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越鞠汤加减治疗气滞痰阻型糖耐量减低的临床效果 被引量:1

Clinical efficacy of modified Yueju decoction in the treatment of impaired glucose tolerance of type of Qi stagnation and Phlegm retention
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摘要 目的评价越鞠汤加减治疗气滞痰阻型糖耐量减低的效果。方法选取2015年1月至2017年1月门诊诊断为糖耐量减低的患者100例,随机分为对照组和试验组,每组50例。两组患者均给予常规降糖、降脂、生活干预治疗。对照组给予阿卡波糖治疗,观察组联合越鞠汤加减治疗。比较两组患者的血脂和血糖代谢指标。结果治疗前,两组患者的血脂和血糖代谢各指标比较,差异不显著(P>0.05);治疗后,两组患者的TC、TG、LDL、FPG、2 h PG、HOMA-IR、2 h CP水平明显低于治疗前,两组患者的FCP和脂联素水平明显高于治疗前(P<0.05);治疗后,观察组FPG、2 h PG、HOMA-IR、2 h CP水平明显低于对照组,观察组脂联素水平明显高于对照组(P<0.05)。结论越鞠汤加减治疗气滞痰阻型糖耐量减低疗效显著,值得临床推广使用。 Objective To evaluate the clinical efficacy of modified Yueju decoction in the treatment of impaired glucose tolerance of type of Qi stagnation and Phlegm retention. Methods From January 2015 to January 2017 in our hospital, 100 cases of patients with impaired glucose tolerance of type of Qi stagnation and Phlegm retention were selected and randomly divided into control group and study group, with 50 cases in each group. The patients in the two groups were all given conventional hypoglycemic, lipid-lowering and life intervention treatment. The control group was given acarbose and the observation group was given modified Yueju decoction on the bass of the control group. The indexs of blood lipid and glucose metabolism between the two groups were compared. Results There was no significant difference in the indexs of blood lipids and blood glucose metabolic between the groups before treatment(P〉0.05). After treatment, the levels of TC, TG, LDL, FPG, 2 h PG, HOMA-IR, 2 h CP in the two groups were obviously lower than those before treatment, and the levels of FCP and adiponectin in the two groups were obviously higher than those before treatment(P〈0.05). After treatment, the levels of FPG、2 h PG、HOMA-IR、2 h CP in the observation group were significantly lower than those in the control group, and the level of adiponectin in the observation group was significantly higher than that in the control group(P〈0.05). Conclusion The modified Yueju decoction in the treatment of impaired glucose tolerance of type of Qi stagnation and Phlegm retention has significant clinical efficacy, which is worthy of promotion and application in clinic.
作者 张亚利
出处 《临床医学研究与实践》 2017年第33期123-124,共2页 Clinical Research and Practice
关键词 糖耐量减低 气滞痰阻型 越鞠汤加减 impaired glucose tolerance type of Qi stagnation and Phlegm retention modified Yueju decoction
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