| BackgroundDiabetes is a common and endocrine and metabolic disease. Diabetes morbidity has been rising rapidly in our country and seriously harms people's health along with lifestyle changes and the acceleration of the aging process. There are about347,000,000adults suffering from diabetes all over the world. In2009statistical studies show that there were three hundred thousand diabetic patients in Hong Kong, and another three hundred thousand people would be suffering from diabetes. Diabetes is a widespread damage to the human body, such as the tissues and organs from head to foot, from the outside to the inside. Traditional Chinese medical science has a long history of treating xiaokebing which has been recognized as diabete smellitus. With the diagnosis of TCM syndromes and the evaluation of the clinical therapeutic efficiency at present, there is not a common, regular and objective standard system, this current situation makes the clinical curative effect assessment not provide enough evidences. Therefore, classification for the objective differentiation of diabetic research has become a hot topic for domestic and foreign scholars.ObjectiveWe should select and generalize the Chinese medicine standardization of syndrome typesof the type2diabetes in Hong Kong.In order to provide guidance for clinical treatment, the paper systematically retrospected and analyzed pathogenic factors, pathological changes of type2diabetes, investigated the relationship between type2diabetes based on syndrome differentiation in TCM and age, blood pressure, BMI index.MethodsWe used epidemiologic investigation methods. Wecollected142cases in Hong Kong from January1,2010to January1,2011.All of the patients choseninthis clinical trial had been clearly diagnosed in T2DM, and accorded with the internalized standard. All the cases included collected basic data about general physical condition, information from TCM four diagnoses. We choose those cases with complete data and proceeded statistics analysis. We used the method of T test and Logistic Regression with SPSS17.0statistical package.Results1. The number of men with diabetes mellitus is more than women, but there is no significant difference in comparing both.2. Age:60to70years old people are the most easily suffered with diabetes mellitus, followed by45to60years old, and less than45years old last.3. There are many differences in height, weight, blood pressure between male and female diabetics. According to BMI China reference standard, the number of obesity is23(16.2%), and overweight is65(45.8%).4. The typical symptoms of polydipsia, polyuria, and emaciation body are popular in less than45years old diabetics. But these symptoms are rare in more than45years old patients, whose symptoms are blurred vision, dizziness, mental weariness, upset, and forgetfulness.5. Over45years old diabetics are seen to have much ecchymosis petechia on tongue, but less than45years of age are rare.6. The common elements of syndrome of T2DM are deficiency of Yin, hotness, and blood stasis.7. Factor analysis:Making use of the Factor Analysis method, we have singled out there are25factors,5belong to deficiency of Yin,5deficiency of Qi,3blood stasis,3insufficiency of Yang,3phlegm-dampness;9of the disease points are in spleen,6in liver,3in stomach,2in kidney.8. Correlation analysis:Aging has significant effect on factor21, factorl, factor19and factor13(P=0.000,0.000,0.007and0.009). BMI index had significant effect on factor3, factor21, factor12, factor25and factor13(P=0.000,0.001,0.002,0.008and0.011), while blood pressure is not.Conclusions1. The higher the age, the prevalence of diabetes is higher;2. Blood pressure and the prevalence rate of diabetes is not significantly correlated, the BMI index is closely correlative the prevalence rate of diabetes mellitus;3. The common elements of syndrome of T2DM are deficiency of Yin, hotness, and blood stasis. |
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