Study On The Correlation Between Traditional Chinese Medicine Syndromes And Emotional Abnormalities In Elderly Diabetes Mellitus Patients

This study based on 61 cases of elderly diabetes patients with abnormal of modern research, discuss the different between syndrome type and physicochemical indexes correlation, correlation of modern abnormal degree and the related factors, and the elderly diabetic patients with abnormal of modern clinical features and the use of radix bupleuri liver powder for curative effect observation of elderly patients with diabetes of modern abnormal.MethodBetween January 2015 and January 2016 in the ministry of health hospital of Beijing hospital regions included in the standard of 100 cases of elderly diabetes patients with diabetes SDS depression self rating scale for investigation. Screen has a modern abnormal table (that is, the depression self-assessment score 50 points or higher) of 61 cases of patients, the 61 patients in TCM symptom classifying quantization table investigation, collect the patient’s general condition, diabetes related situation, the basic clinical data such as basic physical and chemical index. Statistical analysis to compare different syndrome types and physical and chemical index correlation and related factors associated with depression self rating scale score and grade of TCM symptoms to quantify the frequency of symptoms in the table. And the use of radix bupleuri liver powder treatment after 2 weeks of 25 patients with depression self rating scale and TCM symptom classifying quantization research. According to TCM syndrome curative effect judgment standard radix bupleuri liver powder treatment efficient and compared before and after treatment of FPG, PPG, TCM symptoms in patients with hierarchical quantitative change integral, depression self rating scale scores of SDS.Result1 100 elderly patients with diabetes in a modern anomalies with 61 cases,23 cases of men, women,38 cases. Modern light, medium and severe abnormal proportion were 46%,11%, 4%.2.1 TCM syndrome type:61 cases of elderly diabetes patients with abnormal of modern, the proportion of each syndrome type from big to small, in order:Yin and Yang are two deficiency, blood stasis water stop (31%)> qi and Yin deficiency syndrome (23%)> damp heat trapped spleen vein (21%)> blood stasis syndrome (15%)> Yin deficiency heat syndrome (10%).Course, age 2.2:duration> 70.5% for 10 years. Between different syndrome types course is p> 0.05, each card type according to the course of long to short, respectively is:blood stasis context> Yin deficiency syndrome> hotness both Yin and Yang deficiency, blood stasis syndrome> hot and humid trapped spleen> stop water qi and Yin deficiency syndrome. Each card type by age from big to small, respectively is:qi and Yin deficiency syndrome> blood stasis context> both Yin and Yang deficiency, blood stasis water stop> damp heat trapped spleen> Yin heat syndrome.2.3 Complications and complications:61 elderly diabetic patients with abnormal of modern, different syndrome diabetes vascular lesions and diabetic peripheral neuropathy is> 50% or more. Different syndrome types the prevalence of hypertension is greater than 50%. Against 2.4.1 HbAlc, FBS, Yin deficiency syndrome and blood stasis context hotness HbAlc is p=the two groups (p<0.0370.05), statistical differences, yu HbA1c between different syndrome types of no statistical difference (p>0.05). The FBS no statistical difference between different syndrome types (P>0.05).2.4.2 Blood lipids and uric acid:TC value Yin deficiency heat syndrome group was obviously higher than that of damp and hot trapped spleen, Yin and Yang are two deficiency, blood stasis water stop syndrome, blood stasis context group, statistical differences (p<0.05). Comparing two other syndrome types are no significant (P>0.05). Yin deficiency heat certificate* LDL-C level sheng group was obviously higher than that of damp and hot trapped spleen, Yin and Yang are two deficiency, blood stasis water stop syndrome, blood stasis context group, statistical differences (p<0.05), qi and Yin deficiency syndrome level of LDL-C* group was obviously higher than that of both Yin and Yang deficiency, blood stasis to stop water group, the statistical differences (p<0.05). More than between different syndrome types of LDL-C was no significant difference (P>0.05).3 Elderly diabetes modern abnormal degree correlation studies:men and women, different age, hypertension, coronary heart disease or not, whether or not to use insulin, HbAlc, FBS, compare different syndrome types of depression score, had no statistical difference (p>0.05).4 The emergence of various symptoms rate:the frequency of symptoms from big to small, respectively is:86.9%>thirsty irritable like drinking 78.7%>67.2%>67.2%> mouth bitter insomnia chest heave a deep sigh treatment> 62.3%> 63.9% 44.3% dry stool.5 25 cases with radix bupleuri liver powder intervention in elderly patients with diabetes of modern abnormal,2 weeks after treatment, complete response in 1 case,3 cases had marked effect, effectively and 19 cases, ineffective in 2 cases, total effective rate was 92%. The patient’s fasting plasma glucose, postprandial blood sugar, two hours of TCM symptoms integral, depression self rating scale scores were compared with the previous fall, significant difference (P<0.05).Conclusion:1 The elderly diabetes of modern anomaly is given priority to with mild, female prevalence is higher than male; Course is longer, the vein blood stasis syndrome had longer duration of the other group, Yin deficiency syndrome group hotness age significantly smaller than the other four groups. TCM syndrome type with two deficiency of Yin and Yang, blood stasis water stop the gas and Yin deficiency syndrome, its pathogenesis is given priority to with factors, two virtual virtual is easy to show the Yin and Yang, qi and Yin two empty, is characterized by the characteristics of the sediment. Complications that show is common in elderly patients with diabetes abnormal of modern large vascular lesions, show elderly diabetes complications of modern abnormalities associated with hypertension. HbAlc test indicators, FBS, the mean is the tallest of all in Yin deficiency group of hotness. Yin deficiency syndrome, qi and Yin deficiency syndrome hotness TC, LDL-C value is higher.2 In elderly patients with diabetes in older, using insulin, hypertension, coronary heart disease such as depression average score is high, considering modern abnormal degree may be related to the above factors. In elderly patients with diabetes of modern abnormal main clinical manifestation is:irritability, thirst like drinking, insomnia, mouth bitter, bosom is frowsty heave a deep sigh and languid, night to urinate, constipation, etc.3 Radix bupleuri liver powder in intervention in elderly patients with diabetes of modern abnormal in lowering blood sugar, relieve symptoms and improve mood has certain curative effect.