0 Diabetic Foot Syndrome Characteristics Of Chinese Medicine And Related Factors

Diabetic foot(DF) is a common complication of diabetes,which is a serious impact on quality of life of patients.Modern medicine already developed on the disease etiology,pathogenesis,and treatment factors,but for the early prevention of this disease still lack of effective ways and means.Traditional Chinese Medicine in the prevention and treatment of diabetic foot has its own advantages,more over there is some progresses in related researches,but about diabetic foot distribution Syndrome and related factors of the study is relatively little.In this paper,the diabetic foot syndrome of characteristics of and related factors are discussed.And ankle-brachial index determines the patients with lower extremity arterial disease or not,then talked about the related factors of ankle-brachial index.All above could provide the prevention and treatment of diabetic foots.1 0 diabetic foot syndrome of characteristics of Traditional Chinese Medicine1.1 The purpose of the studyResearch of Traditional Chinese Medicine in patients with 0 diabetic foot syndrome characteristics and its related factors1.2 Data and MethodsAccording to inclusion criteria and exclusion criteria,patients with 0 diabetic foot were studied and 111 cases were collected.According to literature and discussion of TCM,diabetic foot questionnaire were drafted.To study the patients with 0 diabetic foot syndrome of characteristics of TCM,all the practitioners were investigated and then analysis of these data.At the same time, all the clinical data of patients were collected,such as height,weight,history of diabetes,and ankle-brachial index,femoral artery intima-media thickness,artery diameter,peak systolic velocity,then analysis these data,the related factors of syndrome characteristics in patients with 0 diabetic foot were received.1.3 Results①Deficiency heat,skin dystrophy mains in patients with diabetic foot a total of 35 cases,accounting for 31.53%;Yin Deficiency,skin and blood stasis dystrophy Mailuo stasis card are 28 cases,respectively,accounted for 25.23%; of Yin and Yang deficiency,cold resistance network card are the least,a total of 20 cases,accounting for 18.02%.②Except changes in the fair and see pathological,patients with 0 diabetic foot could still result in foot lesions.And these closely related to the characteristics of the disease,suggesting that the overall and partial cure is an important part of TCM.③Heat deficiency throughout the whole diabetes course.Cold resistance network of yin and yang deficiency,blood stasis is the lead and core of diabetic foot disease.And dry,fire,sputum,water not only increased wear and tear,and lead to a vicious cycle from different factors but also is a causal factor which can not be ignored.Statistics reflected the low incidence of foot lesions shows that the characteristics of diabetes cause is hot from another angle.④Age has certain impact on TCM:the incidence of blood stasis gradually increased with the rise of age;the incidence of blood stasis is highest in≥70-year-old patients.⑤Complications have a certain impact:the incidence of blood stasis in patients with diabetic retinopathy higher than heat,skin dystrophy,Yin Deficiency,skin loss of custody certification and cold resistance network of yin and yang deficiency.⑥ABI has a certain impact:deficiency heat dystrophy skin card, certificate of Qi-Yin Deficiency skin dystrophy and cold resistance network of Yin and Yang deficiency in patients with evidence of the ABI group were higher than blood Choroid blood group(P=0.000,0.026,0.001,respectively)and there are statistical differences,more over ABI in patients with blood stasis is lowest.⑦Gender,diabetes duration,smoking or not,and femoral artery intima-media thickness,diameter and the peak velocity had no significant effect on patients with 0 diabetic foot.1.4 Conclusion①Deficiency heat,skin card dystrophy is the most common deficiency disease in patients with 0 diabetic foot which is in line with deficiency heat.②Skin dystrophy is the main card in patients with 0 diabetic foot,more over there is still another cards,blood stasis and cold blood Mailuo.③There are close relationship in age,diabetic retinopathy and the ankle-brachial index with syndrome of TCM characteristics in patients with 0 diabetic foot.And this can be considered as a basis for differentiation of sub-type.④In patients who are more than 70-year-old age,with diabetes retinopathy and/or ABI lower,blood stasis should pay more attention,and the treatment of blood circulation that could use the drug to the prevention and control as soon as possible to prevent and control the occurrence and development of diabetic foot.2 Ankle-brachial index and the impact of factors study in 0 diabetic foot2.1 The purpose of the studyABI is the standard of diagnosis whether or not with PAD,then to explore the related factors in patients with 0 diabetic foot.2.2 Data and MethodsDetect ABI,collect clinical data,for example,height,weight,course of diabetes,IMT,D,PSV,Blood glucose,blood lipids and coagulation,etc.then analysis these data and obtain the related factors about 0 diabetic foot. 2.3 ResultsSingle factor analysis showed that diabetic patients with PAD close related with age,smoking rates,diabetic retinopathy,diabetic nephropathy,systolic blood pressure,pulse pressure,WHR,diameter,peak systolic velocity, suggesting that these are the risk factors for PAD.By multiple stepwise regression analysis,after correction by other factors, the occurrence of diabetic foot still related with age,diabetic retinopathy, diabetic nephropathy,WHR,diameter,peak systolic velocity.Regression equation is Y=1.305+0.903 diameter-0.086 diabetic retinopathy+0.002 peak systolic velocity-0.003age-0.406WHR-0.053 diabetic nephropathy,R~2=41.9%.By analysis of variance,F=2.037,P=0.044(P＜0.05), with statistical significance,suggesting that these combined factors have a greater impact on the occurrence of PAD.2.4 Conclusion①ABI,as a diagnostic criteria for PAD,the risk factors of 0 diabetic foot combined PAD include:age,diabetic retinopathy,diabetic nephropathy, waist-hip ratio,diameter and peak systolic velocity.②The older,the merger of diabetic retinopathy,diabetic nephropathy, patients with abdominal obesity should be noted that a merger of abnormal ABI,in order to prevent and control the occurrence of diabetic foot and development,the prevention of the formation of diabetic foot gangrene as soon as possible.