To Explore The Characteristics Of Ambulatory Blood Glucose Spectrum Fluctuations In Patients With Hyperthyroidism Based On The Theory Of Ziwu Liuzhu

Purpose:1.By comparing the dynamic blood glucose curve of hyperthyroidism patients with healthy control group,the law of blood glucose fluctuation in hyperthyroidism patients was summarized2.blood glucose fluctuation(blood glucose value)was taken as the quantitative data of cross-air flow injection,and the relationship between blood glucose spectrum characteristics and zang-fu meridian airflow injection in patients with gall disease was analyzed.To provide theoretical basis for clinical exploration of the correlation between hyperthyroidism and abnormal glucose metabolism and prevention of the gradual progress of hyperthyroidism patients.Material and method:Complete medical records of hyperthyroidism patients in the Department of Endocrinology,from September 2108 to September 2019,.affiliated Hospital of Liaoning University of traditional Chinese Medicine were collected as the study group,including 9 cases of men and 21 cases of women,30 cases of which all met the inclusion criteria;In the same period,30 people were selected as control group according to sex matching,The control group had normal glucose tolerance,Exclude other metabolic diseases that affect blood sugar.Comparison of general information between the two groups,(p>)No statistical implications of differences 0.05).In 60 cases,blood glucose was monitored dynamically,Blood pressure,height,weight,BMI.of calculation Dynamic blood glucose monitoring CGMS samples using the United States company Medtronic,Every 24 h,the system automatically records 288 blood sugar levels,And draw the curve automatically,Four times a day using the Johnson & Johnson blood glucose meter for blood sugar correction,After 72 h,the nurse removes the probe,The data is exported to the computer,Unified collection of 24-48 hours of blood sugar curve.The subjects ate at a fixed time while wearing the probe,Avoid strenuous exercise,eating and taking drugs or beverages that affect metabolism.Comparison of two groups of dynamic blood glucose curve,24 h mean blood glucose,24 hours blood glucose variation rate and other clinical indicators.The mean index of the time was calculated according to the time division of the twelve hours of Zi,Chou,Yin,Mao,Chen,Si,Wu,Wei,Shen,you,Xu and Hai,and the variation of blood glucose was observed by contrast.Results:1.Comparison of Clinical Basic Data.There were no significant differences in age(38.33±7.94 vs35.5±7.07),BMI(21.81±1.29),systolic blood pressure(112.50±3.98,2.57),diastolic blood pressure(73.91±3.84 vs73.83±2.65)between the two groups.The incidence rate of women was significantly higher than that of men,which was in line with epidemiological characteristics.2.Comparison of thyroid hormone levels between hyperthyroidism group and control group The levels of FT3(8.57±1.04 vs5.01±0.54),FT4(38.88,6.78 vs14.05±2.08)in hyperthyroidism group were significantly higher than those in control group(P<0.05),and the TSH level in hyperthyroidism group was significantly lower than that in control group(0.0075(0.005,0.075)vs2.12±1.25).3.Comparison of Dynamic Blood Glucose Characteristics of Hyperthyroidism Group and Control Group(1)Compared with the dynamic blood glucose curves of the two groups,there were obvious troughs in the control group at about 0,and the troughs in the hyperthyroidism group disappeared(none at 23:00-1).(2)There was no significant difference in mean blood glucose(6.16±0.12 vs5.32±0.11)between hyperthyroidism group and control group(P>0.05)(3)The MAGE(2.02±0.66 vs1.19±0.13),SDBG(2.31±0.28)and 0.97)of hyperthyroidism group were significantly higher than those of control group(P<0.05)(4)Time Zi(5.73±0.58 vs3.64±0.28),Time CHou(6.67±0.13 vs4.41±0.32),Time Chen(10.20±1.79,0.67),Time Si(6.80±0.42,0.34),Time Wu(9.49±1.45 vs6.09±0.There was a significant difference in blood glucose(P<0.05)and no significant difference(p>0.05).Conclusion:1.hyperthyroidism patients night blood sugar trough disappeared,daytime blood sugar fluctuations are more obvious.2.hyperthyroidism patient zi,chou,chen,si,wu,blood sugar is obviously abnormal,these five hours correspond to gallbladder meridian,liver meridian,stomach meridian,spleen meridian,heart meridian respectively.