Correlation between TCM Syndromes and TyG Index in Diabetic Retinopathy
10.11969/j.issn.1673-548X.2025.10.010
- VernacularTitle:糖尿病视网膜病变中医证型与TyG指数的相关性
- Author:
Shimei WAN
1
;
Shasha LI
1
;
Xiaoci WANG
1
Author Information
1. 210029 南京中医药大学附属医院
- Publication Type:Journal Article
- Keywords:
Diabetic retinopathy;
TyG index;
TCM syndrome type;
Correlation
- From:
Journal of Medical Research
2025;54(10):53-57
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the relationship between traditional Chinese medicine(TCM)syndromes and triacylglyceride-glucose(TyG)index in diabetic retinopathy(DR).Methods A total of 185 DR patients hospitalized in Jiangsu Provincial Hospital of Traditional Chinese Medicine from January to October 2019 were classified by TCM syndromes differentiation,the differences in clinical data of patients with different TCM syndromes were compared,and the correlation between each TCM syndromes and TyG index was ana-lyzed by Logistic regression.Results The distribution of the 185 DR patients was 32 cases(17.3％)with syndrome of yin deficiency and internal heat,61 cases(33.0％)with syndrome of qi-yin deficiency,35 cases(18.9％)with syndrome of liver-kidney deficien-cy,28 cases(15.1％)with syndrome of spleen deficiency and dampness retention,and 29 cases(15.7％)with syndrome of yin-yang deficiency.Statistically significant differences were observed in TyG index,fasting blood glucose(FBG),glycosylated hemoglobin(HbA1c),triglyceride(TG),and high-density lipoprotein cholesterol(HDL-C)among different syndromes(P＜0.05).Patients with syndrome of spleen deficiency and dampness retention had significantly higher TyG index and TG levels than those in the other four groups(P＜0.05).FBG levels in patients with syndrome of qi-yin deficiency and syndrome of spleen deficiency and dampness retention were higher than those in patients with syndrome of yin-yang deficiency(P＜0.05).HbA1c levels in patients with syndrome of qi-yin deficiency were significantly higher than those in the other four groups(P＜0.05).HDL-C levels in the spleen deficiency with damp-ness stagnation group were lower than those in the qi-yin deficiency group,and HDL-C levels in the yin-yang deficiency group were lower than those in the liver-kidney deficiency group(P＜0.05).The results of Logistic regression analysis showed that the TyG index was positively correlated with syndrome of spleen deficiency and dampness retention,and served as an independent risk factor for this syn-drome.Conclusion The most common TCM syndrome in DR patients is syndrome of qi-yin deficiency.The TyG index is highest in pa-tients with syndrome of spleen deficiency and dampness retention,indicating its potential as an objective auxiliary indicator for TCM syn-drome differentiation in DR.
