| ObjectiveTo study the characteristics of type of TCM constitution and distribution of type-2 diabetes mellitus patients with osteoporosis(T2DMOP),analysis of epidemiological characteristics in T2DMOP.To investigate the differences and similarities of the case characteristics T2DMOP patient with related cases in different TCM constitution.In order to provide effective data and objective basis for clinical treatment of TCM Constitution,provide new ideas and solutions for the prevention and treatment of type 2 diabetes combined with osteoporosis.MethodsCollected 212 cases of T2DMOP patients during January 2015 to December 2016 in shenzhen baoan district hospital(Group)from outpatient,inpatient and medical center of T2DMOP.Using the questionnaire(investigators to assist filling and fill by investigators),take Wang Qi's "TCM constitution classification and decision table"as a standard,collected 212 cases according to the inclusion criteria and exclusion criteria.After patients informed consent,judg their TCM constitution,then recording general information and disease related information(Age,sex,occupation,education,marriage,diet,exercise,course of disease,BMD,VAS,etc).Set up a database,using SPSS 22.0 statistical software for data processing and analysis.Discussion and analysis the characteristics of type of TCM constitution and distribution of T2DMOP patients,epidemiological characteristics,and the differences and similarities of the case characteristics T2DMOP patient with related cases in different TCM constitution.ResultsA total of 212 T2DMOP patients were collected in this study,including Yin deficiency 54 cases(26%),blood stagnation 38 cases(18%),32(15%)cases of Yang deficiency and phlegm dampness 28 cases(13%),other types are classified as a group a total of 60 cases(28%);The results of P<0.05 means statistically significant;The T2DMOP patients mainly had no job(44.3%)or do physical(37.7%),but seldom did mental work(18%);Patients with no job were mostly Yin deficient and Yang deficient(50%,66%),manual workers were mostly blood stagnation(23.8%)and other constitution patients(36.3%);The majority T2DMOP patients eat lighter food(68%),less has high calorie diet habit(32%),and most patients who likes high calorie food were with phlegm dampness constitution;Patients had no exercise habit(48%)and do exercise 1-2 times per week(33%)were the majority,a small number of patients do exercise 3 or more times per week(18%),the majority of patients who had no exercise habit(31.4%)or patients who do exercise 1-2 times a week(22.5%)were with Yin deficiency,and most patients who do execise 1-2times a week were with blood stagnation constitution(28.2%);There was no significant difference between in patients with different gender,marital status and education level and difference TCM constitution(P>0.05);The mean age of all patients was 63.68±4.98 years,patients with Yin deficiency(64.13±5.26 years)older than blood stagnation patients(61.92±4.97 years),patients with Yang deficiency(65.94±5.00 years)were older than the other patients except Yin deficiency;The course of the disease is mostly 5-10 years(51%),and few is with a shorter course of 5 years or longer than 10 years(21%,28%),the proportion of patients with Yin deficiency and yang deficiency was greater than 10 years and above occupy majority(43%,50%),it was significantly less that patients with blood stagnation more than 10 years(13%),the proportion of patients more than 10 years course of disease with phlegm dampness and other constitution was lower(21%,15%);Bone mineral density(BMD)was 0.64±0.10g/m2 in all,the BMD of patients with Yin deficiency(0.61 ±0.11g/m2)was lower than blood stagnation patients(0.68±0.09g/m2)and phlegm dampness patients(0.68 ± 0.11g/m2),the BMD of blood stagnation patients(0.68±0.09g/m2)was higher than Yin deficiency(0.61±0.11g/m2),Yang deficiency(0.59±0.10g/m2)and other physical patients(0.64±0.09g/m2),BMD of the patients with Yang deficiency was lower than all the patients except yin deficiency;The VAS score of all patients was 5.03 ± 1.49,patients with blood stagnation received the highest score 6.08 ± 1.38.Conclusion1.T2DMOP patients with Yin deficiency constitution has the largest proportion,followed by blood stasis and yang deficiency,phlegm dampness and other physical;2.Different occupations,dietary preferences,exercise habits and patients with TCM constitution types are related,most of the patients had no work,light diet and little exercise,most of the workers are weak,the TCM constitution of most physical labor are full or blood stasis,patients with high caloric diet had more phlegm and dampness,more exercise were more likely to be blood stasis,patients with less exercise are more vulnerable,there was no significant relationship between different TCM constitution and different gender,marital status,education level;3.There were differences in age,course of disease,bone mass and pain in T2DMOP patients with different TCM Constitution,frail patients were older,longer duration,lower bone mass,The full constitution patients was lower age,shorter duration and higher bone mass,blood stasis patients was significantly more pain. |
PDF Full Text Request