The Analysis Of Diabetic Retinopathy TCM Syndromes And Relatively Dangerous Factors

ObjectiveThrough the rospectiver analysis of diabetic retinopathy’s TCM Syndromes and its’relatively dangerous factors, analyze the relations between them and explore the objective indicator of TCM Syndromes. Finally, provide clues for prevention and control of combining traditional Chinese and western medicine of DR.Methods1. Select 152 diabetics which included in the standard and hospitalized in Guangzhou university of TCM hospital from 2013.1.1 to2014.12.31. Then 61 cases are divided into non diabetic retinopathy (DM) group and 91 cases are divided into diabetic retinopathy (DR) group 91 cases.2. Fill the form of ((DR related risk factors》 and 《TCM Syndromes》3. Using statistical methods to analyze them in this relationship.Results1. Using the chi-square test to check the two groups in the gender distribution and get the the result of p=0.57, p> 0.05, shows there no statistical significance between them.2. Using the t test to check the two groups in age and the course of disease, and get the the result of p<0.05, shows there are some statistical significance between them.3.In DR group, the course>5 yearsoccupied by 81.32%, which shows that the long course of DM, the uper rate of DR you are.4. Two groups compare with FPG and HBAlc, P were greater than 0.05, there is no statistical significance; Compare wiht SBP, p=0.02, p<0.05, there has statistical significance.5. Compare with Yin asthenia and internal heat and blood stasis block in the card, P< 0.05, there are statistically significant;In DR group, qi and Yin deficiency, blood stasis block, in the wet muddy resistance percentage is higher, and they are 39.56%,38.46% and 12.09%, respectively, showed the three certificates have close relationship with the occurrence and development of DR.6. In the course of<5 years, the Yin deficiency is the most, accounts for 82.35%. In the course of 5～10 years, with blood stasis blockage syndrome, qi and Yin deficiency syndrome is more, accounts for 42.11% and 39.47%. In the course of>10 years, blood stasis block is the most, accounts for 52.78%, the follow is the wet muddy syndrome, accounting for 19.44%.7. In DR TCM syndrome types, compared with blood fat, results show that the P values were greater than 0.05, there is no significant difference.Conclusion1. The gender has nothing to do with the happening and development of DR, and the age, course of the disease, blood pressure has something to do with it2. FPG, HBAlc, blood fat’s level of DR are higher than DM’s, they have something to do wiht the occurrence and development of DR.3. The number of qi and Yin deficiency, blood stasis block, wet muddy is higher, they have closest relationship with DR.4. In the course of disease,<5 years the major Syndrome is the deficiency of qi and Yin, shows that deficiency of Yin is an important pathogenesis of DR occurrence and development;>5 years the major Syndromes is blood stasis, blood stasis is the pathological productof DR.5. In this study, blood fat has some relationship with DR TCM syndrome, which differets with the domestic reports may be related to the choice of the sample. All of the whole, besides the liver qi, the other six type blood fat have higer levels than or near normal one. The higher blood fat level they are, the more likely is the wet muddy, blood stasis block, deficiency of Yin and Yang, blood stasis.