高血压病患者血清胰岛素、C肽水平与中医辨证分型的关系

作者	单位
黄俊山	HUANG Junshan, BAI Jiechen, HUANG Guoliang, et al Affiliated Union Hospital, Fujian Medical University, Fuzhou (3500O1
白介辰	HUANG Junshan, BAI Jiechen, HUANG Guoliang, et al Affiliated Union Hospital, Fujian Medical University, Fuzhou (3500O1
黄国良	HUANG Junshan, BAI Jiechen, HUANG Guoliang, et al Affiliated Union Hospital, Fujian Medical University, Fuzhou (3500O1
黄荣璋	HUANG Junshan, BAI Jiechen, HUANG Guoliang, et al Affiliated Union Hospital, Fujian Medical University, Fuzhou (3500O1
郑师碧	HUANG Junshan, BAI Jiechen, HUANG Guoliang, et al Affiliated Union Hospital, Fujian Medical University, Fuzhou (3500O1
郑关毅	HUANG Junshan, BAI Jiechen, HUANG Guoliang, et al Affiliated Union Hospital, Fujian Medical University, Fuzhou (3500O1
邓祥雄	HUANG Junshan, BAI Jiechen, HUANG Guoliang, et al Affiliated Union Hospital, Fujian Medical University, Fuzhou (3500O1
唐平	HUANG Junshan, BAI Jiechen, HUANG Guoliang, et al Affiliated Union Hospital, Fujian Medical University, Fuzhou (3500O1
颜跃斌	HUANG Junshan, BAI Jiechen, HUANG Guoliang, et al Affiliated Union Hospital, Fujian Medical University, Fuzhou (3500O1
郑书金	HUANG Junshan, BAI Jiechen, HUANG Guoliang, et al Affiliated Union Hospital, Fujian Medical University, Fuzhou (3500O1
刘小莺	HUANG Junshan, BAI Jiechen, HUANG Guoliang, et al Affiliated Union Hospital, Fujian Medical University, Fuzhou (3500O1

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中文摘要:

目的：探讨高血压病患者胰岛素抵抗及高胰岛素血症与中医证型的相关规律。方法：将高血压病的４种证型及健康对照组各选３０例，测定血中胰岛素及Ｃ肽水平等。结果：高血压病患者血中胰岛素水平显著高于健康对照组，并且各证型之间也存在明显差异，其顺序为痰湿■盛＞肝火亢盛＞阴阳两虚＞阴虚阳亢＞健康对照。结论：高血压病患者高胰岛素血症以实证为重而虚证较轻。其变化规律与中医病因病机相符合，这对于中医、中西医结合的临床与研究具有指导意义

英文摘要:

To study the relationship between insulin-resistance (IR), hyperinsulinemia and TCM Syndrome Differentiation-typing. Methods: The serum insulin, C-peptide level of the four Syndrome-types of hy pertension (30 cases each type) and the control group (30 cases) were determined. Results: The serum insulin level in hypertension patients were significantly higher than that of control group, and there were obvious difference among the four types of Syndrome. The following order was: The abundant phlegm-dampness type >exuberant Liver-Fire type>both Yin-Yang deficiency type > Yin deficiency and Yang-Excess type > control type. Conclusions: The Excess Syndrome was severe and deficiency Syndrome was mild in hyperinsulinemia. The pattern of change was in accordance with etiology and pathogenesis of TCM. It has the guiding significance to the clinical practice and research of TCM and integrated TCM-WM.

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