Preliminary Exploration on the Relationship Between Hypertensive Syndrome Types and Insulin Resistance

doi:10.13288/j.11-2166/r.1999.01.031

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Preliminary Exploration on the Relationship Between Hypertensive Syndrome Types and Insulin Resistance

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- Preliminary Exploration on the Relationship Between Hypertensive Syndrome Types and Insulin Resistance
- Journal of Traditional Chinese Medicine Issue 1, Pages: 45-46(1999)
- 作者机构：
  
  1. 南京中医药大学
  2. 南京中医药大学第一附属医院
  3. 南京中医药大学第一附属医院江苏省南京市汉中路282号,210029
  4. 南京中医药大学南京中医药大学第一附属医院南京中医药大学第一附属医院江苏省南京市汉中路282号,210029
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.1999.01.031
  CLC： R259.4
- Published：1999
- 稿件说明：
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[1]蒋卫民,唐蜀华,陈晓虎.高血压病辨证分型与胰岛素抵抗关系的初步研究[J].中医杂志,1999(01):45-46+28+4.

Preliminary Exploration on the Relationship Between Hypertensive Syndrome Types and Insulin Resistance[J]. Journal of Traditional Chinese Medicine1999, (1): 45-46.
[1]蒋卫民,唐蜀华,陈晓虎.高血压病辨证分型与胰岛素抵抗关系的初步研究[J].中医杂志,1999(01):45-46+28+4. DOI： 10.13288/j.11-2166/r.1999.01.031.

Preliminary Exploration on the Relationship Between Hypertensive Syndrome Types and Insulin Resistance[J]. Journal of Traditional Chinese Medicine1999, (1): 45-46. DOI： 10.13288/j.11-2166/r.1999.01.031.

摘要

用葡萄糖氧化酶法及放免双抗体法测定空腹及服糖1小时、2小时后血糖、血胰岛素值

并计算胰岛素敏感指数（ISI）。结果:高血压病组及其肝火亢盛、阴虚阳亢组各时点胰岛素及服糖1小时、2小时后血糖较正常对照组明显升高（P<0.05～0.01）

ISI明显降低（P<0.05～0.01）。且此两证型组分别与阴阳两虚、痰湿壅盛组比较

升高和降低也有统计学意义（P<0.05～0.01）。而阴阳两虚、痰湿壅盛组除后者服糖1小时后血糖、胰岛素值较正常组有显著升高（P<0.05）外

余各指标较正常组均无显著差异。结论:高血压病患者存在胰岛素抵抗现象及证候特点以肝火亢盛、阴虚阳亢为主。

Abstract

By using the methods of gluco - oxidase and radio -immunodouble antibody

the blood glucose level at fasting 1 h

2 h after oral sugar and blood insulin were examined and the insulin - sensitive - index was determined. It was found that types of flaring - up of liver fire

exuberant - yang deficient - yin in hypertension had higher blood insulin and blood glucose 1 h and 2 h after oral sugar was taken than that of the control group （P<0. 05

P<0. 01）

ISI markedly decreased （P < 0. 05 - 0. 01）. When comparing that of the above 2 types with types of deficiency of both yin - yang

and exuberant damp -phlegm respectively

all the decrease and increase were of statistical significance. In the last two groups

except there were marked increase of blood sugar and insulin 1 h after taking sugar （P<0. 05）

all the other index revealed no obvious increase. Conclusion: in hypertensive cases

there was insulin resistance characteristized by flaring - up of liver fire and yin -deficiency yang - exuberance .

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