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脾瘅(糖尿病前期)中医综合防治方案及其临床研究
方朝晖1,2, 赵进东2, 石国斌1, 舒仪琼1, 范青云3, 刘剑1, 吴倩3, 江婷3, 凌含鹏3, 罗云3
1.安徽中医药大学第一附属医院内分泌科, 合肥 230031;2.安徽中医药科学院中医药糖尿病防治研究所, 合肥 230031;3.安徽中医药大学, 合肥 230031
摘要:
[目的] 建立一个具有中国特色的以医院为引导,社区为主体的脾瘅(糖尿病前期)中医综合防治方案。[方法] 立足于中医药防治脾瘅(糖尿病前期)临床研究结果及行业标准,经同行专家多次讨论,再修订,达成共识。[结果] 36.20%糖尿病高危人群因饮食失节发生脾瘅(糖尿病前期),病位在脾胃占43.60%,中医综合防治方案干预脾瘅(糖尿病前期)1 a,42.15%血糖恢复为正常水平。[结论] 制定国内具有代表性的、可复制的、易推广的糖尿病前期中医综合“三早”防治体系。
关键词:  脾瘅  糖尿病前期  中医综合防治方案
DOI:10.11656/j.issn.1672-1519.2014.10.02
分类号:
基金项目:国家中医临床研究基地重点研究病种糖尿病(20081211);国家中医药管理局中医药行业科研专项(201007004);国家中医药管理局中医药重点学科-中医内分泌学(20091221);国家科技支撑计划新安医学传承与发展研究项目(2012BA126B00);国家中医药管理局国家基本公共卫生服务项目(20131012).
Comprehensive scheme of prevention and treatment with TCM in PiDan (prophase of diabetes) and clinical research
FANG Zhao-hui1,2, ZHAO Jin-dong2, SHI Guo-bin1, SHU Yi-qiong1, FAN Qing-yun3, LIU Jian1, WU Qian3, JIANG Ting3, LING Han-peng3, LUO Yun3
1.Endocrinology Department, The First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei 230031, China;2.Research Institute of Diabetes with TCM, Anhui Academy of Chinese Medicine, Hefei 230031, China;3.Anhui University of Chinese Medicine, Hefei 230031, China
Abstract:
[Objective] To establish a comprehensive scheme of prevention and treatment with TCM about PiDan (spleen heat, prophase of diabetes) taking hospital as the guide and the communities as the main body. [Methods] Based on the clinical research results and industry standard of combined prevention and treatment of PiDan with TCM after many discussions by the peer experts and revised again the consensus was reached. [Results] Because of irregular eating habits, in 36.20% patients with a high-risk of diabetes the PiDan was occurred. Among them, 43.60% were located at spleen and stomach. The level of blood glucose was recovered to normal in 42.15% of patients after combined TCM prevention and treatment of PiDan for one year. [Conclusion] It's very meaningful to formulate a representative, replicable and easy-expending domestic system with three early measures in prevention and treatment of PiDan with TCM.
Key words:  PiDan  prophase of diabetes  comprehensive scheme in prevention and treatment with TCM Progress in acupoint specificity research
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