2型糖尿病1480例患者病程与中医证候分布的相关性OACSTPCD

Objective:To analyze the correlation between the course of 1480 patients with type 2 diabetes and the distribution of TCM syndromes.Methods:1480 cases of type 2 diabetes were collected with general data,medical history data and TCM syndrome data.They were grouped according to the course of diabetes(course of disease≤5 years,5 years＜course of disease≤10 years,course of disease＞10 years)and statistically analyzed.Results:(1)With the progression of diabetes,the general distribution of TCM syndrome types of this deficiency syndrome is:Yin deficiency syndrome(592 cases)＞Qi deficiency syndrome(440 cases)＞Yang deficiency syndrome(252 cases)＞blood deficiency syndrome(90 cases);The overall distribution of traditional Chinese medicine syndrome types based on standard evidence is as follows:internal Heat syndrome(940 cases)＞blood stasis syndrome(318 cases)＞Phlegm and Dampness syn-drome(265 cases)＞Qi stagnation syndrome(190 cases).In this deficiency syndrome,Yin deficiency syndrome and Qi deficiency syn-drome are the two most common basic syndrome types.The difference in the composition ratio of Qi deficiency syndrome among the three groups was statistically significant(χ2=13.765,P＜0.01);In standard empirical studies,internal Heat syndrome and blood sta-sis syndrome are the two most common basic syndrome types,and there is a statistically significant difference in the composition ratio of Phlegm and Dampness syndrome among the three groups(χ2=4.778,P＜0.05).(2)In the distribution of mixed syndromes of defi-ciency and excess among each group,the most common ones are Yin deficiency and internal Heat syndrome(524 cases),Qi deficiency and internal Heat syndrome(229 cases),and Yang deficiency and internal Heat syndrome(216 cases).As the disease progresses,the blood stasis syndrome and phlegm dampness syndrome show an upward trend.Among them,in the Qi deficiency syndrome group,there was a statistically significant difference in the proportion of Qi deficiency with internal Heat syndrome among the three groups(χ2= 14.496,P＜0.01).In the blood deficiency syndrome group,there was a statistically significant difference in the proportion of blood de-ficiency with Qi stagnation syndrome among the three groups(χ2=4.547,P＜0.05).In the Yin deficiency syndrome group,there was a statistically significant difference in the proportion of Yin deficiency with blood stasis syndrome(χ2=4.052,P＜0.05)and Yin defi-ciency with Qi stagnation syndrome(χ2=6.131,P＜0.05)among the three groups.Conclusion:The distribution of TCM syndromes of type 2 diabetes patients is mainly empirical in the early stage,and mixed with deficiency and excess in the middle and late stages.Yin deficiency syndrome,Qi deficiency syndrome,internal Heat syndrome and blood stasis syndrome always exist in the course of disease de-velopment.In the mixture of deficiency and excess,the syndrome of Heat inside is more common.