| 1PurposeThis topic on China’s traditional Chinese medicine academy of sciences, the gate hospital endocrinology of2011-2012the general situation and laboratory index of diabetic patients, to discuss diabetes with carotid intima-middle thickening related factors, diabetes associated with carotid intima-media thickness in patients with symptoms, syndrome distribution, tongue and pulse condition and use of Chinese medicine, and provide reference for further study of the complications of diabetes prevention.2MethodsAnalysis during January2011to December2012, the gate of traditional Chinese medicine academy of sciences in China hospital endocrinology,1625cases of type2diabetes patients in hospital, the patient’s age, gender, course of the disease, complications, complications and lifestyle habits such as general situation and blood lipid, blood sugar, uric acid and other laboratory indicators and symptoms, syndrome distribution, tongue, pulse condition and the usage of traditional Chinese medicine and descriptive statistics, counting data by chi-square test, measurement data using independent sample t-test, comparing diabetes associated with carotid intima-media thickening and thickening of the patients with diabetes mellitus associated with carotid intima-media in age, sex, course of the disease, complications, and the differences of blood lipid, blood sugar, etc.3The results of the study3.1This study collected a total of1625patients with diabetes, diabetes associated with carotid intima-media thickening (abnormal) age distribution of patients with highest proportion of51to60years old (32.54%), in the same way, the thickening of diabetes associated with carotid intima-media don’t age distribution (normal group) of patients with highest proportion of51to60years old (34.01%).3.2For the longest duration of48patients with abnormal group, for the most patients in the diagnosis of6to10years.Normal group of patients for28years, the longest duration to diagnose with up to6-10years.3.3Obesity is common in patients with diabetes, and overweight patients with abnormal group accounts for41.18%of the total number of cases, normal group of overweight patients accounted for39.92%of the total number of cases.3.4Abnormal group of1134patients with diabetes followed by most complications of diabetes peripheral neuropathy (78.66%), diabetes, peripheral vascular disease (70.55%) and diabetic nephropathy (37.03%) and diabetic retinopathy (34.74%). Normal group,491cases of patients with diabetes followed by most complications of diabetic peripheral neuropathy (67.82%) and diabetic retinopathy (26.48%) and diabetic nephropathy (20.57%), diabetes, peripheral vascular disease (19.14%).3.5Most abnormal group of1134patients with diabetes complications of hypertension (68.17%), blood lipid disorders (62.43%), fatty liver disease (38.36%), cerebral infarction (37.13%), coronary heart disease (34.04%). Normal group,491cases of patients with diabetes occurs most complications of blood lipid disorders (58.45%), fatty liver disease (51.12%), hypertension (40.33%), thyroid nodules (18.74%), osteoporosis (14.87%).3.6Abnormal group,1134cases of diabetic patients most characterized by abnormal ecg T wave change (22.93%), ST change (20.37%) the I degree atrioventricular block (5.91%), room sex premature beat (4.06%), sinus bradycardia (3.79%). Normal group,491cases of diabetic patients most characterized by abnormal ecg T wave change (14.26%), ST change (10.39%), sinus bradycardia (4.48%), P-duration between R (3.26%), the I degree atrioventricular block (3.05%). In abnormal group T2DM patients for24h ecg abnormality occurs most room sex premature beat (81.39%), ventricular premature beat (49.03%), and T wave change (36.86%), room tachycardia (30.60%), ST change (18.78%). Normal group in T2DM patients for24h ecg abnormality occurs most room sex premature beat (66.06%), and T wave change (35.44%), ventricular premature beat (30.57%) in the room tachycardia (10.39%), ST change (7.54%). Abnormal group,1134cases of diabetic patients occurred most abnormlities of left ventricular diastolic function of heart colour to exceed to reduce (78.48%), mitral regurgitation (30.16%), tricuspid regurgitation (17.81%), aortic regurgitation (17.02%), ventricular septal thickening (6.17%). Normal group,491cases of patients with diabetes occurs most abnormalities of left ventricular diastolic function of heart colour to exceed to reduce (49.49%), mitral regurgitation (18.13%), leaf after mitral degeneration (13.44%), tricuspid regurgitation (10.59%), aortic regurgitation (6.72%).3.7Collateral injury patients with qi and Yin deficiency is the most common type, abnormal group gas Yin deficiency of type accounted for81.66%of the total number of cases, normal group gas Yin deficiency of type accounted for72.71%of the total number of cases.3.8In abnormal group of the most common symptoms of dry mouth (85.36%), fatigue (75.49%), limb numbness (47.27%), night urinary frequency (41.89%), drinking (41.80%). In normal group of the most common symptoms of dry mouth (88.59%), fatigue (76.37%), drinking (42.97%), limb numbness (41.14%), blurred vision (35.23%).3.9Patients with abnormal group as one of the most common tongue dark (61.38%), red (52.65%), light (24.43%),430(37.92%), moss thin white (39.68%), yellow (35.63%). Normal group as one of the most common tongue dark (48.07%), red (47.66%), light (20.77%), moss white (44.20%) thin (34.83%),(28.51%).3.10Abnormal group of patients (45.24%), the most common pulse condition for string (41.89%) and heavy (25.40%), patients with normal group, the most common pulse condition for fine (41.55%), string (35.64%) and heavy (27.70%).3.11According to the traditional Chinese medicine using frequency, the top five medicines poria cocos (667), in astragalus membranaceus (562), dwarf lilyturf (518), radix rehmanniae (518), radix pseudostellariae (516).According to Chinese medicine efficacy classification, the most used drugs is to tonify deficiency (21) and heat medicine (20), tonify deficiency medicine fill gas is most used in medicine (51.82%), heat medicine is most used in heat cool blood (62.12%).According to traditional Chinese medicine medicinal properties, the most used for warm medicine (32), flat sexual medicine (29).According to traditional Chinese medicine ingredients in statistics, a total of57the most used as adjuvant. According to the classification, into the heart sutra of most drugs (30.46%).4Conclusion4.1Diabetes associated with carotid intima-media thickening of risk factors including age, gender, family history, body mass index, diabetes duration.4.2Diabetes associated with carotid intima-media thickening and diabetes is not associated with carotid intima-media thickness is closely related to the patient’s ecg and heart colour to exceed.4.3Diabetes associated with carotid intima-media thickening and blood sedimentation, glycosylated hemoglobin, urine creatinine and24h urine protein quantitative has a close relationship.4.4Justification of this study found that patients with collateral, the most common type of qi and Yin, blood stasis and the origin and most easily.4.5Patients with collateral of the most common symptoms in addition to the traditional tongue dry, drink more, polyuria, weak also is common in patients with collateral.4.6Whether patients with carotid intima-media thickness, thickening of the most common tongue are dark red tongue.4.7Collateral of the most commonly used traditional Chinese medicine (TCM) for poria cocos, radix astragali, radix ophiopogonis, radix rehmanniae, radix pseudostellariae. According to Chinese medicine efficacy to summarize abnormal group of all drugs and found the most used to tonify deficiency and heat medicines. According to the classification of traditional Chinese medicine medicinal, use the most warm drugs for sexual medicine. Accord ing to traditional Chinese medicine ingredients, the most used as adjuvant. |
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