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Risk Factors Of Type 2 Diabetes Mellitus With Nonalcoholic Fatty Liver And TCM Syndrome Analysis

Posted on:2017-05-26Degree:MasterType:Thesis
Country:ChinaCandidate:F ZhangFull Text:PDF
GTID:2174330485496791Subject:Internal medicine of traditional Chinese medicine
Abstract/Summary:
Purpose:Through the analysis of type 2 diabetes mellitus complicated with nonalcoholic fatty liver and insulin resistance, obesity, dyslipidemia, blood glucose, liver function and the relationship between the independent risk factor for the disease, and to explore the distribution of TCM Syndromes of type 2 diabetes mellitus with early prevention and treatment of nonalcoholic fatty liver disease, to provide the theory and clinical based on the combination of traditional Chinese medicine diagnosis and treatment.Material and method:Selected in July 2014 ‐2015 year in December in 169 cases of T2 DM patients hospitalized in the Department of endocrinology of the Affiliated Hospital of Liaoning traditional Chinese medicine, according to whether the patients with non‐alcoholic fatty liver disease were divided into two groups were studied retrospectively, and two groups of patients were recorded, blood lipids, liver function, blood uric acid, fasting C peptide and postprandial 2h C peptide, BMI at the same time, according to the standard of syndrome differentiation, analysis of the distribution of TCM syndrome.Results:1.T2 DM combined with NAFLD group and not with NAFLD compared, there were statistically significant differences in TG, HDL、ALT、AST,GGT, FBG, FCP, 2h CP index(P < 0.05), age, disease duration, systolic blood pressure, diastolic blood pressure, the difference of TC, LDL, Hb A1 C, 2h BG, AST, UA and other indicators were no the significance(P > 0.05), non conditional Logistic regression analysis showed that fasting blood glucose, body mass index, triglycerides as risk factors for NAFLD.2.In T2 DM patients with NAFLD and not associated with nonalcoholic fatty liver disease(NAFLD compared, Qi deficiency, blood stasis, qi stagnation syndrome, yin deficiency syndrome, heat toxin syndrome without statistical significance(P > 0.05), and spleen deficiency, phlegm dampness syndrome in two group comparison has statistical significance(P < 0.01)2.T2 DM combined with NAFLD group compared with NAFLD group, Qi deficiency, blood stasis, qi stagnation syndrome, yin deficiency syndrome and heat toxin syndrome had no statistical significance(P > 0.05), and spleen deficiency, phlegm dampness syndrome was statistically significant in two groups(P < 0.01).Conclusion:1.BMI, waist circumference, triglyceride, high density lipoprotein cholesterol, aspartate aminotransferase, gamma glutamyl transferase, fasting blood glucose, fasting and postprandial C peptide on the pathogenesis of 2h C peptide and T2 DM with NAFLD, BMI, and triglycerides, fasting blood glucose as significant risk factors for its occurrence.2.TCM syndrome of NAFLD with 2.T2 DM to Qiyin deficiency, spleen deficiency and phlegm dampness syndrome as main syndrome in its occurrence and development in.
Keywords/Search Tags:Type 2 diabetes mellitus, nonalcoholic fatty liver, insulin resistance, TCM Syndrome
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