| Background:type 2 diabetes has become one of the major social problems that influence human health and the quality of their life.Traditional Chinese Medical Constitution has provides new ideas and methods for the prevention and treatment of many chronic diseases.Three yin and three yang constitution classification inherits the treatise on three yin and Yang syndrome differentiation system.This kind of classification method is based on the six system of yin and Yang of the human body according to the clinical practice,Jueyin and Shaoyang are two kinds of physical types closely related to the emotional control and the Qi regulating function,which used to distinguish by two obvious character and mood.In a previous study,the two kinds of physical types patients with type 2 diabetes are different in TCM syndrome,the quality of life score and other aspects.This paper will discuss the two constitution and syndromes in patients with type 2 diabetes based on previous study,the correlation between the physicochemical indexes and psychological characteristics further.Objective:This study compares the demographic data,physicochemical index,distribution of TCM syndromes,anxiety and depression scores,quality of life score and medication compliance between Jueyin and Shaoyang,two physical types of patients with type 2 diabetes,to explore the correlation between Constitution and syndrome,emotional characteristics,the severity of the disease the progress and quality of life and provide the basis for the differentiation of "three-in-one treatment model".Methods:Use the three yin and yang scale to choose 48 cases of Jue Yin patients,38 cases of Shaoyang patients(86 cases)from the patients with type 2 diabetes at the Beijing University of Chinese Medicine Dongzhimen Hospital Department of Endocrinology from January 1,2016 to January 31,2017 as the research object.Use the international scale and questionnaire to collect two patients' physical type,TCM syndromes,physical and chemical indexes and fill in the quality of life scale,Zungs anxiety,depression scale and medication adherence scale.Calculate the scores and analysis the data using SPSS 21 software,.The differences between the two groups were compared using chi square test or non parametric test,and the correlation analysis between the two variables using linear correlation analysis.Results:the comparison of demographic data:in this study,Shaoyang and Jueyin two constitution of patients with type 2 diabetes mellitus showed no statistical difference in age,gender,occupation and education degree.The living habits:two groups of patients showed no obvious differences in the history of alcohol and tobacco,eating habits and exercise habits.The physicochemical index:comparison of the two groups in the glycated hemoglobin level were significantly different(P<0.05),Jue Yin in patients with glycosylated hemoglobin(7.24%)is lower than the average level of Shaoyang physique patients(8.53%),the other indexes showed no significant difference.comparison of clinical data:two groups of patients with body mass index,waist hip ratio,duration of diabetes,previous medical history,family history,comorbidities and other aspects.There is no significant difference in complications in patients with diabetes mellitus,Jueyin physical complication rates were:diabetic retinopathy(53%),diabetic nephropathy(54%).diabetic peripheral neuropathy(49%),diabetic great vascular complications(67%);the incidence of complications in patients with Shaoyang physique were:diabetic retinopathy(58%),diabetic nephropathy(58%),diabetic peripheral neuropathy(47%),diabetic great vascular complications(42%).Comparison between the two groups of vascular complication rate had significant difference(P<0.05),the probability of Jue Yin in patients with vascular diseases than patients with high Shaoyang physique,other complications had no significant difference.The scale score:two groups of patients had significant differences in depression score comparison(P<0.01),the probability of depression in patients with Shaoyang physique(74%)is higher than that of Jue Yin patients(48%),score in anxiety,quality of life scores,medication compliance scores showed no significant difference.Compared with the traditional Chinese medicine syndrome,Jue Yin Syndrome Patients before five are:Yin deficiency card,Qi deficiency,damp heat syndrome,with heat syndrome,heat syndrome.Shaoyang physique patients before five are:Qi deficiency,heat syndrome,yin deficiency,Yang deficiency,qi stagnation.The Jue Yin patients with Yin deficiency syndrome and heat syndrome(with heat syndrome,damp heat syndrome,wind Yang Syndrome proportion etc.)Shaoyang physique patients,Shaoyang physique in patients with Qi deficiency,Yang deficiency and heat syndrome,qi stagnation by accounting for the proportion of Jue Yin patients.The correlation analysis:depression score and diabetic nephropathy stage was negatively correlated(P<0.05),anxiety,depression score and life quality score were significantly correlated(P<0.01).Conclusions:in this study,compared with the Jue Yin in patients with diabetes,The relative motion of Shaoyang physique of glycemic control in diabetic patients compared with the average level of Jue Yin patients worse.The patients with diabetes is Shaoyang Jueyin physical constitution were more prone to heart,brain,foot and other major vascular complications the constitution of Shaoyang.Patients with diabetic depression is higher than the proportion of Jue Yin patients.The patients with Jue Yin Yin deficiency and heat syndrome more common than Shaoyang physique patients;Shaoyang physique patients are more prone to Qi deficiency syndrome,Yang deficiency,qi stagnation and heat stagnation. |
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