Study On Risk Factors Of Type 2 Diabetic Foot Based On Digital Tongue Features And Clinical Physicochemical Indicator

Purpose:To investigate the related characteristics and risk factors of patients with type 2diabetic foot through the analysis of general data,tongue image and laboratory indicators.Material and method:A total of 56 patients diagnosed with type 2 diabetic foot and 56non-diabetic foot patients admitted to the Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from September 2020 to December 2022 were selected.Gender,age,tongue color,tongue coating color,sublingual complex,tongue body punctures,tooth marks,cracks,ecchymosis,glycosylated hemoglobin,white blood cells,red blood cells,neutrophil count,lymphocyte count,neutrophil lymphocyte ratio,platelets,hemoglobin,fibrinogen,albumin,blood glucose,C-reactive protein,urea,uric acid,muscle,etc.,were compared between the two groups Anhydride,glomerular filtration rate,serum triglyceride,serum total cholesterol,high density lipoprotein,low density lipoprotein,the characteristics of diabetic foot patients and the related risk factors of diabetic foot in type 2 diabetes patients were analyzed.Results:1.112 patients with type 2 diabetes were included in this study,including 56 patients in the diabetic foot group,including 34 males(60.71%)and 22 females(39.29%).The number of males with diabetes was higher than that of females.There were 56 patients in the non-diabetic foot group,including 29 males(51.79%)and 27 females(48.21%).2.The average age of type 2 diabetic foot patients was higher than that of non-diabetic foot patients,and the overall age distribution was between 29 and 81 years old.The average age of non-diabetic foot patients was between 29 and 75 years old,and the average age was58.32±10.39 years old.The diabetic foot group ranged from 34 to 81 years old,and the mean age was 61.82±10.95 years old.The number of patients in the non-diabetic foot group was the highest in the 50-59 age group(18 cases,32.14%),and the number of patients in the DF group was the highest in the 60-69 age group(22 cases,39.29%).3.The tongue color b value of diabetic foot group was slightly higher than that of non-diabetic foot group,that is,the tongue color was slightly yellow.In diabetic foot group,there were 43 patients(77%)with thick,dark and blood stasis,and 13 patients(23%)with normal sublingual veins.In the non-diabetic foot group,there were 30 patients(54%)with thick,dark and blood stasis,and 26 patients(46%)with normal sublingual complexions.In the diabetic foot group,26 patients(46%)had lingual ecchymosis,30 patients(54%)had no ecchymosis,and in the non-diabetic foot group,2 patients(4%)had lingual ecchymosis,54patients(96%)had no ecchymosis.4.Unifactor analysis showed that there were no statistically significant differences in gender,age,tongue color Lab,tongue coating color La,punctures,tooth marks,cracks,glycosylated hemoglobin,lymphocyte count,blood sugar,urea,glomerular filtration rate,serum triglycerides,serum total cholesterol and high density lipoprotein between diabetic and non-diabetic foot groups(P > 0.05).The ratio of tongue color b,leukocyte,neutrophil,platelet,fibrinogen,C-reactive protein and neutrophil lymphocyte in diabetic foot group was higher than that in non-diabetic foot group,and there were more patients with thick sublingual complex,dark color,stasis and lingual ecchymosis in diabetic foot group,with statistical significance(P < 0.05).The number of tooth marks in diabetic foot group was less than that in non-diabetic foot group,and the values of hemoglobin,albumin,uric acid,creatinine and low density lipoprotein were lower,with statistical significance(P < 0.05).5.The incidence of type 2 diabetic foot is associated with lingual ecchymosis,fibrinogen,NLR,and low density lipoprotein;the absence of lingual ecchymosis,the decrease of fibrinogen,and the decrease of NLR may be associated with the decrease of the incidence of type 2 diabetes;and the decrease of low density lipoprotein may be associated with the increase of the incidence of type 2 diabetes.Conclusion:1.2 Digital tongue image of type 2 diabetic foot patients is different from that of non-diabetic foot patients,which is considered to be related to blood stasis type.2.Unifactor analysis showed that the diabetic foot group had higher tongue color b,white blood cell,neutrophil,platelet,fibrinogen,C-reactive protein and neutrophil lymphocyte ratio than the non-diabetic foot group,and the diabetic foot group had more thick sublingual complexions,dark colors,blood bruises and lingual ecchymosis.The number of tooth marks and the values of hemoglobin,albumin,uric acid,creatinine and low density lipoprotein in diabetic foot group were lower than those in non-diabetic foot group.3.The incidence of type 2 diabetic foot is associated with lingual ecchymosis,fibrinogen,NLR,and low density lipoprotein;the absence of lingual ecchymosis,the decrease of fibrinogen,and the decrease of NLR may be associated with the decrease of the incidence of type 2 diabetes;and the decrease of low density lipoprotein may be associated with the increase of the incidence of type 2 diabetes.