Distribution of traditional Chinese medicine syndromes in patients with diabetic gastroparesis based on cluster analysis
Objective To study the distribution of traditional Chinese medicine syndromes in patients with diabetic gastroparesis(DGP),to analyze the characteristics of traditional Chinese medicine syndromes in patients with DGP,and to provide references for the clinical differentiation and treatment.Methods A total of 153 patients with DGP treated at Ankang Hospital of Traditional Chinese Medicine from May 2021 to November 2023 were investigated by the general data investigation table and traditional Chinese medicine syndrome collection table,including 66 males and 87 females who were(51.30±10.28)years old.The descriptive frequency analysis and cluster analysis were applied.The x2 test was used.Results The syndrome analysis showed that spleen and stomach weakness syndrome accounted for the highest proportion(56 cases,36.60%),followed by liver depression and spleen deficiency syndrome(31 cases,20.26%),phlegm-dampness syndrome(28 cases,18.30%),cold and heat syndrome(21 cases,13.73%),and Yin deficiency and internal heat syndrome(17 cases,11.11%).The analysis of the relationship between the syndromes and diabetes course showed that the patients with diabetes course within 5 years mainly had cold and heat syndrome(16 cases,28.07%)and phlegm-dampness syndrome(15 cases,26.32%);the patients with diabetes course>5-10 years mainly had spleen and stomach weakness syndrome(17 cases,41.46%)and liver depression and spleen deficiency syndrome(10 cases,24.39%);the patients with diabetes course over 10 years mainly had spleen and stomach weakness syndrome(29,52.73%)and Yin deficiency and internal heat syndrome(10 cases,18.18%).Conclusions The main traditional Chinese medicine syndrome of patients with DGP is spleen and stomach weakness,which runs through the whole process of DGP development.With the extension of diabetes course,the patients'pathogenesis is the evolution process from deficiency to deficiency syndrome.
SyndromesDiabetic gastroparesisSpleen and stomach weakness syndromeDisease course