化有一定的规律。

英文摘要:

The relationship between brain function and syndrome-types of TCM in 51 patients with non-insulin dependent diabetes mellitus(NIDDM) was observed. The syndromes were divided into three types.(1) Yin Deficiency with internal excessive Heat(YDIEH),15 cases;(2)Qi-Yin Deficiency(QYD), 21 cases,(3)Deficiency of both Yin and Yang(DYY),15 cases. The control group consisted of 30 healthy subjects matched in age, sex and educational level.The brain function were tested by neurobehavioral and neuroelectrophysiologlcal tests.The former included short-term memory, thinking, eye-hand coordination and emotion tests,the latter consisted of brainstem auditory evoked potentials(BAEP), visual evoked potentials(VEP) and somatosensory evoked potentials(SEP).The results showed that the brain function in YDIEH group approached normal controls,and the brain function in QYD and QYY groups were significantly deteriorated. The results suggested that the brain function were correlated with the syndrome-types of patients with NIDDM.This would be valuable for diagnosis and treatment of NIDDM in TCM.

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