| ObjectiveThrough epidemiological investigation of T2 DM patients from three hospitals in Longyan area,this paper collects the distribution of T2 DM patients with TCM syndrome from three hospitals in the area and makes statistical processing of the collected data.Summarize and analyze the distribution characteristics of TCM syndrome types in T2 DM patients in the area,and provide TCM syndrome differentiation guidance for patients in order to provide more accurate and effective treatment.At the same time,it can provide reference for the government to decide the prevention and control direction and strategy of T2 DM in the area.MethodThe basic information of 540 T2 DM patients,TCM syndromes and other related information were collected randomly in the form of questionnaires from February 2017 to February 2018 in three hospitals: Longyan No.1 Hospital,Longyan People’s Hospital,and Longyan Chinese Hospital.The investigation took the form of a cross-sectional survey(see Annexes 1 and 2 for the questionnaire).Referring to the criteria for determining the type of Chinese medicine syndrome in the "Guide to the Prevention and Control of Diabetes Chinese Medicine"(2007),four diagnostic information related to the "quenching thirst" syndrome classification of Chinese medicine were collected,clinical data were collected,and structured and programmed clinical information collection forms were formulated.Including common symptoms,signs,tongue,Pulse,collect all relevant information.Excel statistics are used to make charts and SPSS 21.0 software for statistical analysis.This paper analyzes the relationship between diabetes patients ’sex,age,course,body mass index,blood sugar,blood lipids,blood pressure and TCM syndrome,and discusses its distribution characteristics.Results1.T2 DM patient general data analysis(1)Sex: 268 women,accounting for 49.63 % of the total;272 males,accounting for 50.37 % of the total;(2)Age: ≤47 cases of 40-year-old patients,accounting for 8.70 % of the total;There were 79 patients aged 41 to 50,accounting for 14.63 % of the total;145 patients aged 51 to 60,accounting for 26.85 % of the total;269 patients aged> 60,accounting for 49.82 % of the total;(3)course of illness: 263 patients in 5 years,accounting for 48.71 % of the total;116 patients from 5 to 10 years,accounting for 21.48 % of the total;120 patients in 10 to 20 years,accounting for 22.22 % of the total;There were 41 patients who ≥ 20 years,accounting for 7.59 % of the total;(4)BMI: 31 patients with <UNK> 18.5,accounting for 5.74 % of the total;18.5 ~ 24 patients 262,accounting for 48.52 % of the total;192 patients between 24 and 28,accounting for 35.56 % of the total;There were 55 cases of ≥28,accounting for 10.18 % of the total.2.T2 DM main syndrome distribution characteristicsOf the 540 T2 DM patients,180 had two false signs of Qi and Yin,accounting for 33.34.Liver and kidney yin deficiency syndrome 134 cases,accounting for 24.81;There are 109 cases of negative heat,accounting for 20.2 cases;66 cases of spleen and stomach hygrothermia,accounting for 12.2 %;There are 51 cases of Yin and Yang,accounting for 9.44 %.The concurrent phlegm and moisture syndrome in different syndromes is the spleen and stomach moist heat syndrome > Qi yin two deficiency syndrome > liver and kidney yin deficiency syndrome > yin and Yang deficiency syndrome > yin and Yang deficiency heat syndrome;The incidence of sputum and wet syndrome was statistically significant(P<UNK> 0.05).The blood stasis syndrome is more common in the Qi yin and yin and Yang deficiency syndrome,Yin deficiency heat syndrome and spleen and stomach wet heat syndrome.3.T2 DM syndrome distribution and genderIn 540 cases,DM was divided into men and women for data analysis.In men with diabetes,the yin and Yin syndrome > yin and deficiency heat syndrome > liver and kidney yin syndrome > spleen and stomach wet heat syndrome > yin and Yang deficiency syndrome;In women with diabetes,the yin and Yin syndrome > liver and kidney yin syndrome > yin deficiency heat syndrome > spleen and stomach wet heat syndrome > yin and Yang deficiency syndrome.4.T2 DM type distribution and age(1)The type of traditional Chinese medicine under the age of 40 is mainly yin and deficiency heat syndrome > spleen and stomach wet heat syndrome > liver and kidney yin deficiency syndrome;(2)The distribution of Chinese medicine syndrome from 41 to 50 years old is yin and Qi deficiency