| Objective:Through a literature review and retrospective case investigation to explore type2diabetic patients with insomnia onset (total incidence, gender, age, duration of the distribution of the incidence) to explore this common disease syndromes and syndrome distribution of and evolution of the treatment of type2diabetic patients with insomnia provide preliminary reference for Integrative Medicine.Method:The study included a literature research and clinical studies carried out in the Guangzhou area of TCM clinical epidemiological survey of type2diabetes mellitus in patients with insomnia.The subjects were within the range of dates in March2012, March2011, Guangdong Province Chinese Medicine Hospital inpatients and outpatients, in strict accordance with the diagnostic criteria and inclusion criteria will be included in the scope of the study patients were cross-sectional survey.This topic to diagnosis and treatment as the guiding principle, a total of305cases with type2diabetes inpatient and outpatient retrospective hospital clinical data of the survey method to collect the patient’s general situation (name, gender, age, duration, etc.), the record of patients admitted to hospital when symptoms, tongue and pulse, TCM diagnosis and Western diagnosis, whether accompanied by insomnia. From insomnia related risk factors (gender, age, disease duration), the statistics of the incidence of type2diabetic patients with insomnia. Select the type2diabetes mellitus in patients with insomnia, then the above statistical analysis, the preliminary summary of the type2diabetes mell itus in patients with insomnia TCM syndromes of law.Result:305cases of type2diabetes, in line with insomnia patients,102cases including50cases of male, female52cases,30to39-year-old insomnia incidence rate of2.9%,40to49-year-old insomnia incidence rate of8.8percent,50the～59years of insomnia incidence rate of19.6%incidence rate of32.4%from60to69-year-old insomnia, insomnia incidence rate of36.3%in70to79years old.0to5years duration of insomnia incidence%incidence rate of5to10years duration of insomnia, more than10years%.102cases of type2diabetes mellitus in patients with insomnia, Qiyinliangxu42cases,41.2%;18cases of liver and kidney, accounting for17.6%; yin and yang of9cases (8.8%);16cases of spleen deficiency. accounted for15.7%; other4.9%. Course of the disease history of0-5years in patients with liver and kidney card, Qi Deficiency larger proportion;5to10years duration of the patients Qi Deficiency spleen deficiency syndrome, phlegm network card proportion; the course of more than10years in patients with Deficiency of both qi and yin, spleen deficiency syndrome, deficiency of both yin and yang, the proportion is largest.Conelusion:(1) the incidence of distribution:the incidence of type2diabetic patients with insomnia, in which female incidence was slightly higher than men, and age, the increase in the incidence of the course of the disease tended to increase.(2)the main syndromes of law:TCM syndromes of type2diabetic patients with insomnia have a certain regularity. Mainly of type2diabetes mellitus insomnia main TCM syndromes Yin Deficiency type, liver-kidney, spleen and kidney yang, phlegm and blood stasis blocking collaterals, the yin and yang five major card type. Qi and Yin Deficiency type appears the highest rate, followed by spleen deficiency and liver-kidney, at least the yin and yang deficiency, phlegm and blood stasis blocking collaterals. Various types in proportion to the number of arranged:Qiyinliangxu type> liver-kidney> spleen and kidney yang> phlegm and blood stasis blocking collaterals> yin and yang deficiency.(3) the card type and course of the disease:type2diabetes with insomnia syndrome evolved showing Qi Deficiency, liver and kidney, spleen deficiency syndrome, with the increase of the duration of the phlegm network, yin and yang the evolution of the deficiency. Blood stasis is common throughout the entire course of the disease and folders certificates, and increased with the duration and increase the trend. |
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