摘要
目的:观察体针配合口服葛根芩连汤治疗肥胖型糖尿病湿热困脾证的疗效,为该病证提供一种有效的治疗方法。方法:纳入63例患者,随机分为治疗组和对照组,对照组予以口服二甲双胍片及苯扎贝特片,治疗组在对照组治疗基础上予体针及口服葛根芩连汤治疗,观察各病例中医证候积分、体重指数(BMI)、空腹血糖(FPG)、糖化血红蛋白(Hb A1c)、总胆固醇(TC)、甘油三酯(TG)的变化。结果:治疗1个月后,治疗组空腹血糖(FPG)、总胆固醇(TC)、甘油三酯(TG)均较治疗前明显下降,且较对照组有显著差异(P<0.05);两个月后,两组FPG、TC、TG均逐渐恢复到正常水平,组间比较无明显差异,但对照组体重指数(BMI)及糖化血红蛋白(Hb A1c)尚未达标,治疗组BMI和Hb A1c均恢复正常水平,较对照组明显降低(P<0.05);两组中医证候积分及总有效率比较,治疗组均优于对照组(P<0.01或P<0.05)。结论:在口服降糖降脂药基础上,联合体针及口服中药治疗肥胖型糖尿病,可进一步改善血糖、血脂及体重控制,并能更好地缓解各项伴随症状,提高患者的生活质量,该疗法有进一步临床推广应用的价值。
Objective： To observe the effects of body acupuncture and Gegen Qinlian Decoction for damp accumulation in spleen syndrome of obese diabetes and find an effective therapy for this disease. Methods： Sixty- three patients were collected and departed into the treatment group and the control group randomly. Metformin and bezafibrate were given to the control group while body acupuncture and Gegen Qinlian Decoction were added to the treatment group. The changes of TCM score,body mass index,blood glucoce,glycosylated hemoglobin and blood fat were observed. Results： After one month of therapy,the FPG,TC and TG of the treatment group were decreased obviously than those before therapy and those of the control group（ P〈0. 05）. Two months later,FPG,TC and TG of both groups returned to be normal and there was no difference between them. The BMI and Hb A1 c in the treatment group were lower than those of the control group（ P〈0. 05）. The TCM score and therapeutic effect in the treatment group was better than the control group＇s（ P〈0. 05 or P〈0. 05）. Conclusion： On the basis of oral hypoglycemic and lipid- lowering drugs,body acupuncture and Gegen Qinlian Decoction can improve the control of blood glucose,blood fat and body weight. The concomitant symptoms could be relieved and living quality of patients could be promoted. This therapy could be popularized and applied in clinic.
出处
《辽宁中医杂志》
CAS
北大核心
2016年第7期1475-1478,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
2014年湖南省研究生科研创新项目(CX2014B304)
关键词
体针
肥胖型糖尿病
湿热困脾证
葛根芩连汤
临床观察
body acupuncture
obese diabetes
damp accumulation in spleen syndrome
Gegen Qinlian Decoction
clinical observation
