An analysis of the correlation between TCM constitution distribution and clinical indexes of type 2 diabetic osteoporosis patients
Objective:To provide a theoretical basis for the treatment and prevention of type 2 diabetic osteoporosis(DOP)by analyzing the correlation between TCM constitution distribution and clinical indexes of patients.Methods:A total of 200 DOP patients were randomly selected from Endocrinology Department of Xi'an Hospital of Traditional Chinese Medicine.The method of collecting patient self-test table was used to calculate and determine the physique of included patients.The basic information and clinical indicators of the included patients were collected.A statistical analysis was carried out by SPSS25.0 statistical software to analyze the correlation between TCM constitution distribution and clinical indicators of DOP patients.Results:(1)In terms of the TCM constitution distribution of type 2 diabetic osteoporosis,Yin(阴)deficiency constitution,balanced constitution,phlegm-dampness constitution,blood-stasis constitution,Yang(阳)deficiency constitution accounted for a large proportion,while Qi(气)stagnation constitution,Qi deficiency constitution,dampness-heat constitution,and inherited-special constitution accounted for a small proportion.(2)With the increase of age,the TCM constitution of DOP patients tended to be Yin deficiency constitution and Yang deficiency constitution.The TCM constitution of obese or overweight DOP patients tended to be phlegm-dampness constitution.The TCM constitution of DOP patients with high fasting plasma glucose tended to be Yin deficiency constitution.The TCM constitution of DOP patients with high blood lipids tended to be phlegm-dampness constitution and blood-stasis constitution.The TCM constitution of DOP patients with high hydroxyl vitamin D was Yin deficiency constitution.The TCM constitution of DOP patients with high urinary microalbumin were mostly Yang deficiency constitution.Conclusion:With the increase of age,the TCM constitution types of DOP patients tend to be Yin deficiency constitution and Yang deficiency constitution,and many patients have mixed TCM constitutions.The differences between individuals often play a considerable role in the susceptibility of a certain or a certain type of pathogenic factors and the tendency of lesions.We should attach importance to the application of TCM constitution,identify various types of TCM constitutions early,and combine TCM syndrome differentiation with constitution identification,so as to better prevent and treat DOP.