The Study Of With "Move-given Sequential Eight" Effect Thinking To Guide The Treatment Of Diabetic Quantification

ObjectiveUse different criteria to assess the scale and quantitative evaluation of Chinese medicine treatment of tyPe2diabetes treatment. Evaluate and analyze the similarities and differences between the two scales and their advantages and disadvantages. To a certain extent, imProve the efficacy of clinical symPtoms of tyPe2diabetes quantify credibility. Initial improvement of tyPe2diabetes EvaluationCriteria. MethodsCollection stick with traditional Chinese medicine treatment of tyPe2diabetes outPatient medical records, and many times (before treatment, or the first time in January after treatment, after treatment in February, after treatment in March) fill out the "move-given sequential Eight" SymPtoms quantitative survey table (self clinical symPtoms36, mainly on the frequency of grade symPtoms were scored1,2,3,4,5Points) quantify the main symPtoms of diabetes-related treatment of Patients, analysis of statistical diabetes-sPecific quality of life scale relevant information as a reference comparison. Application PASW Statistics18.0software for data analysis and Processing, using ITT analysis set, rank sum test, Bonferroni Pairwise comParison method and other methods.Results"Move-given sequential Eight" symptom questionnaire to quantify the reliability test by calculating Cronbach’s a coefficient was0.893, indicating confidence motion given sequential Eight scales better. The correlation coefficient with the total score of each entry, the (female) menstrual blood clots multiple correlation coefficient of0.0559,0.0243stool is sticky, description of the item scores and scores of high and low level of correlation is not, delete the two after24item entries reliability test, calculating Cronbach a coefficient of0.900, reliability of the scale can be further improved. Table1, Table2, Table3, Table4The36entries for factor analysis, the load can be seen from the rotation matrix, eigenvalues>1factor has11ingredients, the cumulative variance of75.5%. Factor1includes consciously fever, body heat is not Young, head heavy pain, palpitations, easily frightened, chest discomfort, factor2including depression, like a sigh, chest pain or less bloating, nausea or channeling, easily irritable or angry, factor3includes easy to feel tired, limb weakness, factor4includes feel heavy breath, swollen gums, sticky sputum difficult to spit, itchy nose and throat dry, factor5include dizziness, epigastric noisy (like acid non-acid, non-spicy spicy like the malaise), feel stomach/abdominal distension, factor6includes numbness, numbness, pain, factor7includes easy sweating, night sweats, factor8including frequent urination, urination poor stool, factor9includes feel dry mouth, diarrhea, a factor of10, including faint epigastric burning, nausea, factor11, including tinnitus, belching.(See Table6and Table7) This11factors including the composition of essentially sequential dynamic set contains eight methods scales measuring six syndromes can be considered satisfaction questionnaire good construct validity69Patients comPleted a number of scales were filled with the data collection, the analysis of results.(1)"move-given sequential Eight SymPtoms quantitative survey table, Table1is calculated to collect the first69Patients, two, three, four times the average score was64.12±15.49,59.57±13.95,56.93±14.11,55.51±13.35, median scores were61,57,53,52, according to the mean and median of each measurement Point in time we can see that with the increase in treatment time symPtom scores may continue to decline.(2) diabetes-sPecific quality of life scale, in Table4of the69Patients collected calculated first, second, third and fourth, respectively, the mean score was52.00±9.50,51.19±9.41,50.19±9.07,49.58±9.21, respectively51,51,50,49median. With the increase in treatment time symPtom scores may continue to decline, imProving the quality of life of Patients.Each symPtom score four measuring Point comParison of the rank test for Paired samPles, results suggest numbness, Pain, numbness,(women) menstrual blood clots more than P>0.05, the difference was not statistically significant, than the symPtoms of each measuring Point, P<0.05, the difference was statistically significant, the mean combined rank, known symPtom score decreased with duration of treatment, with the duration of treatment to alleviate the symPtoms continueBy calculating imProve clinical symPtoms in each ratio (integral ratio)(improvement ratio) formula:better than (integral ratio)=(a symPtomatic treatment before the quantized value-quantized values after treatment)/treatment before the quantized values. ImProve the contrast ratio between the group and more convenient, the integral over the toP ten symPtoms of easy to feel tired (27.42%), easily irritable or angry (26.71%), dizziness (24.81Percent), like a sigh (24.19%), dePression (23.26%), dry mouth feel (22.99%), stool sticky (22.39%), limb weakness (18.06%), easy sweating (16.2%), that tone weight (14.29%), descriPtion of extent alleviate these symPtoms is relatively large; according syndrome and relationshiP tiPs Qiyinliangxu main symPtoms, liver qi stagnation, damP, lung and stomach heat-related symPtoms mainly shorter time, which menstrual blood clots (3.53%), numbness (3.08%), limb Pain (2.52%) and other symPtom score relatively low, indicating relatively Poor efficacy. These symPtoms they belong syndromes classification results obtained. TiP blood stasis symPtoms related mainly takes longer, a short time is not obvious by Chinese medicine treatment.Better than a card-tyPe=[syndromes (the syndrome of symPtoms sum score included) to quantify the value of Pre-treatment-treatment quantized value (the sum of symPtom scores contained syndromes, the fourth)]/quantized values before treatment. By calculating a card-tyPe integral, integral various syndromes corresPonding ratios were, Qi (21.62%), liver qi stagnation (17.83%), damP (15.05%), lung and stomach heat (11.12%), kidney (9.61%), blood stasis (2.99%) Qi Deficiency integral ratio was21.62%, were higher than other syndromes, indicating the efficacy of Qi Deficiency syndromes better than others. Blood stasis Points is relatively low, relatively Poor efficacy.ConclusionFill in the treatment through multiPle "move-given sequential Eight " questionnaire to quantify symPtoms and diabetes-sPecific quality of life scale to quantify the symPtoms of tyPe2diabetes, can be clearly seen that the fractional decrease in symPtoms reduce the Percentage. See more contrast between the symPtoms can also be seen in the sPeed of the individual symPtoms."Move-given sequential Eight " SymPtoms For quantitative evaluation questionnaire to quantify symPtoms than PeoPle with diabetes-sPecific quality of life scale to detail, to be fully involved in the symPtoms, the symPtoms of the former is involved in each corresponding syndromes are a major symPtoms can better guide clinical treatment of TCM and TCM symPtoms quantified in more detail, more characteristic of TCMBut PeoPle with diabetes-sPecific quality of life scale on four asPects involved in the Physiological function of the imPact of diabetes on the imPact of diabetes on the Psychological/sPiritual imPact of diabetes on social relations, such as theraPy on Patients than "move-given sequential eight Law " symPtom questionnaire to quantify many asPects of its consideration of more of the quality of life of Patients with diabetes can do a wide range of quantification. Patient-sPecific quality of life score decreased, indicating that by "moving-fixed sequential Eight " after thinking the guidance of Chinese medicine treatment, imProving the quality of life of Patients. With increasing treatment time, the Physiological function in Patients affected score, Patients’Psychological/sPiritual imPact score, score gradually reduce the imPact on Patients, described by "move-given sequential Eight " after thinking the guidance of Chinese medicine treatment, the Physiological function of the Patient, Psychological/sPiritual, affecting the Patient continues to decline. TheraPy in the treatment of February to March, when the imPact on Patient scores imProved more obvious. Still can not believe that after "move-given sequential Eight " thinking guidance after medical treatment, social relationshiPs affect Patients comPared to Pre-treatment score imProvementBoth conclusions are consistent with the direction of the overall evaluation of the efficacy of medicine. However, in Patients with tyPe2diabetes medicine theraPy alternative mutual evaluation both difficult.