糖尿病患者脑白质疏松的MRI表现与中医证候要素相关分析

作者：王玲璞赵晶庞冉陈路华海琴康德强彭楠李胜鳌

来源：中国中西医结合影像学杂志, 2014, (1): 4.

• 糖尿病
• 脑白质疏松
• 磁共振成像
• 症候要素

[摘要]目的:分析糖尿病患者脑白质疏松的MRI表现病因，探讨其与中医症候要素之间有无相关性。方法：回顾性分析98例糖尿病患者脑白质疏松的MRI表现，将其进行轻、中、重度分类，并对这98例患者进行中医症候分型，分析MRI表现与中医症候分型之间有无关联性。结果：98例糖尿病伴LA的患者中，痰、血瘀、气虚和阴虚是其主要中医症候要素。LA严重程度与中医症候要素之间没有明显关联性，而其与糖尿病病程之间具有相关性，糖尿病病程越长,LA程度较重。结论：糖尿病伴LA患者病因复杂，且常伴有许多其它基础病变。对这一影像学征象应加以重视并积极地给予临床治疗干预，将会明显改善和提高患者的生存和生活质量。Thecorrelation analysis between the MRI manifestation of Leukoaraiosis and Syndrome factors in Chinese medicine in patients with diabetes WANG Lingpu,ZHAO Jing,PANG Ran,et al. Department of Radiology, Dongfang Hospital of Beijing University of Chinese Medicine, Beijing 100078，China [Abstract]Objective: To analysis the pathology of leukoaraiosis(LA) in patients with diabetes, and to investigate the correlation between the MRI manifestation of LA and Syndrome factors in Chinese medicine in patients with diabetes. Methods:A retrospective study was made about MRI manifestation of LA in 98 patients with diabetes. 98 cases of LA were divided into 3 groups including mild, moderate ,severe,and studyed their syndrome factors. The correlation was analysised between the MRI manifestation of LA and Syndrome factors in Chinese medicine in patients with diabetes. Results: The main syndrome factors are phlegm,blood stasis,qi deficiency and yin deficiency in 98 patients of LA with diabetes.No conspicuous correlation was computed between the severity of LA and syndrome factors in 98 patients of LA with diabetes.But the correlation was existed between the severity of LA and course of disease with diabetes.The longer the course of disease with diabetes,the severity of LA is. Conclusions: the etiology of LA in patients with diabetes were complicated,and those patients often accompanied with other basis diseases. If We pay attention to the imaging sign of LA and actively treat the basis diseases, the quality of life and exist in patients will be prominent improved.

• 单位
  北京中医药大学东方医院