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Type2Diabetes Constipation And With Non-constipation In Patients With Lipid Metabolic Disorders And TCM Syndrome Type Of Relationship

Posted on:2013-05-08Degree:MasterType:Thesis
Country:ChinaCandidate:J J ZhangFull Text:PDF
GTID:2234330374951114Subject:Chinese medicine
Abstract/Summary:PDF Full Text Request
[Object] Exception type2diabetes constipation and diabetes in patients with non-constipation lipid metabolism and the correlation between TCM syndrome type; mainly serum lipids triglycerides (TG), total cholesterol (TC), high-density lipoprotein (HDL), low-density lipoprotein (LDL), lipoprotein a (Lp (a)), apolipoprotein A (of apoA-I), abnormalities of apolipoprotein B (apoB); different card type2diabetes constipation and diabetes non-constipationpatients with abnormal lipid parameters to investigate..[Methods] In June2010to February2012the Department of Endocrinology, at Third Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing TCM Hospital inpatient, some outpatient and basin EMG clinic some patients with type2diabetes, screening of505casestype2diabetes constipation and constipation two groups of patients, divided into five groups, according to the classification criteria of TCM (Yin Deficiency and Heat group, heat spleen group, Qi and Yin deficiency group, the yin and yang, blood stasis water to stop the group, blood stasiscontext group), record serum lipids such as triglycerides (TG), total cholesterol (TC), high-density lipoprotein (HDL), low density lipoprotein (LDL), lipoprotein a(Lp(a)), lipid-ladenprotein A (of apoA-I), apolipoprotein B (of apoB), the reference value standard based on selected indicators of their index abnormal packet analysis, and investigate its positive rate.[Results](1) Type2diabetes constipation and non-constipation in patients with blood lipid indexes of TG, TC, HDL, LDL, LP (a), apoA-I, apoB various abnormalities in diabetes constipation group mostly, and index numerical value is higher than that of patients with non-constipation. Its accompanying cardiovascular and lipid disorders probability is higher than that of patients with non-constipation.(2) Age, sex, duration of illness, diabetes constipation patients with dyslipidemia more proportion in constipated patients, but serum lipid values had no difference between the two groups.(3) HDL in all five syndromes of abnormal positive rates were constipation group was higher than that of non-constipated groups, TG, LP (a) in Damp-Hrat trapped spleen C positive rate of constipation group was higher than that in group LDL constipation, Qi and yin deficiency syndrome in two positive rate of non-constipation group was higher than that of patients with constipation. The two groups of patients, serum lipid abnormalities with Qi and yin deficiency syndrome of total two, followed by the extreme heat due to deficiency of Yin Syndrome is more important.(4) Five kinds of syndromes in patients with constipation, blood lipid index values were greater than the risk degree of non-constipated groups, with gas cloudy two empty, Damp-Hrat trapped spleen card obviously, where TG, LDL value difference is apparent throughout all stages of development of diabetes mellitus.(5) Diabetes constipation patients with blood stasis syndrome in the context of the LDL, LP (a) values of the maximum. Diabetes non-constipation patients with blood stasis syndrome in the context of the highest TG Damp-Hrat trapped spleen type, the maximum value of apoB (male).[Conclusions] Abnormal lipid parameters in diabetic constipation group the positive rate and higher values, dyslipidemia majority are in the different age, gender, duration of diabetes constipation group, and its associated diseases of the heart and brain blood vessels and blood lipids was also higher than the probability of non-constipation. Five card type, the degree of risk of the constipation group lipid parameters values are greater than the non-constipation group, and runs through the whole story of diabetes, the most prominent blood stasis. Lipid parameters TG, LDL, elevated to the main. LP (a) led to LDL, of apoB indicators need to pay attention to. Diabetes symptoms of constipation in the early stages of development for the duration of diabetes need to be vigilant dyslipidemia bring other diseases.
Keywords/Search Tags:Type2diabetes constipation type2diabetes non-constipation, Dyslipidemia TCM Syndrome Differentiation
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