Analysis Of Risk Factors Of Type 2 Diabetic Retinopathy And Study On TCM Syndromes

Purpose:Through the cases of hospitalized patients with type2diabetes data were retrospectively analyzed, Study the related risk factors for DR occurs and the distribution of TCM syndrome types, and carries on the analysis.Material and method:Selection in November2012to November2013in Endocrinology of Affiliated Hospital in Liaoning University of Traditional Chinese Medicine and by the eye doctor doing fundus examination of322cases of hospitalized patients with type2diabetes, After into the standard screening, The patients were divided into DR and NDR group, Statistics of two groups of patients with gender, age, course of the disease, BMI, glycosylated hemoglobin, systolic blood pressure on admission to hospital, diastolic blood pressure, cholesterol, triglyceride, low density lipoprotein cholesterol, high-density lipoprotein cholesterol, fasting glucose, and other related indicators, To explore the relationship between these factors and DR, and to categorize all DR patients according to the TCM syndrome type, With qi and Yin deficiency, Collaterals blood stasis resistance syndrome; liver and kidney deficiency, mesh nourishing syndrome; and the deficiency of Yin and Yang, blood stasis resistance TanNing the Chinese medicine dialectical analysis three kind of this syndrome.Results:Of257cases of patients with type2diabetes,90cases of diabetic retinopathy, This study shows that the age between DR and NDR group, the course of the disease, systolic blood pressure, glycosylated hemoglobin, triglyceride, cholesterol, fasting plasma glucose, the difference is statistically significant(P<0.05); And the level and duration of eye disease (r=0.223, P 0.035), glycosylated hemoglobin (r=0.524, P=0.524) were positively correlated relationship, At the same time, the above indexes regression analysis showed that age, course, glycosylated hemoglobin, systolic blood pressure, cholesterol, fasting blood sugar is the related risk factors for diabetic retinopathy occurs, The older you get, the longer the duration, the higher the glycosylated hemoglobin, systolic blood pressure is higher, the higher cholesterol, fasting blood sugar is higher, the greater the likelihood of developing diabetic retinopathy. TCM syndrome type distribution,90cases of the patients with diabetic retinopathy, Qi and Yin deficiency, collaterals nourish syndrome is significantly more than any other kind of syndrome, and it is a basic syndrome of diabetic retinopathy.Conclusion:1. In patients with type2diabetes, the occurrence of DR patients with gender, BMI, diastolic blood pressure, low density lipoprotein cholesterol, high-density lipoprotein cholesterol is not relevant.2. In patients with type2diabetes, the occurrence of DR and age, course, glycosylated hemoglobin, systolic blood pressure, cholesterol, triglycerides, fasting plasma glucose. Course of the disease in patients with the longer, the higher glycated hemoglobin, the heavier the degree of diabetic retinopathy.3. Regression analysis showed that age, course, glycosylated hemoglobin, systolic blood pressure,, fasting blood sugar this five factors are independent risk factors related to diabetic retinopathy. The older you get, the longer the duration, the higher the glycosylated hemoglobin, systolic blood pressure is higher, fasting blood sugar is higher, the greater the likelihood of developing diabetic retinopathy.4. DR patients with different TCM syndrome type distribution, qi and Yin deficiency, Collaterals blood stasis resistance syndrome is significantly Basic card type. Analysis shows that Yin deficiency is the basic pathogenesis of diabetes and its complications, qi deficiency is to promote the development of disease and gas Yin deficiency of throughout the whole process of disease, blood stasis resistance is the important pathological product of diabetic retinopathy is the leading cause of retinopathy.