heat syndrome > spleen and stomach moist heat syndrome > Qi yin and Yin deficiency syndrome > liver and kidney yin deficiency syndrome > yin and Yang deficiency syndrome;(3)51 to 60 years old Chinese medicine certificate type distribution is Qi yin two deficiency syndrome > yin deficiency heat enhancement syndrome > liver and kidney yin deficiency syndrome > spleen and stomach wet heat syndrome > yin and Yang deficiency syndrome;(4)The distribution of 60-year-old traditional Chinese medicine syndrome is liver,kidney,Yin,Yin,and Yin,yin and Yang.5.Distribution and course of T2 DM syndrome(1)The distribution of TCM syndrome types below 5 years old is yin and Qi deficiency heat syndrome > spleen and stomach dampness and heat syndrome > Qi yin and Yin deficiency syndrome > liver and kidney yin deficiency syndrome > yin and Yang deficiency syndrome;(2)The distribution of traditional Chinese medicine syndrome from 5 to 10 years of disease course is in turn liver,kidney,yin and Yin deficiency syndrome > Qi yin and Yin deficiency syndrome > yin and Yin deficiency heat syndrome > spleen and stomach dampness and heat syndrome > yin and Yang deficiency syndrome;(3)The distribution of Chinese medicine syndrome in the course of 10 to 20 years was in turn the yin and Yin syndrome > liver,kidney,yin and Yang syndrome > yin and Yang syndrome > yin and Qi deficiency heat syndrome > spleen and stomach wet heat syndrome;(4)The distribution of TCM syndromes with a course of ≥ 20 years is in turn the yin and Yang syndromes > Qi yin syndromes > liver and kidney syndromes.6.T2 DM syndrome distribution and blood sugarThere was no significant difference among the three indexes of FBG,2hPBG and HbA1 c in T2 DM patients.7.T2 DM syndrome distribution and blood lipids(1)TG level is the spleen and stomach moist heat syndrome > yin and Yang two deficiency syndrome > Qi yin two deficiency syndrome > yin deficiency heat syndrome > liver and kidney yin deficiency syndrome;(2)TC level is the spleen and stomach moist heat syndrome > yin and Yang two deficiency syndrome > liver and kidney yin deficiency syndrome > Qi yin deficiency syndrome > yin deficiency heat syndrome.8.T2 DM syndrome distribution and blood pressureThere was no significant difference among the three indexes of FBG,2hPBG and HbA1 c in T2 DM patients.9.T2 DM syndrome distribution and chronic complications,family historyThere were 236 cases(43.70 <UNK>)of various chronic complications in T2 DM,and the main syndromes were Qi and Yin syndrome and liver and kidney yin syndrome;Among the family diabetes patients,there are more yin deficiency syndrome,Qi yin deficiency syndrome,liver and kidney deficiency syndrome.Conclusion1.Syndromes distribution:The most common type ofT2 DM TCM syndrome in the three hospitals inLongyan area is Qi Yin Two deficiency,followed by Yin deficiency heat syndrome,liver and Kidney yin deficiency syndrome,spleen and stomach dampness and heat syndrome,yin and Yang two false syndrome,phlegm wet,blood stasis is the main evidence.2.Related factors: The main age group of T2 DM patients in three hospitals in Longyan area is over 50 years old,< 50 years old middle and young patients in the early stage of the course of the disease is spleen and stomach heat syndrome and Yin Deficiency fever syndrome,mostly based on the standard,so in the treatment should focus on removing wet phlegm,Nourishing Yin Qingfei method;With the progress of the course of disease,there are more two false syndromes in the middle and late stage of the course of disease,the common syndromes of middle and old patients are mostly deficiency syndrome,so the treatment should focus on nourishing liver and kidney,Yiqi nourishing Yin;T2DM early is mostly empirical,the day is mostly false or fictitious mixed syndrome,from real to virtual is a gradual process.3.Related indicators: There was no significant difference among T2 DM patients with fasting blood sugar,2 hours after meal blood sugar and glycated hemoglobin.T2 DM has different degrees of abnormal blood lipid metabolism in all types of syndromes.TG and TC levels are the highest in spleen and stomach humid heat syndrome.Among obese patients,spleen and stomach wet heat syndrome is the most common.Attention should be paid to removing phlegm in treatment.At the same time,publicity and education of overweight and obese people need to be strengthened. |
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