Study On Distribution Of Syndrome Elements With Type 2 Diabetes Mellitus And Its Related Indexes In Gulou District Of Fuzhou

Objective:To investigate and analyze the distribution of TCM syndromes in patients with type 2 diabetes mellitus in two communities of Fuzhou street,Gulou District South Street and Wufeng Street,explore the relationship between TCM syndrome elements and related inspection indexes in patients with type 2 diabetes mellitus,to provide a basis for improving the effect of TCM diagnosis and treatment of type 2 diabetes mellitus.Methods:The epidemiological investigation methods were collected from January 2015-December 2016 Gulou District South Street and Wufeng Street 2 community a total of 315 cases of the basic information of patients with type 2 diabetes and "basic data,information collection system state constitution identification card,Gulou District of factor distribution in patients with type 2 diabetes mellitus.Correlation analysis was used to explore the relationship between syndrome elements and test indexes.Result:1.Patient age and body mass index(1)Patient age Age 40 years old patients in 10 cases,accounting for the total number of 3.17%;The age of 40～65 years’ old patients 108 cases,accounting for the total number of 34.29%;Age of 65 patients with 197 cases,accounting for the total number of 62.54%.(2)Body mass index BMI 18.5 patients with 12 cases,accounting for the total number of 3.81%;BMI among 178 patients with 18.5～24,accounting for the total number of 56.51%;BMI among 90 patients with 24～28,accounting for the total number of 28.57%;BMI>28 patients with a total of 35 cases,accounting for the total number of 11.11%.2.Syndrome elements of disease location:Type 2 diabetes mellitus mainly in the kidney,liver,there was no significant difference between the 22 internal organs.3.Syndrome elements of disease(1)Deficiency syndrome① The course of<5 years:The frequency of type 2 diabetes syndrome elements were Yin deficiency,Qi deficiency,Blood deficiency,Yang deficiency.② The duration of 5～10:The frequency of type 2 diabetes syndrome elements were Yin deficiency,Qi deficiency,Blood deficiency,Yang deficiency.③ The duration of more than 10 years:The frequency of type 2 diabetes syndrome elements are Yin deficiency,Blood deficiency,Yang deficiency,Qi deficiency.(2)Excess syndrome① The course of<5 years:The frequency of type 2 diabetes syndrome elements are Phlegm,Dampness,Heat,Qi stagnation and Blood stasis.② The duration of 5～10:The frequency of type 2 diabetes syndrome elements are Phlegm,Dampness,Heat,Blood stasis,Qi stagnation.③ The duration of more than 10 years:The frequency of type 2 diabetes syndrome elements are Phlegm,Dampness,Heat,Blood stasis,Qi stagnation.4.Study on the correlation between syndrome elements and inspection indexes(1)Deficiency syndrome① Fasting blood-glucose was positively correlated with Yin deficiency,Yang deficiency and Qi deficiency;② Triglyceride was positively correlated with Qi deficiency;③ Low density lipoprotein was positively correlated with Yang deficiency and Qi deficiency;④ White blood cell was significantly correlated positively with Yin deficiency,and was significantly correlated negatively with Yang deficiency,Qi deficiency and Blood deficiency;⑤ Hemoglobin was negatively correlated with Yang deficiency,Qi deficiency and Blood deficiency;Non correlation.(2)Excess syndrome① Fasting blood-glucose was positively correlated with Humidity;② Cholesterol was positively correlated with Heat and Qi stagnation;③ Triglyceride was positively correlated with Dampness,Phlegm,Blood stasis and Qi stagnation;④ Low density lipoprotein was positively correlated with Dampness and Phlegm;⑤ White blood cells was significantly correlated negatively with Dampness,Phlegm and Blood stasis,and was significantly correlated positively with Heat;⑥ Hemoglobin was negatively correlated with Humidity;⑦ ALT was positively correlated with Phlegm and Blood stasis;Non correlation.Conclusion:1.Age and body weight:The two street community of Fuzhou Gulou District South Street and Wufeng Street in patients with type 2 diabetes age is more than 65 years old;The two street community of Fuzhou Gulou District South Street and Wufeng Street in patients with type 2 diabetes,body weight standards for the main crowd,overweight and obesity accounted for 39.68%.Therefore,it is necessary to strengthen the propaganda of overweight and obese people in the management of chronic diseases in community public health,to guide their healthy diet and reasonable exercise,so as to reduce the risk of type 2 diabetes.2.Syndrome elements of disease location:kidney,liver,spleen,lung and heart,which mainly for the kidney and liver.Therefore,we should pay attention to two aspects of kidney and liver in clinical treatment.3.Syndrome elements of disease:deficiency syndrome is Yin deficiency,Qi deficiency,Blood deficiency and Yang deficiency,excess syndrome is Phlegm,Dampness,Heat,Qi stagnation and Blood stasis.In general,the most important factor in the disease syndrome is Yin deficiency,Qi deficiency,Phlegm and Dampness,so in clinical treatment with tonifying Qi and nourishing Yin,Phlegm dampness,but also should pay attention to the other and syndrome treatment.4.Correlation between syndrome elements and inspection indexes:(1)Fasting blood-glucose was positively correlated with spleen;Hemoglobin was negatively correlated with heart;White blood cells was negatively correlated with liver,spleen,heart and lung;Platelet was positively correlated with liver and spleen;Cholesterol was positively correlated with spleen;Triglyceride was positively correlated with heart,and was negatively correlated with spleen.(2)Fasting blood-glucose was positively correlated with Yin deficiency,Yang deficiency,Qi deficiency and Dampness.(3)Cholesterol was positively correlated with Heat and Qi stagnation;Triglyceride was positively correlated with Qi deficiency,Dampness,Phlegm,Blood stasis and Qi stagnation;Low density lipoprotein was positively correlated with Yang deficiency,Qi deficiency,Dampness and Phlegm.