| Objective:By collecting the birth and the happening of time pathological changes with the theory of five evolutive phases and six climatic factors of cardiovascular events in patients with type2diabetes mellitus in Gui-Si year (on January20,2013to January20,2014), By using the theory of five evolutive phases and six climatic factors, and Based on collecting cases of five evolutive phases and six climatic factors information organizing and mining try to come to the conclusion that pathological changes of cardiovascular events in patients with type2diabetes mellitus five evolutive phases and six climatic factors, and also try to fand some new way of thinking in the clinical prevention, early detection of type2diabetes mellitus with cardioascular events complications and syndrome differentiation treatment to find some new way of thinking. For prevention and control of pathological changes of the type2diabetes mellitus with cardiovascular event and the theory of five evolutive phases and six climatic factors of traditional Chinese medicine provides the basis of the theory and practice from the new regression.Methods:Using retrospective study method, this study collected from20January2013to January20,2014in the first affiliated hospital of guangzhou university of TCM endocrinology, cardiovascular division469inpatient cases. Among the lesions in patients with type2diabetes mellitus and cardiovascular events, a total of241cases, pathological changes of unincorporated cardiovascular events in general, a total of228patients. Collect the basic information, including name, age, sex, date of birth (Gregorian calendar), solar terms, date of visits, incidence (incipient, again hair), tongue, etc, and type2diabetes, cardiovascular events corresponding inspection items, including five items of glycosylated hemoglobin, heart enzyme, myocardial infarction, quantitative two basic data, BNP, electrocardiogram, etc, Then retrospective statistical analysis of the collected data, determine the collection of all the patients with type2diabetes in the year evolutive phase, celestial manager qi, qi in the earth, host evolutive phase, guest evolutive phas, etc, informations of the five evolutive phases and six climatic factors, and related factors of frequency, using statistical analysis method (chi-square test) and disease group and other parts of the data in data description, According to the above, we can get the factors of five evolutive phases and six climatic of every patient, and analyze the relationship of the factors of the type2diabetes mellitus with cardiovascular events.Results:1.The five evolutive phases and six climatic and other factors that may be cause the rate of type2diabetes mellitus with cardiovascular events are:guest evolutive phas of the births is fire in The five elements. The strong and weak of the five evolutive phases and six climatic are Xiao-Ni%Tian-Xing. In the Winter and the Key Day the cardiovascular events are significantly increase. By use of oral insulin and never care group in patients with type2diabetes merged the possibility of cardiovascular events. HbAlc%>10lesions in patients with type2diabetes combined cardiovascular events of the possibility of larger (P<0.05). Partial stasis tongue dark lesions in patients with type2diabetes combined cardiovascular events may be significantly increased (P<0.05). Patients with tongue qualitative color is dark red, dark with the possibility of cardiovascular events lesions (P<0.05), and tongue slants of lesions in patients with type2diabetes combined cardiovascular events (P<0.05) more likely to. Older you get, the higher the risk.44cases of patients with acute myocardial infarction, related data show that a birth of The five evolutive phases and six climatic and the five elements belongs to water, free five lines of fire, tongue slants dark, untreated (early) type2diabetes and cardiovascular events in patients with type2diabetes of probability. 2.The five evolutive phases and six climatic and other factors that could reduce the patients with type2diabetes merger pathological changes of cardiovascular events are:circuit of year including metal circuit inferior, earth circuit inferior of the births in The five elements is A lower risk of complications of patients with cardiovascular events (P<0.05), and the earth in The five elements also is In line with the previous (P<0.05). dominant qi is Taiyang cold water and The five elements is Water, occurs in patients with cardiovascular disease events may be smaller(P<0.05).The type2diabetes patients’The strong and weak of the five evolutive phases and six climatic is Tai Yi Tian Fu, that occurs cardiovascular events may be smaller (P<0.05). Type2diabetes using insulin regimen appeared little likelihood of complications of cardiovascular events, HbAlc%likelihood of cardiovascular events in patients with type2diabetes disease between6.5to7.9in the smaller (P<0.05), the tongue partial virtual mass, the possibility of partial small neutral2diabetic patients with cardiovascular disease events.3. The five evolutive phases and six climatic and other factors that May be not associated with type2diabetic patients with cardiovascular disease events are:The five evolutive phases and six climatic and other factors that may be cause the rate of type2diabetes mellitus with cardiovascular events are:The controlling heaven, terrestrial effect, dominant qi of the births’the five evolutive phases and six climatic is no significant correlationb about the type2diabetic patients with cardiovascular disease events (P>0.05). HbAlc%in the range4.0-6.4and8.0-9.9in patients with type2diabetes cardiovascular disease events was no significant correlation (P>0.05). Patients with type2diabetes cardiovascular disease events undifferentiated in terms of gender (P>0.05).Gonelusion:By analyzing the two groups of patients and the five evolutive phases and six climatic factors information related TCM and Western medicine clinical datas, the result shows that guest evolutive phas of the births is fire in The five elements, the strong and weak of the five evolutive phases and six climatic are Xiao-Ni、Tian-Xing, will cause the possibility of complications in patients with type2diabetes combined cardiovascular events. In the Winter and the Key Day the diseases are significantly increase. No treatment, simple oral hypoglycemic and poor control of blood glucose is easy to increase the chances of cardiovascular events. Dark tongue partial stasis, slant, age, the higher the risk. Especially in the related data in patients with acute myocardial infarction:a birth of The five evolutive phases and six climatic and the five elements belongs to water, free five lines of fire, tongue slants dark, untreated (early) type2diabetes and cardiovascular events in patients with type2diabetes of probability. Combination of traditional Chinese medicine understanding of heart disease, and its related information the five evolutive phases and six climatic belongs to water and fire are phase grams and overlap factor of "fire", and Gui-Si year for the fire at the same time, so prone to cardiovascular events, it is more conform to the Chinese medicine theory knowledge of heart attack. The five evolutive phases and six climatic theory of traditional Chinese medicine combined cardiovascular events in patients with type2diabetes disease control has a certain guiding significance. In patients with type2diabetes in addition to actively control the blood glucose, patients with more dangerous of the five evolutive phases and six climatic more attention should be paid to prevent the happening of cardiovascular events lesions, especially older, dark tongue partial stasis, partial real when the blood stasis of traditional Chinese medicine constitution, in the winter and different Key Day period the more attention should be paid to strengthen the protection of cardiovascular. |
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