综合近年来有关2型糖尿病合并冠心病中医辨证分型的客观化研究,发现对2型糖尿病合并冠心病的中医辨证分型与相关实验室指标、冠状动脉病变特征、脉搏波速度、相关候选基因等方面的相关性研究已经取得了很大的进展.临床上本病属于本虚标实,虚实夹杂之证,以气阴两虚为主,以血瘀痰阻为标,其证型与相关的临床理化指标密切相关,多以气阴两虚型、或气阴两虚夹瘀或夹痰型、或痰瘀互结型、或痰浊内阻型为常见.但目前该病临床研究尚缺少国家标准化的中医辨证分型,认为应制定统一的中医辨证分型标准化,尤其通过结合现代客观化指标,形成较为一致的中医量化客观指标,最终将有利于提高2型糖尿病合并冠心病的现代中医诊疗水平.%The summarization of the objective study of syndrome differentiation type about T2DM(Diabetic Mellitus) combined with CHD(Coronary Heart Disease), and the result showed the relevant research had made great progress in T2DM combined with CHD TCM Syndromes and laboratory parameters, characteristics of coronary artery disease, pulse wave velocity and related candidate genetic.The disease belongs to asthenia in origin and asthenia in superficiality, intermingled deficiency and excess.The main syndrome is Qi and Yin Deficiency, blood stasis and phlegm in the second place.The type of syndrome was closely related to relevant physical and chemical indexes.The mostly common type of syndromes were deficiency of Qi and Yin, or deficiency of Qi and Yin combined with blood stasis type, or intermin-gled phlegm and blood stasis type, or stagnation of endogenous retention of phlegm type.But the clinical study of this disease is lack of national standard of TCM Typing, it is suggested to form a unified classification of TCM standardization, especially through the combination of modern objective indicators to form a consistent objective index of TCM, the final will be conducive to improving the level of modern TCM diagnosis and treatment of T2DM combined with CHD.
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