Investigation Of Nutritional Status In Elderly Patients With Type 2 Diabetes And Syndrome Differentiation Of TCM Correlation Study

Object: Through the investigation of elderly patients with type 2 diabetes and to investigate the nutritional status differences between different TCM syndrome types of nutrition indicators, for Chinese medicine to improve the nutritional status of elderly patients with type 2 diabetes.Methods: Collect July 2011-December 2014 in affiliated hospital of shandong university of TCM health diagnosis of elderly patients with type 2 diabetes in hospital medical records, a total of 215 cases, differentiation and type of qi and Yin deficiency, qi deficiency and blood stasis syndrome, phlegm and blood stasis resistance network, the patients’ blood sugar, glycosylated hemoglobin, serum albumin, blood fat, blood routine, trace elements and other indexes observation statistics, application SPSS19.0 statistical processing, analyze the nutritional status of elderly patients with type 2 diabetes, and to explore the nutrition index difference between TCM syndrome type.Results:(1) To be included in the total 215 cases, 128 men,(59.5%), female, 87 people,(40.5%); the average age 78.68±6.72 years old.(2) The distribution of TCM syndrome types: qi and Yin deficiency syndrome, 57 cases(26.5%); Qi difficiency and blood stasis syndrome, 83 cases(38.6%); Phlegm and blood stasis resistance network 75 cases(34.9%).(3) The syndrome type of gender, age distribution, no significant difference(P > 0.05).(4) There was a significant difference between different syndrome types body-mass index comparison(P < 0.05); Body mass index mean: 22.21±2.78, qi and Yin deficiency 22.21±2.78, qi deficiency and blood stasis syndrome 25.36±2.56, phlegm and blood stasis resistance network 26.67±3.17; BMI population distribution of weight for 13 people, accounting for 6.05%, normal patients for 93 people, accounted for 43.25%, overweight people for 63 people,accounting for 29.3%, fat person for 46 people, accounting for 21.40%.(5) In elderly patients with T2 DM fasting glucose, glycosylated hemoglobin, general is on the high side. Phlegm and blood stasis resistance network card fasting glucose was significantly higher than that of qi and Yin deficiency, qi deficiency and blood stasis syndrome(P < 0.05). Each card type glycosylated hemoglobin was no significant difference(P > 0.05).(6) Overall below normal albumin in elderly patients with T2 DM. Comparison between different syndrome types albumin were significantly different(P < 0.05). Retinol binding protein resistance winding phlegm and blood stasis syndrome is significantly higher than qi and Yin deficiency, qi deficiency and blood stasis syndrome(P < 0.05). Each card type prealbumin overall comparison there was no significant difference(P > 0.05).(7) In elderly patients with T2 DM triglycerides overall higher than normal. Triglycerides, high-density lipoprotein cholesterol sputum stasis blocking collaterals syndrome was significantly higher than that of qi and Yin deficiency, qi deficiency and blood stasis syndrome(P < 0.05); Cholesterol, low-density lipoprotein cholesterol significantly below deficiency of qi and Yin deficiency syndrome and blood stasis syndrome, phlegm and blood stasis resistance winding(P < 0.05).(8) In elderly patients with T2 DM, zinc, vitamin DT overall below normal. Each card type calcium, phosphorus, iron, magnesium, zinc, vitamin DT is no significant difference(P > 0.05).(9) The syndrome type of white blood cells, red blood cells, hemoglobin, lymphocyte was no significant difference(P > 0.05).Conclusion:(1) Elderly T2 DM clinical qi deficiency with blood stasis syndrome is the most common, phlegm and blood stasis resistance network card times, qi and Yin deficiency syndrome, age, gender, no effect of T2 DM syndrome type distribution.(2) In elderly patients with T2 DM nutritional imbalances exist: most of the weight control is not ideal, obesity in patients with phlegm and blood stasis resistance network card in the majority, qi deficiency and blood stasis syndrome in patients with overweight in the majority, qi and Yin deficiency syndrome in patients with weight more than normal; Fasting blood sugar, saccharification of eggs, triglycerides, generally on the high side, albumin, zinc, vitamin DT is low as a whole.(3) The elderly T2 DM nutrition index differences between different TCM syndrome types: glucose, albumin, retinol binding protein, triglyceride, cholesterol, low density lipoprotein cholesterol(HDL) with phlegm and blood stasis resistance network card highest, qi deficiency blood stasis times, qi and Yin deficiency syndrome minimum; Highest HDL to qi and Yin deficiency syndrome, qi deficiency blood stasis, phlegm and blood stasis resistance network card to the minimum.(4) In the process of clinical diagnosis and treatment should focus on nutritional status in elderly patients with T2 DM, and pay attention to the supplement of protein, trace elements, especially qi and Yin deficiency syndrome patients; To phlegm and blood stasis resistance collaterals syndrome in patients with qi deficiency and blood stasis, should actively control the weight, the blood sugar, blood lipid in a timely manner to give intervention; To improve the nutritional status of patients improve clinical curative effect, reduce medical costs, improve the patients quality of life.