Study On Distirbution Of TCM Syndromes Of Senile Diabetes Patients

Objective:Study on distribution of TCM syndromes of senile diabetes patients toprovide a scientific basis on prevention and treatment of senile diabetes mellitus.Methods:Collected269medical records of diabetic outpatients and inpatients fromJanuary2009to December2011in Endocrinology and health department of affiliatedHospital of Shandong Traditional Chinese Medicine University. Analyze the diagnosis ofdiabetes mellitus of TCM syndrome of senile patients and its objective correlation withstatistics software SPSS17.0on line.Results:①Syndrome combination distribution of TCM syndrome in senilepatients:Syndrome(6.3%),Combination of two types of syndromes(48.0%),Combination ofthree syndromes(25.3%),Combination of four syndromes(19.3%),Combination of five andmore syndromes(1.1%).②Divided TCM syndromes into18types,blood stasis(accountingfor59.5%),Qi-deficiency syndrome(accounting for58.7%),Yin deficiencysyndrome(accounting for50.2%),Phlegm-damp Syndrome(accounting for26.7%),kidneydeficiency syndrome(accounting for21.5%),spleen deficiency syndrome(accounting for12.6%).③269cases of statistics exit total53different TCM syndrome types,Majorsyndromes including qi-yin deficiency plus phlegm and blood stasis (13.3%),Qi-Yindeficiency syndrome(13.0%),Qi asthenia and phlegm-stasis syndrome(12.6%),qi-yindeficiency with blood-stasis syndrome(11.1%),phlegm-stasis in channels(8.9%),Spleen andkidney deficiency(6.7%).④Relationship between syndrome and disease course in patientswith diabetes mellitus in the elderly,Less than or equal to5years course occupy a greaterproportion of patients with Qi-Yin deficiency syndrome,Greater than or equal to10yearscourse,and deficiency of both Qi and Yin syndrome of phlegm and blood stasis, Qi-Yindeficiency with blood-stasis syndrome, Qi asthenia and phlegm-stasis syndrome, patientsof phlegm-stasis in channels more concentrated.⑤Divided the including patients into threesections according to their ages:60to69years old,70to79years of age, over the age of80,By Chi square test,syndrome in different age distribution of statistical significance (P<0.05).Diseases concentrated in60to79years old,aged60to69years of age than otherage groups of patients with phlegm and blood stasis syndrome of obstruction of collaterals,and phlegm and blood stasis syndrome of deficiency of qi and yin, Qi and Yin deficiencyand blood stasis syndrome of patients seen in paragraphs70to79years ofage.⑥Triglycerides significantly lower than of Qi-deficiency and blood-stasis syndrome ofdeficiency of both Qi and Yin syndrome of phlegm and blood stasis, phlegm and bloodstasis syndrome of obstruction of collaterals (P<0.05);Six patterns between fasting bloodglucose,cholesterol,creatinine,urea nitrogen without significant differences.Conclusion:①TCM syndrome of senile patients with diabetes mellitus complicated,demonstrated by the combination of syndromes such as Syndrome,Combination of twotypes of syndromes,Combination of three syndromes,Combination of foursyndromes,Combination of syndrome of aged five and above,Combination of twosyndromes are larger.②There are six syndrome types of TCM in senile diabetes:deficiency of both vital energy and yin,Qi-Yin deficiency syndrome,Qi asthenia andphlegm-stasis syndrome,Qi-Yin deficiency with blood-stasis syndrome,phlegm-stasis inchannels,Spleen and kidney deficiency.Six types of syndromes of traditional Chinesemedicine of qi-yin deficiency plus phlegm and blood stasis has the highestproportion,followed by Qi-Yin deficiency syndrome, Spleen and kidney deficiency of atleast.Mostly patients with syndrome of intermingled deficiency and excess,studies suggestthat deficiency of qi and Yin is the basic pathogenesis of diabetes in the elderly,phlegm-dampness,blood stasis are important etiology and pathological changes of diabetesin the elderly,mainly in the spleen and kidney.③As the course progresses,caused bydeficiency of phlegm and blood stasis in patients with senile not stagnate,real imageappears,gradually become intermingled deficiency and excess syndrome.④Prevalence offocused performance at the age of60to79years of age,as he grew older,elderly patients toappear intermingled deficiency and excess.⑤Index of triglyceride,and phlegm and bloodstasis syndrome of deficiency of qi and yin,phlegm-stasis in channels are high,Qi astheniaand phlegm-stasis syndrome is low.