Font Size: a A A

Investigation On Epidemiology Of Chronic Complications Related To Traditional Chinese Medicine In Adult Patients With Type 2 Diabetes Mellitus In Shenyang City

Posted on:2016-11-01Degree:MasterType:Thesis
Country:ChinaCandidate:Q ZhangFull Text:PDF
GTID:2134330470973806Subject:Internal medicine of traditional Chinese medicine
Abstract/Summary:PDF Full Text Request
Purpose: Type 2 diabetes chronic complications can be divided into large vessel disease(heart disease hypertension, coronary heart disease), and cerebrovascular accident,(microvascular disease, diabetic retinopathy, diabetic nephropathy) and neuropathy(autonomic neuropathy,peripheral neuropathy) class three. The survey by filling out the questionnaire form, in under the guidance of Professor Shi Yan tutor selection, in accordance with the inclusion criteria of patients with type 2 diabetes were involved in the investigation inthirteen hospitals of Shenyang City, the relationship between the incidence of Department of Endocrinology, and various statistical analysis of adult patients with three classes of commonchronic complications of Shenyang city center have been diagnosed type 2 diabetes mellitusthe common complications in patients with life history, occupation, TCM constitution. To provide reference for prevention and treatment of the people of Shenyang as the common chronic complications of type 2 diabetes mellitus.Crowd and method:The list of access to the people’s Republic of China Ministry of Health issued in 2000 the National Hospital, Shenyang hospital to determine 19, of which there are endocrine Department 13(Integrated Hospital Affiliated to China Medical University First Affiliated Hospital, Shengjing Hospital, China Medical University, Shenyang Military General Hospital oftraditional Chinese Medicine Hospital of Liaoning Province, Shenyang Medical College, China Medical University, Fengtian Hospital Affiliated Hospital fourth Shenzhou Hospital of Shenyang Medical College the Fifth People’s Hospital, Shenyang City, Liaoning Province, the Second Affiliated Hospital of Liaoning University of Traditional Chinese Medicine golden autumn hospital, Third Hospital Affiliated to Shenyang Medical College, Second Affiliated Hospital of China Medical University, Shenyang two) Ministry of Chinese and Western medicine.In 13 hospitals selected endocrine department diagnosis of adult patients with type 2 diabetes mellitus, fill in the questionnaire voluntarily. The investigation period 30 days, fill in the questionnaire 1117, according to data integrity and exclusion criteria, 879 questionnaires wereincluded in the statistical analysis.Results:1.Overview: 879 cases of type 2 diabetic patients, 246 cases of patients with large vessel disease,accounting for 27.99% of the overall investigation; and in patients with vascular lesions in 431 cases, accounting for 49.03% of the overall investigation; 202 cases complicated with neurogenic lesion patients, accounted for 22.98% of the overall investigation2.General situation: index. 879 cases were included in the analysis data of patients with type 2diabetes, macro vascular disease, micro vascular disease, nerve pathological changes of three kinds of complications in patients with age, duration of the disease, body mass index, fasting blood glucose of four general indexes P > 0.05, cannot be considered statistically significant three kinds of complications of four general indexes differences between groups. The main results are as follows:2.1 246 patients complicated with macro angiopathy patients, four general indexes were 63.5 +19.83, 7.82 +2.68, 24.39 + 3.11, 8.59 + 3.13.2.2 431 patients complicated with micro angiopathy in patients, four general indexes were 65.12 +11.4, 7.62 + 2.71, 24.91 + 3.37, 8.68 + 3.19.2.3 202 patients complicated with neurogenic lesion patients, four general indexes were 65.43 +11..86, 7.67 + 2.58,24.55 + 2.89, 8.81 + 3.53.3. Life history: 879 cases were included in the analysis of the data of patients with type 2 diabetes mellitus, four kinds of different life history the percentage of P<0.001 macro vascular disease,micro vascular disease, nerve pathological changes of three kinds of complications, can be considered statistically significant three kinds of complications of four different life history the percentage difference between groups. The main results are as follows:3.1 246 patients complicated with macro angiopathy patients, four kinds of different life history percentages were8.54%, 30.89%, 55.69%, 4.88%.3.2 431 patients complicated with micro angiopathy in patients, four kinds of different life history percentages were 9.51%, 26.45%, 57.31%, 6.73%.3.3 202 patients complicated with neurogenic lesion patients, four kinds of different life history percentages were 18.32%, 14.36%, 55.94%, 11.39%.4. Occupation: survey of 879 cases were included in the analysis data of patients with type 2diabetes, macro vascular disease, micro vascular disease, nerve pathological changes of three kinds of complications of eight different occupation percentage of P<0.001, can be considered statistically significant three kinds of complications of 8 different occupation percentage difference between groups. The main results are as follows:4.1 246 patients complicated with micro angiopathy in patients, eight kinds of different occupation percentage were 15.04%, 6.91%, 4.07%, 34.96%, 12.20%, 12.60%, 6.50%, 7.72%.4.2 431 patients complicated with micro angiopathy in patients, eight kinds of different occupation percentage were 7.89%, 10.21%, 6.03%, 38.98%, 10.9%, 15.08%, 6.96%, 3.94%.4.3 202 patients complicated with neurogenic lesion patients, eight kinds of