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Correlative Analysis Of Quantitative Temperature Sensation Of Type 2 Diabetic Peripheral Neuropathy And Syndrome

Posted on:2016-08-26Degree:MasterType:Thesis
Country:ChinaCandidate:X OuFull Text:PDF
GTID:2134330461992848Subject:Traditional Chinese Medicine
Abstract/Summary:PDF Full Text Request
Background:Diabetic peripheral neuropathy (DPN) is one of the most com-mon c hronic complications of diabetes, can affect sensory, motor and autonomic nerves, resul ting in numbness, pain, cold and discomfort, the most serious con-sequence is caused by diabetic ulcers, diabetic foot may eventually amputation. Not only bring patients th e physical and mental damage, and have inflicted hu-ge economic burden. Therefore, e arly diagnosis, early treatment is an effective way to reduce morbidity. Current method s of detecting DPN lot, I feel the hos-pital main quantitative temperature detection (Q TT), QTT conventional nerve con-duction velocity (NCV) detection compared to better detect small nerve fiber da-mage that can be done early on DPN’s diagnosis, and thu s early treatment. C-urrently, Western medicine is still no ideal method for treating DP N, Chinese m-edicine in the treatment of DPN has a multi-target, multi-level, multi-ch annel ad-vantage by analyzing the quantitative detection of temperature sensation and s-yndromes correlation between, for diabetic peripheral neuropathy looking for so-me re ference value on the basis of an objective differentiation, using traditional Chinese me dicine therapies improve symptoms, treatment of disease.Research methods:Collected 90 cases did QTT of diabetic peripheral neur-opathy in patients with type 2, recording the results of QTT and into QTT norm-al group (18 cases) and QTT abnormal group (72 cases), clinical data were co-llected, accordin g to the disease and tongue and pulse carved the four TCM d-iagnostic data were ap plied SPSS 17.0 statistical software focuses on syndrome-es What are the differences between the two groups, and QTT results and di-agnosis of the relationship between c limate certificate.Results:(1)In patients with type 2 diabetic peripheral neuropathy with more than 60 years of age, the elderly accounted for 54.44%, of course, are more t-han 10 year s, the average body mass index (BMI) value is 26.03Kg/m2, with t-he majority of ov erweight and obesity; (2) Creatinine, urea nitrogen, uric acid h--ad a statistically signif icant difference between QTT and QTT abnormal group n-ormal group (P<0.05), and t he average abnormal QTT group were greater th-an the normal QTT group; (3) QTT in abnormal group, to double foot nerve fib-ers are damaged, and the single foot dam age compared with significant statisti-cally (P< 0.01), temperature (thermal pain). With the cold (pain) sleep, feeling were impaired compared to the difference was statistical ly significant (P< 0.01); (4) The occurrence frequency of the syndromes from high to low:Yin deficie-ncy and blood stasis, deficiency of liver and kidney, Yang deficiency and cold= ph-legm and blood stasis, Qi deficiency and blood stasis, but no significa nt difference between the groups. On the left and the right foot feeling in the abnorm al group, the simple warm (hot pain) sleep abnormalities were to yin deficiency an-d blood stasis syndrome and and other syndrome difference was statistical-ly s-ignificant (P< 0.05); Dan Chunleng (pain) feel abnormal to Yang deficiency col-d coagulation for many, but differences among the groups without statistically s-ignificant; feeling ar e abnormal, the differences also no statistically significant.Conclusions:(1) DPN patients were older, with an average duration of 10 y-ears, overweight and obesity are most welcome. (2) QTT results, temperature (heat pain) f eel the detection rate of> were abnormal> cold (pain) sleep, abnor-mal feet than one f oot abnormal detection rate, and the differences were statisti-cally significant. Prompt, warm (hot pain) more likely to have abnormal sleep e-arly DPN, DPN mostly distal s ymmetric polyneuropathy, consistent with previou-s research. (3) The frequency of occ urrence of the syndrome of TCM descendi-ng order:Yin and blood stasis> liver and kidney deficiency> Yang Harming=p-hlegm network> blood stasis, Yin explained this disease is diabetes Arthralgia w-here, stasis evil as the first mark of the disease is al ways possible through de-velopment of the disease. (4) among the left and right with one foot temperatu-re (heat pain) feel abnormal to the most frequent deficiency blood stasis syndr-ome, and other syndromes with statistically significant difference, suggestin g that temperature (heat pain) feel abnormal blood stasis and Yin Syndromes, treatm-e nt should pay attention to yin circulation; cold (pain) vision abnormalities may be ass ociated with yang Hanning certificate relates, yang and cold should focus on treatmen t.
Keywords/Search Tags:Quantitative temperature testing, type 2 diabetic peripheral neuropathy of diabetessyndrome, TCM syndromes
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