Newly Diagnosed Type 2 Diabetes Different Type Of Traditional Chinese Medicine Dialectical Points Between The Physical And Chemical Indexes, The Study Of Gay | | Posted on:2013-12-15 | Degree:Master | Type:Thesis | | Country:China | Candidate:K Zhang | Full Text:PDF | | GTID:2244330395479181 | Subject:Internal medicine of traditional Chinese medicine clinical | | Abstract/Summary: | PDF Full Text Request | | According to the WHO forecast, the world diabetic patients number will risefrom1995in125million to2025in299million,and the majority is Type2diabetes. At present in the world diabetes has caused death of the topfive,mainly died of complications. For newly diagnosed type2diabetes earlyintensive treatment and the remission induction have become the research focus.The understanding of Xiaoke of traditional Chinese medicine has two thousandyears of history. Along with the development of modern medicine and the in-depthdevelopment of combination of Chinese and western medicine,through the researchon similarities and differences of physicochemical indicators based on TCMsyndrome differentiation of newly-diagnosed type2diabetes, so that we can havebetter diagnosis and treatment for newly-diagnosed T2DM with combinedtraditional Chinese and western medicine.It should also become the directionof people’s research.Purposes:to observe the similarities and differences of physicochemicalindicators based on TCM syndrome differentiation of newly-diagnosed type2diabetes. In order to provide guidance for diagnosis and treatment of traditionalChinese medicine and western medicine.To have a elementary understanding ofprognosis based on TCM syndrome differentiation.Methods:we use epidemiologic investigation methods.We collected134caseswho were all hospitalized patiencts in the affiliated hospital endocrinologydept of Liaoning University of TCM from September1,2010to May30,2011.thento differentiate the syndrome of134cases,and to divide them into3groups:yin-deficiency-heat-superfluity-syndrome. Qi andyin-deficiency-syndrome.Hot and-humid trapped-spleen-syndromeResults:1.the constituent ratio of TCM syndrome type in the cases: Hot and-humidtrapped-spleen-syndrome46.27%, Qi and yin-deficiency-syndrome37.31%, yin-deficiency-heat-superfluity-syndrome16.42%。2.Age: has no significant difference in the three TCM syndrome types.3.Body mass index: to compare trends in three types: Hot and-humidtrapped-spleen-syndrome> yin-deficiency-heat-superfluity-syndrome>Qi and yin-deficiency-syndrome,and the difference is significant.4.fasting blood-glucose(FBG)〠hemoglobin glyosylated(HbA1c): have nosignificant difference in the three TCM syndrome types.5.Lipid metabolism:the level of triglyceride(TG) IS significantly higher in allTCM types of newly-diagnosed T2DM than normal people. to compare trends in threetype:Hot and-humid-trapped-spleen-syndrome>yin-deficiency-heat-superfluitysyndrome>Qi and yin-deficiency-syndrome,but yin-deficiency-heat-superfluitysyndrome and Qi and yin-deficiency-syndrome have no significant difference.6. Insulin resistance: to compare trends in three types: Hot and-humidtrapped-spleen-syndrome> yin-deficiency-heat-superfluity-syndrome>Qi andyin-deficiency-syndrome,and yin-deficiency-heat-superfluity-syndrome and Qiand yin-deficiency-syndrome have no statistical difference.7. the secretion of C-peptide: the fasting and postprandial30mintues ofC-peptide:Hot-and-humid-trapped-spleen-syndrome>yin-deficiency-heat-superfluity-syndrome>Qi-and-yin-deficiency-syndrome,yin-deficiency-heat-superfluity-syndrome and Qi and yin-deficiency-syndrome have no significantdifference.the postprandial one and two hours: Hot and-humid-trappedspleen-syndrome and yin-deficiency-heat-superfluity-syndrome aresignificantly higher than Qi and yin-deficiency-syndrome,and Hot and-humidtrapped-spleen-syndrome and yin-deficiency-heat-superfluity-syndrome have nosignificant difference.8. Islet β cell function: to compare trends in three types: Hotand-humid-trapped-spleen-syndrome>yin-deficiency-heat-superfluity-syndrome>Qi and yin-deficiency-syndrome,and Hot and-humid trapped-spleen-syndrome andyin-deficiency-heat-superfluity-syndrome have no significant difference. Conclusions:1.In the three kinds of TCM syndrome type of newly-diagnosed T2DM,hot andhumid-trapped-syndrome occupies the main type2.The differences of physicochemical indicators based on TCM syndromedifferentiation of newly-diagnosed type2diabetes do exist.3.The obesity, high blood triglycerides and insulin resistance of Hotand-humid-trapped-spleen-group are the most serious, so when we give this groupintensive treatment,at the same time we should pay more attention to improveinsulin resistance.4. According to the C peptide and beta cell function index,the remission rateof Qi and yin-deficiency-syndrome is expected to be the lowest after intensivetreatment.Therefor we can appropriately extend intensive treatment andmaintaining time.5.According to the C peptide secretion indexes,about yin-deficiency-heatsuperfluity-syndrome,its early-phase secretion function is poor,so we couldappropriately extend intensive treatment time.6.For newly-diagnosed T2DM,we can give corresponding diagnosis and treatmentby referring to TCM syndrome differentiation. | | Keywords/Search Tags: | newly-diagonsed type2diabetes, Xiaoke, TCM syndromedifferentiation, insulin resistance, islet beta cell function | PDF Full Text Request | Related items |
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