different occupation percentage were 10.89%, 10.40%, 8.91%, 21.78%, 18.32%, 19.31%, 4.46%, 5.94%.5. Traditional Chinese medicine constitution Outline: 879 cases were included in the analysis data of patients with type 2 diabetes, nine kinds of traditional Chinese Medicine physiquepercentage of P<0.001 macrovascular disease, microvascular disease, nerve pathological changes of three kinds of complications, can be considered statistically significant three kinds of complication in patients with 9 different kinds of TCM physique percentage difference between groups. The main results are as follows:5.1 246 patients complicated with macro angiopathy patients, nine different kinds of TCM physique percentage were 1.22%, 5.28%, 3.66%, 4.47%, 35.37%, 7.72%, 10.16%, 30.89%.1.22%.5.2 431 patients complicated with micro angiopathy in patients, nine kinds of different TCM physique percentage were 0.93%, 6.5%, 7.66%, 9.51%, 31.09%, 8.82%, 21.35%, 12.76%. 1.39%5.3 202 patients complicated with neurogenic lesion patients, nine different kinds of TCM physique percentage were 3.47%, 18.32%, 22.77%, 17.33%, 8.91%, 10.40%, 8.42%, 9.41%.0.99%.Conclusion:1.Are Shenyang city center in type 2 diabetic patients with three kinds of common chronic complications and micro angiopathy in patients with large vessel disease, the second, less nerve lesion.2. No differences in type 2 diabetes onset age, Shenyang city center concurrent three kinds of common complications in patients with type 2 diabetes mellitus with complications when the duration of the disease, type 2 diabetes, body mass index and fasting blood glucose of four general indexes, the effects of four general indexes are not specific for patients with type 2 diabetes mellitus three different complications.3.Shen yang city center of type 2 diabetes mellitus patients with various complications in patients,and history of smoking and drinking history most, account for more than 50%. The macro angiopathy, and micro angiopathy in patients, only the history of drinking alcohol than if smoking history, and concurrent neuropathy patients, only the history of smoking is higher than that of only the history of drinking alcohol. Smoking, drinking has a significant effect on three kinds of common chronic complications of type 2 DM, drinking impact on macro vascular and micro vascular disease than smoking, complicated with nerve lesions of the patients, the effects of smoking than drinking.4.Shenyang city center type 2 diabetic macro angiopathy, and micro angiopathy in patients, have been engaged in commercial, service industry are working, the occupation of visible Shen yang city center area in patients with type 2 diabetes mellitus complicated with relative to other occupation easily the two types of chronic complications. Complicated with nerve lesions inpatients, there is no obvious high occupation practitioners, including commercial, service industry workers, agricultural, forestry, animal husbandry, fishery, water conservancy industry production personnel and production, transport equipment operators and related worker srelatively more. Engaged in the occupation of different had no significant effect on patients with type 2diabetes mellitus complicated with nerve lesions.5.Large vascular diseases of Shenyang city center in patients with type 2 diabetes mellitus patients,phlegm and stagnation constitution was significantly higher than that of other physical, show that the two constitution easily complicated by the chronic complications.Patients with micro angiopathy, phlegm and blood stasis constitution was significantly higher than that of other physical, show that the two constitution easily complicated by the chronic complications. Patients with neurological complications, Qi deficiency, Yang deficiency and yin deficiency constitution of three kinds of relatively more, show that the three constitution easily complicated by the chronic complications.
Keywords/Search Tags:Type 2 diabetes mellitus, Chronic complications, Large vascular disease, Micro vascular disease, Of neural lesions, The constitution of traditional Chinese Medicine, Epidemiological investigations
PDF Full Text Request
Related items
Study On The Relationship Between "Differentiation Of Constitution,Disease And Syndrome" Characteristics And Glucose And Lipid Metabolism,Inflammatory Indexes In Patients With Type 2 Diabetes Mellitus
Traditional Chinese Medical Body Constitution, Its Related Clinical Characteristics, And Diabetes-associated Chronic Complications In Patients With Type 2 Diabetes
Weight Rank Sum Ratio (WRSR) Comprehensive Evaluation Used In Effect Comprehensive Evaluation In Forepart Micro Vascular Complication In Type 2 Diabetes Mellitus Treating By Traditional Chinese Medicine (TCM)
Large Vascular Lesions With Type 2 Diabetes Mellitus And Regulatory T-cells' Clinical Study Of Relativity
Study On Traditional Chinese Medicine Constitution Of Type 2 Diabetes Mellitus In Two Communities Of Kunming
Association Between Albuminuria And Estimated Glomerular Filtration Rate And Vascular Complications Of Type 2 Diabetes
Studies On The Constitution Classification 0f Traditional Chinese Medicine In Subjects With Type 2 Diabetes Mellitus
Clinical Study On Relationship Between TCM Differentiation Syndromes Of Type 2 Diabetes Mellitus And Chronic Vascular
The Relationship Between Phlegm-dampness Syndrome Type Of Chinese Medicine And Lipoprotein (Alpha) In Patients With Type 2 Diabetes Mellitus Study
10 Investigation And Analysis Of Patients'Traditional Chinese Medicine Constitution Type With Vascular Dementia In Guangxi Region And Study On The Intervention Of The Sequential Treatment Of Triple Energizer