| 摘要: |
| 探讨老年人糖耐量减低中西医病机,以便为中西医防治老年人糖耐量减低提供理论参考和治疗依据,降低老年糖尿病的发病率;针对老年人糖耐量减低的发病机制,以中医理论为指导并与西医的微观认识相结合来分析老年人糖耐量减低的病机特点;老年人糖耐量减低的中医病理本质为"脾肾亏虚为其本,痰瘀互结为其标",西医以胰岛素抵抗、β细胞功能缺陷为其主要发病机制;老年人糖耐量减低可以从中医虚实、标本方面分析,结合西医临床用药为其治疗另辟蹊径。 |
| 关键词: 老年人 糖耐量减低 中西医病机 |
| DOI:10.11656/j.issn.1672-1519.2009.02.17 |
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| Brief discussion on pathogenesis of the impaired glucose toleration in elder person in western and Chinese medicine |
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SU Yu-jie, LI Jing-lin
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Liaoning University of TCM, Shenyang 110031, China
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| Abstract: |
| [Objective] To discuss the pathogenesis of the impaired glucose toleration (IGT) in elder person in Western and Chinese medicine,to provide theoretic reference and therapeutic evidence for prevention and treatment of it and to reduce the rate of incidence of diabete in elder person. [Methods] According to the pathogenesis of IGT and guided by Chinese theory combined with microscopic knowledge in Western medicine the pathogenesis of IGT in elder person was analyzed. [Results] The essence of the pathogenesis was that the origen in IGT in TCM was deficiency of spleen and kidney and the superficiality was phlegm combined with dyspepsia. In Western medicine,the main pathogenic mechanism was insulin resistance and the defect of β cell. [Conclusion] The treatment of IGT in elder person can be analyzed from deficiency and excess and superficiality and origin in TCM and a new way for treating should be established by using Western medicine clinically. |
| Key words: the elder person IGT the impaired glucose toleration etiology and pathogenesis in western and Chinese medicine |