| Objective:By collecting data on the general conditions,quality of life,and syndromes of TCM syndromes of patients with type 2 diabetes with damp heat constitution,we used statistical methods to analyze the data collected on general conditions,biochemical indicators,and syndromes of traditional Chinese medicine to explore type 2 diabetes.The dialectical mode of combining patient discrimination,disease differentiation and syndrome differentiation.Methods:Through questionnaires,relevant data on the general conditions,biochemical indicators,TCM syndromes,and other data of patients with type 2 diabetes with damp heat constitution,treated with endocrine therapy at Ruikang Hospital Affiliated to Guangxi University of Traditional Chinese Medicine from December 2016 to December 2017 were collected.Conduct data analysis.Results:1 General situation1.1 Among 68 patients with type 2 diabetes with damp heat constitution,38 were males and 30 were females.The age ranged from 27 to70 years and the average age was(44.23±7.66)years.Of these,33 were young(18-40 years old),28 were middle-aged(41-65 years old),and 7 were elderly(?66 years old).1.2 Course of disease composition:The average disease duration was(8.56±7.34)years and the disease duration was between 0.5 to 25 years.There were 35 cases with a disease course of less than 5 years,30 cases in 5-10years,and 3 cases in more than 10 years,respectively accounting for 51.47%,44.12%,and 4.41%.1.3 BMI structure:the average BMI value was(24.41±3.22)kg/m~2,BMI less than 18.5kg/m~2 was 6 cases,accounting for 8.82%;BMI between 18.5 to23.9 kg/m~2 was 20 cases,accounting for 29.41%;BMI between 24 to27.9kg/m~2 was 36 cases,accounting for 52.94%,and 6 cases with BMI more than the 28 kg/m~2,accounting for 8.82%.1.4 Chronic complications:38 cases of retinopathy,accounting for55.88%,32 cases of hypertension,accounting for 47.05%;heart and cerebrovascular disease in 28 cases accounted for 41.18%;35 cases of renal disease,accounting for 51.47%;peripheral neuropathy in 14 cases,accounting for 20.59%;Vascular lesions in 15 cases,accounting for 22.06%;gastrointestinal neuropathy in 2 cases,accounting for 2.94%.Among them,there were 7 cases of 3 kinds of complications at the same time,accounting for 10.29%,2 cases of complications in 38 cases,accounting for 55.88%,and1 case of complications in 59 cases,accounting for 86.76%.1.5 Diet preference:18 cases of eating greasy foods,accounting for26.47%,eating spicy food in 15 cases,accounting for 22.06%,favoring salty diet in 10 cases,14.71%,no obvious preference in 3 cases,accounting for4.41%,the preference for sour diet was 8 cases,accounting for 11.76%,preference for sweetness was 13 cases,accounting for 19.12%,light diet was1 case,accounting for 1.47%.1.6 History of tobacco and alcohol:There were 28 cases of smoking history,accounting for 41.18%.There were 38 cases of drinking history,accounted for 55.88%.There were 18 cases of smoking and drinking history,accounting for 26.47%.1.7 Quality of life:The physiological dimension score was 25.96±5.29,the psychological mental dimension score was 20.88±3.57,the social relationship dimension score was 6.54±2.38,and the treatment dimension score was 7.63±1.41.2 Biochemical indicators2.1 Blood glucose parameters:Fasting plasma glucose(FPG)was(8.78±4.25)mmol/L,and 2 hours postprandial(2h-PG)was(13.02±4.67)mmol/L.FPG<7mmol/L in 15 cases,accounting for 22.06%,>7mmol/L in 53cases,accounting for 77.94%.2h-PG<10mmol/L had 10 cases,accounting for14.71%,and 2h-PG?10mmol/L had 58 cases,accounting for 85.29%.2.2 Glycated hemoglobin:HbAlc<7%of 13 cases,accounting for19.12%,HbAlc in 7~8%of 18 cases,accounting for 26.47%,HbAlc in 8~9%of 32 cases,accounting for 47.06%,HbAlc greater than 9%of 5 Cases,accounting for 7.35%.2.3 The index of blood lipids:53 cases with TG<1.7mmol/L,accounting for 77.94%and>1.7mmol/L,15 cases,accounting for 22.06%;33 cases with TC<4.5mmol/L,accounting for 48.52%,>4.5mmol/L There were 35 cases,accounting for 51.48%;LDL-C was less than 2.6mmol/L in 47 cases,accounting for 69.12%;in 2.6mmol/L,there were 21 cases,accounting for30.88%;HDL-C>1mmol/L in 55 cases,accounting for 80.88%,<1mmol/L in 13 cases,accounting for 19.12%.3 TCM symptoms and syndromes3.1 Symptoms of Traditional Chinese Medicine:Eat more hunger(73.5%),scalding(72.1%),greasy yellow tongue coating(72.1%),slippery pulse(79.4%),constipation(66.2%),irritability(55.9%),mouth sores(54.4%),body weight drowsiness(50.0%),body fat(48.5%),waist and knees(42.6%),limb numbness(33.8%),palpitations and insomnia(20.6%),dizziness and tinnitus(17.6%),spontaneous sweating(13.2%).3.2 TCM syndromes:30 cases of damp-heat trapped spleen syndrome,accounting for 44.12%,18 cases of yin deficiency heat syndrome,accounting for 26.47%,10 cases of deficiency of both qi and yin,accounting for 14.71%,6 cases of blood stasis syndrome,accounting for 8.82%,There were 4 cases of yin and yang deficiency,accounting for 5.88%.By analyzing the correlation between frequency and frequency of common TCM syndrome types of damp-heat and constitution,we found that patients with type 2diabetes mellitus had a correlation between damp-heat syndrome and two syndromes of yin and yang deficiency.Damp-heat syndrome(B=3.328,P=0.004)was positively correlated;Yin and Yang deficiency(B=-3.142,P=0.017)was negatively correlated.In the case of virtual evidence,there were 48 cases,accounting for 70.59%,and there were 20 cases of deficiency,accounting for 29.41%.Conclusions:1.patients with type 2 diabetes with damp heat constitution may be more common in young and middle-aged patients with a diabetes duration of less than 5 years.They are overweight,and prefer oily and spicy foods.They like to smoke and drink.In the case of chronic complications,patients with hot and humid constitutions are more likely to have retinopathy.Diabetic nephropathy and hypertension affect the patient's quality of life after the occurrence of the above chronic complications,suggesting that patients should be actively informed of diabetes health education and early intervention.2.Patients with type 2 diabetes mellitus with damp-heat constitution have lower cholesterol compliance rate and may be more difficult to control;fasting,postprandial blood glucose,and glycosylated hemoglobin fail to meet the standard,and overall glycemic control is not ideal.3.The TCM symptoms of patients with type 2 diabetes with damp heat constitution are mainly drowsiness,shiny face,greasy tongue coating,and slippery pulse.The clinical manifestations are mostly damp-heat and spleen-inducing syndromes. |
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