Analysis Of The Distribution Of TCM Syndromes And Related Influencing Factors In Patients With Type 2 Diabetes And Lower Extremity Arteriosclerosis

Purpose: To investigate the relationship between the distribution of TCM syndromes in patients with type 2 diabetes mellitus and lower extremity arteriosclerosis(hardening or plaque formation)and the factors such as waist circumference,blood lipids,and the collected medical history data and waist circumference.Correlation analysis of disease conditions.Material and method:A total of 200 patients with type 2 diabetes were enrolled in the Department of Endocrinology,Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from November 2016 to January 2018.All patients had detailed hospitalization information such as age,gender,duration of illness,and hypertension.History,smoking history,BMI,HbA1 c,specific values of blood lipids,lower extremity arterial ultrasound results,and waistline values.The limb arteries were divided into normal group(47 cases,mean age 50.57±9.71),sclerosis group(77 cases,mean age 57.92±7.95),and plaque group(76 cases,mean age 59.22±7.49).Results: 1.Comparison of the three groups,the average age of the plaque group was larger than that of the other two groups.The disease course of the plaque group was significantly longer than that of the other two groups.The BMI of the plaque group and the sclerosis group was greater than that of the normal group,P<0.05,statistically significant.There was no statistically significant difference in gender.2.The distribution of TCM syndromes in the three groups of patients(sequentially ordered from most to least): normal group: Qi Yin deficiency and blood stasis,damp heat syndrome,and deficiency of Qi and Yin;the other two types were not collected during the collection process.Sclerosing group: Qi Yin deficiency and blood stasis,dampness and spleen syndrome,Qi and Yin deficiency,yin and yang deficiency or yin deficiency heat syndrome;plaque group: Qi Yin deficiency and blood stasis,damp heat syndrome,yin and yang deficiency syndrome,Qi deficiency and deficiency syndrome were not collected in this group.3.There was a longer smoking history in the plaque group and the sclerosis group than in the normal group(P<0.05).The difference was statistically significant.In the history of hypertension,the plaque group and the sclerosis group were higher than the normal group,P<0.05.4.Statistical significance;There was no significant difference in HbA1 C between the three groups;TG,TC and LDL-C in the sclerosis group were higher than those in the normal group,P<0.05,statistically significant;TG,TC,and TG in the plaque group.The prevalence of LDL-C,and waist circumference,were higher than those in the normal group(P<0.05).5.According to the binary logistic regression analysis,the age,duration of disease,history of hypertension,TC,TG,LDL-C,WC,BMI,and smoking history were all related influencing factors of type 2 diabetes mellitus with lower extremity arteriosclerosis.Conclusion: 1.Age,duration of illness,history of smoking,history of hypertension,BMI,TC,TG,LDL-C,and WC are the major risk factors affecting arteriosclerosis in the lower extremities.2.With the increase of WC value,the incidence of lower limb arteriosclerosis and plaque increased.3.Type 2 diabetes mellitus lower extremity arteriosclerosis in patients with Qi Yin deficiency and blood stasis as the main syndrome,followed by hot and humid spleen syndrome,yin and yang deficiency,deficiency of both qi and Yin and heat deficiency certificate.