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The Study On Distribution Regularity Of Tcm Syndromes In Type2Diabetic Mellitus Between Macao And Guangzhou

Posted on:2013-02-13Degree:DoctorType:Dissertation
Country:ChinaCandidate:W H LiFull Text:PDF
GTID:1114330371498647Subject:TCM clinical basis
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BackgroundDiabetes is a common and endocrine and metabolic diseases, diabetes morbidity rose rapidly in our country and seriously harm people's health along with lifestyle changes and the acceleration of the aging Process. There are about347,000,000adults suffering from diabetes all over the world. At present, there are about35,000people with diabetes, the incidence of about6%to7%. The number of aged30to40years of type2diabetes increases. Diabetes is widespread damage to the human body, such as the tissues and organs from head to foot, from the outside to the inside. Traditional Chinese medical science has a long history of treating xiaokebing which has been recognized as diabetes mellitus. As the diagnosis of TCM syndromes and the evaluation of the clinical therapeutic efficiency at present, there is not a common, regular and objective standard system, this current situation makes the clinical curative effect assessment not provide enough evidences. Therefore, classification for the objective differentiation of diabetic research, has become a hot topic of domestic and foreign scholars.Object iveComprise the differences in patients with type2diabetes between Macao region and Guangzhou region in age, gender, disease course and cultural degree.We should select and generalize the Chinese medicine standardization of syndrome types of the type2diabetes in Macao.In order to provide guidance for clinical treatment, the paper systematically retrospect and analyzed pathogenic factors, pathological changes of type2diabetes, investigated the relationship between type2diabetes based on syndrome differentiation in TCM and age, blood pressure, BMI index.MethodWe used epidemiologic investigation methods. We collected147cases in Macao and150cases in Guangzhou from January1,2011to NOV1,2011.All of the patients chosen in this clinical trail had been clearly diagnosed in T2DM, and accorded with the internalize standard. All the cases had been collected basic data about general physical condition, information from TCM four diagnoses. We choose those cases with complete data and proceeded statistics analysis. We used the method of T test and Logistic Regression with SPSS17.0statistical package.Results(1)There is significant difference between Macon region and Guangzhou region in aging.(2)Height, blood pressure (hypertension), and BMI had significant differences between tow regions, but weight had no significant difference.(3)There are many differences in Disease Course, Gender, Cultural degree and Vocation between two regions diabetics.(4)Lack of power is popular with diabetics in Macao. The typical symptoms of polydipsia, polyuria, and emaciation body are popular in early diabetics. But these symptoms are rare in Guangzhou patients, whose symptoms are Lumbago, lack of power, mental weariness, and forgetful.(5)Factor analysis:Making use of the Factor Analysis method, we have singled out there are23factors,7belong to deficiency of Yin,4deficiency of Qi,3blood stasis,3phlegm-dampness,2excess of Yang;7of the disease points are in spleen,6in liver,5in kidney.(6)Correlation analysis:Aging has significant effect on factor6, factorll, factorlO and factor20(P=0.000,0.000,0.003and0.010). BMI index has significant effect on factor14, factor17, factor12, and factor3(P=0.000,0.009,0.015and0.027). And blood pressure has significant effect on fctor10, factorlland factorl6(P=0.000,0.030, and0.032). Conclusion(1) Aging, blood pressure, and the BMI index is closely correlative the prevalence rate of diabetes mellitus;(2) The common elements of syndrome of T2DM in Macao are deficiency of Yin, deficiency of Qi.
Keywords/Search Tags:Type2Diabetes Mellitus(T2DM), TCM Syndrome Differentiation, Macao
PDF Full Text Request
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