TCM Syndrome Differentiation of Diabetic Retinopathy and Its Related Factors in Type
|School||Chengdu University of Traditional Chinese Medicine|
|Course||Chinese medical science|
|Keywords||Diabetic retinopathy TCM syndromes Relevant factors|
Objective To retrospectively analyzed the medical records of hospitalized patients with diabetes, diabetic retinopathy in patients with TCM syndrome classification and analysis of the relevant factors, and to explore the etiology and pathogenesis of diabetic retinopathy. December 2007 to December 2009 was admitted to a hospital in Endocrinology, Affiliated Hospital of Chengdu University of Traditional Chinese Medicine made a fundus examination diabetes patients 528 cases, 393 cases of DR and 77 cases of NDR in patients with type 2 diabetes in accordance with yin deficiency heat, damp heat resistance, liver and kidney, Qi and Yin deficiency, blood stasis, blood stasis of yin and yang (?) stop, these seven liver qi stagnation syndrome type of TCM Syndrome Types, analysis of DR and NDR TCM syndromes distribution. We also analyzed the course of the disease, age, sex, blood lipids, blood pressure, blood glucose, glycosylated hemoglobin and other related indicators of diabetes, and to explore their relationship with DR. Results the typing Qiyinliangxu of DR and NDR TCM symptoms syndromes proportion of the most, followed by blood stasis syndrome, dampness and blocked card the highest proportion, statistics, DR and NDR syndrome distribution , blood stasis syndrome has a statistically significant difference, P lt; 0.01, liver and kidney certificate has significant statistically significant, P lt; 0.05. Staging according to the diagnostic criteria of diabetic retinopathy, of which only period (including I, II, Phase III) with the largest proportion, 98.22%, proliferative phase (including IV, V, VI period) accounted for 1.78%. Terms of gender, P GT; 0.05, no significant difference in the two sets of data. The incidence of all ages incidence were compared between groups, significant differences in the ages 60 years of age and over the age of 60. Between the duration of comparison between groups, X2 test, duration of diabetes less than 5 years group compared with the other groups have a very significant difference, P lt; 0.05. Statistics, the patient's blood pressure (SBP) and the occurrence of DR significant difference, P lt; 0.05. The patient's blood glucose (postprandial), glycosylated hemoglobin of DR was no significant difference, P gt; 0.05. Patients with fatty liver or the occurrence of hyperlipidemia and diabetic retinopathy does not have a significant difference, P GT; 0.05. The conclusion diabetic retinopathy TCM symptoms Qiyinliangxu, blood stasis, dampness and blocked to permit the highest proportion. NDR Qi and Yin deficiency, blood stasis syndrome, wet muddy the resistance card also occupy a prominent position. Statistics in the DR and NDR syndrome distribution, blood stasis card statistically significant difference. Liver and kidney certificate also has a significant statistical significance reveals Yin is the basic disease machine, Qiyinliangxu, a longer stage of its development, stasis is the basis of the incidence of diabetic retinopathy, and throughout the disease has always been, is both a product of pathology, but also a factor. But also block the air-bleeding after the formation of the body fluid lost to lose cloth phlegm wet storage to stay, phlegm and blood stasis, the longer duration of time, phlegm closed block the more serious, more serious diseases. The development of the disease to the late, chronic illness and kidney, liver and kidney origin, the more obvious the liver and kidney. In the treatment of qi and yin, blood stasis, phlegm dampness, liver and kidney tonic can be used as a treatment principles. In type 2 diabetes, independent of the DR occurrence and gender, the pathogenesis of diabetic retinopathy and age and duration, the incidence was significantly lower than the population over the age of 60 under the age of 60, less than 5 years of duration of diabetes, diabetic retinopathy the incidence rate of less than 5 years of diabetes duration, the longer the duration of diabetes, the higher the incidence of diabetic retinopathy. So we should be more than 60-year-old patient, duration of more than five years as a special focus on the object. The occurrence of blood pressure and diabetic retinopathy has a significant relationship between diabetic patients with hypertension has a role in promoting the development of retinopathy guide we have to control the blood pressure of patients. Blood glucose, glycosylated hemoglobin and diabetic retinopathy occurred no significant relationship between the results of this study does not match the DCCT and UKPDS reported, but its cause is unknown. Whether patients with fatty liver or the occurrence of hyperlipidemia and diabetic retinopathy does not have a significant difference in proportion of DR and NDR the combined fatty liver or hyperlipidemia, DM patients generally elevated blood lipids.