Clinical Study Of Tongue Pulse Parameters In Patients With Type2 Diabetes Mellitu

Research objectives: Research objectives:Based on 115 cases of type2 diabetes mellitus(type 2 diabetes mellitus,T2DM)in patients with tongue,pulse condition and objective parameters research,the tongue and pulse condition and objective parameters and fasting glucose,fasting blood glucose,FPG),blood sugar 2 hours after meal(2 hour post-meal blood glucose and 2 h PG),glycosylated hemoglobin,glycosylated hemoglobin,GHb)and body mass index(BMI)were used to study the correlation between tongue pulse and clinical indicators in patients with type 2 diabetes,so as to provide auxiliary basis for disease assessment and risk warning of type 2diabetes and theoretical basis for non-invasive clinical diagnosis.Research methods: application of DS01-E physical identification of traditional Chinese medicine health management system to collect115 cases of patients with type 2 diabetes as experimental group,72 cases of normal people as control group,collection and two groups of tongue,pulse condition diagram,the system automatically analysis to extract the related parameters,type 2 diabetes mellitus patients after the acquisition,then record the venousblood FPG,2h PG,available,BMI index.The measurement data of tongue and pulse parameters in line with normal distribution were expressed by t test in the form of mean and standard deviation(`X± S).X2 test was used to compare the overall rate among the classification variables.The correlation between tongue parameters and FPG,2h PG,GHb and BMI was analyzed by Logistic analysis,and the correlation between pulse parameters and FPG,2h PG,GHb and BMI was analyzed by multiple linear regression,and the correlation model was established by "regression method".P<0.05 was considered statistically significant.Objective parameters of tongue pulse were analyzed and compared between the two groups,and an association model was established between objective parameters of tongue pulse and FPG,2h PG,GHb and BMI in type 2 diabetes mellitus group.Research results:(1)tongue parameters(TBC,TBF,TCT)of type 2 diabetes mellitus group were significantly different from those of the normal group(P <0.05).The pulse parameters h1,h3,h4,w/t,and t1/t in the type2 diabetes group were significantly different from those in the normal control group(P <0.05),and the h1,h3,h4,w/t,and t1/t in the type 2 diabetes group were higher than those in the normal group.(2)In the pulse parameters of type 2 diabetes mellitus group,the correlation coefficients between h1,h5,h5/h1 and fasting glucose were statistically significant(P <0.05).The correlation coefficient between h1,h3,h4,h5/h1 and blood glucose 2 h after meal in the pulse parameters of type 2 diabetes mellitus group was statistically significant(P <0.05).In the tongue parameters oftype 2 diabetes mellitus group,the correlation coefficients between TBF,TCCG and hba1 c were statistically significant(P<0.05),and the correlation coefficients between h1,h3,h4,h5,h5/h1,t1,w/t,t1/t and hba1 c were statistically significant(P<0.05).In the tongue parameters of type 2 diabetes mellitus group,the correlation coefficients between TBF and bmi were statistically significant(P <0.05),and the correlation coefficients between h1,h5,h5/h1,t1 and bmi were statistically significant(P <0.05).Research conclusion:(1)tongue color(TBC),fatness(TBF)and thickness(TCT)of type 2diabetes mellitus group were all higher than that of the normal group,indicating that patients in the diabetes mellitus group were mostly of Yin deficiency with internal heat and spleen deficiency with dampness.TBF,TCCG and GHb were correlated.TBF was correlated with BMI,and TBF 1(fat)and TCCG 1(thick and greasy)were positively correlated with dependent variables,indicating that tongue parameters of type 2 diabetes patients were correlated with GHb and BMI.(2)type 2 diabetes mellitus group pulse for the chord,sink pulse,followed by smooth pulse.The pulse chart parameters of patients in the type 2 diabetes group were correlated with FPG,2h PG,GHb and BMI,indicating that the pulse chart parameters could reflect the glucose and lipid metabolism of patients,which may provide a basis for non-invasive clinical diagnosis.