摘要
目的分析中医温阳健脾法联合西药治疗2型糖尿病胰岛素抵抗的临床疗效。方法将该院收治的80例2型糖尿病胰岛素抵抗患者纳入该次实验,所有病例均选自2015年9月—2017年12月,采取随机抽签的方式将所有患者均分为两组,将采取常规西药治疗的40例患者设为对照组,将采取中医温阳健脾法联合西药治疗的40例患者设为治疗组,对两组患者的临床疗效、血糖指标、不良反应发生情况进行分析比较。结果治疗后,治疗组患者治疗总有效率(92.5%)显著高于对照组(70.0%),(P<0.05);治疗组空腹血糖(6.45±1.47)mmol/L、餐后2 h血糖(9.35±1.67)mmol/L、糖化血红蛋白(6.52±1.22)%、空腹血清胰岛素(8.04±0.79)mmol/L均显著低于对照组(P<0.05);两组患者不良反应发生率分别为10.0%和7.5%,治疗组略高,差异无统计学意义(P>0.05)。结论对2型糖尿病胰岛素抵抗患者给予中医温阳健脾法联合西药治疗可获得理想的疗效,能有效降低患者血糖水平,且不良反应少,安全性高,值得推广。
Objective This paper tries to analyze the clinical effect of the combined western medicine of wenyang jianpi and western medicine on insulin resistance of type 2 diabetes mellitus. Methods 80 patients with type 2 diabetes mellitus with insulin resistance admitted to the hospital were enrolled in this study. All patients were selected from September 2015 to December 2017. All patients were randomly divided into two groups by random sampling. 40 patients with western medicine were enrolled as the control group. 40 patients who were treated with TCM method of warming Yang and invigorating the spleen and Western medicine were enrolled as the treatment group. The clinical curative effect, the blood sugar index and the adverse reactions of the two groups were analyzed and compared. Results After treatment, the total effective rate of treatment in the treatment group（92.5%） was significantly higher than that of the control group（70.0%）,（P〈0.05）;the fasting blood glucose（6.45 ± 1.47） mmol/L, postprandial 2 h blood glucose（9.35± 1.67） mmol/L, glycosylated hemoglobin（6.52 ± 1.22）% and fasting serum insulin（8.04 ±0.79） mmol/L in the treatment group were significantly lower than those in the control group（P〈0.05）;and the incidence of adverse reactions in the two groups was 10.0% and 7.5% respectively, the treatment group was slightly higher and the difference was no significant difference（P〉0.05）. Conclusion The patients with type 2 diabetes mellitus with insulin resistance and invigorating the spleen and invigorate the spleen method combined with western medicine can obtain the ideal curative effect, which can effectively reduce the blood sugar level of patients with less adverse reactions and high safety,and worthy of promotion.
作者
赵伟平
ZHAO Wei-ping(Endocrinology Department,Nanning Hospital of Traditional Chinese Medicine,Nanning,Guangxi Province,530001 China)
出处
《系统医学》
2018年第3期21-23,共3页
Systems Medicine
关键词
2型糖尿病
胰岛素抵抗
中医温阳健脾法
西药
不良反应
Type 2 diabetes
Insulin resistance
TCM wenyang jianpi
Western medicine
Adverse reaction
