| Objective:The research object of this project is from the patients who were hospitalized in the Department of Endocrinology and Geriatric Ward of the first people’s Hospital Affiliated to Fujian University of Traditional Chinese Medicine from February 2019 to January 2020,and meet the inclusion criteria of type 2 Diabetes and Frailty in odler adults.Collect their relevant information,explore the distribution law of TCM symptoms,and clarify their syndrome differentiation and typing.On the basis of above,evaluate and study the characteristics of TCM Syndromes of inpatients with Frailty in odler adults by type 2 diabetes,so as to provide some reference for clinical TCM treatment of the Frailty in odler adults with type 2 diabetes.Method:(1)Through consulting a large number of literature,this study combined with the research method of similar domestic research establish syndrome questionnaire.(2)This study mainly adopts the method of retrospective investigation,by questionnaire,collects the relevant data of in-patients hospitalized in the Department of Endocrinology and geriatric department of the people’s Hospital of Fujian Province from February 2019 to January 2020 who meet the diagnostic criteria of type 2 diabetes and frailty in odler adults,mainly including the basic information such as gender,age,complications and other Western medicine related indicators,and the relevant data of the diagnosis information of traditional Chinese medicine.And carry out syndrome differentiation.(3)SPSS modeler 18.0 was used to extract the core symptoms of each syndrome and analyze the correlates.(4)By using SPSS staistics 23.0 and through factor analysis,analys the elements of syndrome in frailty in odler adults with type 2 diabetes,which laid a foundation for further exploring the pathogenesis of senile debilitation in diabetes.Results:1.General information(1)In this study,86 males(44.79%)and 106 females(55.21%)were involved,and the ratio of males to females was 1.23:1.(2)The youngest patient was 61 years old,the oldest patient was 90 years old,the age distribution was 70-79 years old,the average age was 74.18 ± 6.69 years old.(3)In terms of smoking and drinking history,10 cases(9.89%)had smoking history and10 cases(5.2%)had drinking history.(4)In terms of diabetes history,the average duration of diabetes is 12.44 ± 8.5 years,most of which are accompanied with complications,ranging from 1 to 5.(5)There was a positive correlation between age and frailty score,but no significant correlation between gender,course of diabetes,number of complications and frailty score.2.Distribution of TCM SyndromesProstate hyperplasia of the proportion of TCM syndrome classification in turn from high to low is kidney Jing deficiency syndrome(25.53%)>Spleen deficiency and phlegm turbid stagnation(22.92%)> Qi and blood deficiency syndrome(22.40%)> Five viscera deficiency syndrome(16.67%)> syndrome of yang deficiency of spleen and kidney(12.50%).3.Characteristics of syndrome types(1)The core symptoms of kidney Jing deficiency syndrome are nocturia,amnesia,low back acid,weakness of lower limbs,thin fur,thin tongue,tinnitus and deafness.There is a strong correlation between the core symptoms.The common triple symptoms are: mental fatigue and laziness + amnesia + nocturia,weakness of lower limbs + amnesia + nocturia,nocturia + low back acid + thin moss,amnesia + nocturia + thin moss(2)The core symptoms of Qi and blood deficiency syndrome are fatigue,fine pulse,dizziness,and mental fatigue and laziness.There is a strong correlation between the core symptoms.The common triple symptoms are: fatigue + visual faintness + pulse fineness,fatigue + pulse fineness + pale looks,fatigue + mental fatigue and laziness + pulse fineness,dizziness + fatigue + visual faintness,visual faintness + dizziness + pulse fineness.(3)The core symptoms of syndrome of yang deficiency of spleen and kidney are nocturia,cold limbs,fatigue,clear and long urine,light and fat tongue with teeth marks,white and slippery fur.The core symptoms are fatigue + nocturia + clear and long urine + cold limbs,and the incidence is 50%.(4)The core symptoms of spleen deficiency and phlegm turbid stagnation are: fatigue,dizziness,heavy head and body sleepiness,mental fatigue and lazy speech,chest distress,greasy moss,and pulse slippery.There is a strong correlation between the core symptoms.The common four joint symptoms: fatigue + greasy fur + dizziness + pulse sliding,the incidence was 30%.(5)The main clinical manifestations of the five viscera deficiency syndrome are fatigue,nocturia,palpitation,forgetfulness,chest distress,weakness of low limbs,mental fatigue and laziness,low back acid,pale looks,dizziness,cold limbs,tinnitus and deafness.There are many strong correlation between the main symptoms.4.Syndrome elementsIn this study,14 common factors were extracted through factor analysis from the symptoms and signs which be classified and quantitated.13 common factors were related to "deficiency" syndrome,including deficiency of Qi and blood,yin and Yang.and five internal organs involved,mainly spleen and kidney.The sthenia syndrome was due to deficiency,and was "wet" syndrome.Conclusion:1.The main clinical syndromes of the elderly patients with type 2 diabetes mellitus in hospital are mainly deficiency,which can be seen that the deficiency of Qi xue and Yinyang in the five zang organs,and the deficiency of the spleen and kidney is the core.2.The mainly sthenia syndromes is phlegm dampness syndrome,which is because of the deficiency syndrome,and exist with it. |
PDF Full Text Request