Relationship Between TCM-related Emotional Syndrome Types And Anxiety And Depression Emotional Scores In Type 2 Diabetes

Objectives To study the relationship between TCM-related syndromes of type 2 diabetes and anxiety,depression scores,blood glucose and other indicators,and provide a theoretical basis for the objectification of TCM syndromes related to type 2 diabetes.Methods Collection From December 2017 to October 2018,he was admitted to the Department of Endocrinology of the First Hospital of Baoding City.TCM syndrome differentiation was performed on the selected patients,and Zung's Anxiety and Depression Self-rating Scale was used to score the blood pressure,body mass index(BMI),blood glucose,liver function and other objective indicators.Type 2 diabetes-related emotional TCM Syndromes and each index Logistic regression analysis.Results 1 250 patients were collected,emotional syndromes and other related syndromes,50 people age distribution of patients <40 years old 6.4% 44.8% 40-59 years old,60-79 years old was 46.4 percent,more than 80 years old It is 2.4%.The patient's age is concentrated between 40 and 80 years old.Among the collected cases,there were 199 people in anxiety,accounting for 79.6%.There are 100 people in depression,accounting for 40%.A total of 185 patients with BMI?24,74% were overweight,106 were BMI? 28,and 42.4% were obese.There were a total of 87 patients with hypertension,and the combined rate was 34.8%.Alanine aminotransferase(ALT)> 40 U / L,30 people;aspartate aminotransferase(AST)>45 U/L,10 people,40 patients with liver cells damaged by diabetes,the proportion of 16%.2 Among the various types of syndromes,after the chisquare test of the ratio of male to female,P>0.05 was not statistically significant.The age,duration of disease,and anxiety and depression scores were significantly lower in the age,duration of BMI,duration of disease,anxiety,and depression.P<0.05 was statistically significant in the BMI,but no statistical significance was found in the BMI.3 Syndrome among univariate analysis,P <0.05 statistically significant indicators are: 1)diastolic blood pressure,liver and kidney and stomach,respectively syndrome stagnant heat and qi stagnation difference;2)white glycated hemoglobin,liver stagnant heat of the stomach and liver and kidney,respectively,permits and certificates difference wang,wang syndrome and other syndromes are different;3)triglycerides,other syndromes respectively,and liver and kidney wang card and certificate differences;4)alanine aminotransferase,other syndromes respectively wang qi stagnation syndrome and differences;5)aspartate aminotransferase,qi stagnation and liver and kidney,respectively stagnant heat of liver and stomach syndrome and other syndromes difference.4 The relationship between emotional syndrome and anxiety and depression: the age,duration,diastolic blood pressure,glycosylated hemoglobin,triglyceride,alanine,aspartate aminotransferase and anxiety and depression total scores were brought into the logistic regression model.The other types of syndromes were reference categories.The positive indicators of liver and kidney yin deficiency syndrome were the course of disease and the total score of anxiety(P<0.05).The positive indicators of Yin Huo Huowang were alanine aminotransferase,disease course and total anxiety score(P<0.05).The positive indicators of liver and stomach stagnation were diastolic blood pressure and total anxiety score(P<0.05).The positive indicators of liver qi stagnation were disease course,total anxiety score and total depression score(P<0.05).The model prediction accuracy was 66.7%,?2=372.813,P<0.001.Conclusions 1 The proportion of patients with type 2 diabetes who were in anxiety was significantly higher than those without mood disorder.2 Emotions associated the syndrome in univariate analysis,1)age distribution: liver and kidney syndrome> liver Qi stagnation,wang syndrome>liver qi stagnation;2)course of time: liver and kidney syndrome>Yin Fire Wang syndrome> Stomach stagnant heat> qi stagnation;3)DBP: stagnant heat and stomach> syndrome liver and kidney,liver and stomach stagnant heat> qi stagnation;4)glycated hemoglobin: liver and kidney syndrome> stagnant heat of the liver and stomach,wang syndrome> liver and stomach stagnant heat;5)aspartate aminotransferase: liver qi stagnation syndrome> liver and kidney syndrome,qi stagnation>stagnant heat of the liver and stomach;6)anxiety,depression scores: love Chi-related syndromes(liver and kidney syndrome,wang syndrome,stagnant heat of the liver and stomach,liver qi stagnation)> other syndromes.3 There are correlations between emotional syndromes and some indexes and anxiety and depression in patients with type 2 diabetes in Baoding City.There is a positive correlation between liver and kidney yin deficiency syndrome and duration of illness and anxiety.Yin deficiency and fire syndrome and alanine aminotransferase,duration of disease and anxiety are positive correlation between liver and stomach Yu heat Syndrome and diastolic blood pressure and anxiety scores were positively correlated,qi stagnation there is a negative correlation,there is a positive correlation with anxiety,depression and the course of time.Figure2;Table15;Reference 93...