Study On 1809 Cases Of Common TCM Symptoms In Patients With Type 2 Diabetes And Their Influencing Factors

Objective:Investigation of the type 2 diabetes (Type 2 diabetes mellitus, T2DM) patients with a common TCM symptoms distribution, analyze the relationship between the main clinical symptoms associated with indicators and summarize the different glycated hemoglobin, duration, ages T2DM clinical symptoms of the patients were distributed, provide evidence for improving clinical T2DM patient discomfort.Methods:This study relates to patients in February 2015 - March 2016 in our hospital inpatient and outpatient hospital affiliated community health service centers, the other two regional hospital inpatient and outpatient T2DM patients, a total of 1809 cases. Collect clinical symptoms and related information, preclude the use of frequency analysis, statistical distribution of the main clinical symptoms, select the top five indicators of clinical symptoms associated with regression analysis; And further analysis of factors related to the relationship between glycated hemoglobin (Hemoglobin Alc, HbAlc), duration, etc. and TCM symptoms distribution. Using SPSS 18.0 software analysis, statistical methods include descriptive analysis, chi-square test, multivariate logistics regression analysis. P<0.05 was a significant difference.Results:1. A total of 1809 cases of subjects with T2DM.2.1809 cases of T2DM patients, located five TCM symptoms were:blurred vision 493 cases (27.25%), numbness of the limbs 490 cases (27.09%), malaise, fatigue 328 cases (18.13%), forgetfulness 305 cases (16.86%), nocturia 286 cases (15.80%). Completely classic "a little" symptoms of 1198 cases (66.22%).3.1809 cases of T2DM patients divided according to HbAlc levels<7.0%,7.0%-9.0%, ≥9.0% three groups; wherein HbAlc<7.0% of the number of 429 cases, the total number of 27.09%; 7.0% <HbAlc <9.0% the number of 901 cases, the total number of 46.43%; HbAlc≥9.0% of the number of 479 cases, the total number of 26.48%. With HbAlc increased, abnormal sweating, malaise and fatigue, cloudy urine, frequent urination volume, numbness five clinical symptoms appear, the higher frequency.4. In this study, patients with the shortest duration of T2DM led clinics, up to 35 years. Will this duration interval were interquartile described positioning, the 1809 cases of T2DM patients were divided into:0--4 years (598 cases),401--10 years (762 cases),1001--35 years (449 cases), Three groups. Blurred vision, numbness of the limbs were compared between groups, the results showed a statistically significant (P<0.05); lassitude no significant (P> 0.05). As the illness progresses, blurred vision, numbness and other symptoms frequency is rising; and languid appearance frequency decreased; the frequency of dry mouth, drink and other symptoms gradually nocturia, sleep is not real and other symptoms beyond.5. Logistic regression analysis showed:duration, CHO, HbAlc as blurred vision risk factors:duration for each additional year, blurred vision appeared to increase the probability of 3.8%; CHO increased by 1mmol/L, the probability of appearing blurred vision increase of 17.4%; HbAlc increased by 1%, the probability of blurred vision appeared to increase 20.9%. Risk factors for HbAlc limb numbness:HbAlc increased by 1% probability limb numbness increased 6.8%. Duration, HbAlc is a risk factor lassitude:the duration of each additional year, appears to increase the probability of lassitude 2.4%; HbAlc increased by 1%, the probability of lassitude appears increased by 17.8%. BMI, CHO as forgetful risk factors:BMI increased by lkg/m2, increasing the probability of forgetfulness occur 4.5%; CHO increased by 1mmol/L, the probability of forgetfulness appeared increased by 9.4%. Diastolic blood pressure, CHO as nocturia risk factors:diastolic blood pressure increased by 1mmHg, the probability of nocturia increases occurred 2.0%; CHO increased by 1mmol/L, the probability of nocturia increased 15.9% occurred.Conclusion:1. The common clinical symptoms in patients with T2DM in the region are:blurred vision, numbness of the limbs, malaise, fatigue, forgetfulness, nocturia.2.HbAlc higher, abnormal sweating, malaise and fatigue, cloudy urine, frequent urination volume, numbness five clinical symptoms appear, the higher frequency.3. With the progression of diabetes, blurred vision, numbness, fatigue, weakness and other symptoms, the higher frequency.4. Course, CHO, HbAlc is a risk factor blurred vision; HbAlc is numbness risk factors; duration, HbAlc is a risk factor of lassitude; BMI, CHO is forgetful risk factors; diastolic blood pressure, CHO is nocturia risk factors..