2型糖尿病气虚体质患者舌下络脉积分的相关性分析

Correlation Analysis of Sublingual Venae Score of Type 2 Diabetes Patients with Qi-Deficiency Constitution

目的:分析2型糖尿病气虚体质患者舌下络脉积分与相关指标的关系。方法:对100例2型糖尿病气虚体质患者的舌下络脉进行观察,量化评分,统计分析其与体质量指数(BMI)、病程、空腹血糖(FPG)、糖化血红蛋白(Hb A1c)、全血高切黏度(HBV)、全血低切黏度(LBV)、血浆黏度(BV)、纤维蛋白原(Fg)的关系,分析慢性血管并发症与舌下络脉积分、糖尿病家族史、BMI、病程的关系。结果:舌下络脉积分与BMI、病程、FPG、LBV、BV、Fg均呈正相关(P<0.01,P<0.05),与Hb A1c、HBV无相关性。大血管并发症、微血管并发症均与舌下络脉积分、病程具有相关性(P<0.01,P<0.05),与糖尿病家族史、BMI不具有相关性。结论:随着BMI、病程的增加与FPG、LBV、BV、Fg的升高,患者的舌下络脉瘀滞会加重。舌下络脉情况与病程对评估慢性血管并发症具有临床意义。

Objective： To analyze the correlation of sublingual venae score with relavant indexes of type 2 diabetes patients with qi-deficiency constitution. Methods. Observed sublingual venae score of 100 cases of type 2 diabetes patients with qi-deficiency constitution, quantized the score and analyzed its correlation with body mass index（BMI）, course, fasting plasma glucose （FPG）, glycosylated hemoglobin（HbAlc）, whole high blood viscosity（HBV）, whole low blood viscosity （LBV）, blood viscosity （BV）, and fibrinogen （Fg）. Analyzed the correlation between chronic vascular complication and sublingual venae score, family history, BMI and course. Results： Positive correlation were observed between sublingual venae scores and BMi, course, levels of FPG, LBV, BV and Fg（P〈0.01, P〈0.05）, while sublingual venae scores were not correlated with HbAlc and HBV. Both vascular complication and microvascular complications were correlated with sublingual venae scores and course（P〈0.01, P〈0.05）, but those had no correlat history of diabetes and BMt. Conclusion. With the sublingual venae s significance for the tasis in patients has become increase of BMI, course, and levels of FPG, LBV ncreasingly serious. Sublingual venae and course evaluation of chronic vascular complication on with family BV, and Fg, are of clinical