摘要
目的对糖脂病变(2型糖尿病合并高脂血症)患者予以健脾化浊法干预,以此观察健脾化浊法干预的临床效果。方法方便选择2型糖尿病合并高脂血症患者(例数:120例,时间:2017年1月—2018年6月)行不同干预措施:常规降糖+降脂(对照组)、常规降糖+降脂+健脾化浊法(研究组)。对组间的临床治疗总有效率、空腹血糖(FPG)、餐后2h血糖(2hPG)、糖化血红蛋白(HbA1c)、甘油三脂(TG)、胆固醇(TC)、高密度脂蛋白指标(HDL-C)、低密度脂蛋白指标(LDL-C)进行对比观察。结果研究组的临床治疗总有效率(96.67%)、高密度脂蛋白指标(1.36±0.35)mmol/L、低密度脂蛋白(2.34±0.34)mmol/L均优于对照组[临床治疗总有效率、高密度蛋白指标、低密度脂蛋白分别为:78.33%、(1.19±0.41)mmol/L、(3.98±2.34)mmol/L],且研究组的空腹血糖(6.44±0.77)mmol/L、餐后2h血糖(8.55±0.79)mmol/L、糖化血红蛋白(4.05±1.01)%、甘油三酯(1.43±0.79)mmol/L、胆固醇指标(4.11±1.01)mmol/L均低于对照组[(空腹血糖、餐后2h血糖、糖化血红蛋白、甘油三酯、胆固醇分别为:(6.76±0.81)mmol/L、(10.76±0.81)mmol/L、(4.83±1.05)%、(1.76±0.81)mmol/L、(4.83±1.05)mmol/L]。经检验,差异有统计学意义(χ^2=9.22,P=0.01;t=2.44、5.37、2.22、15.13、2.26、3.83,P<0.05)。结论健脾化浊法干预糖脂病变可以起到改善血脂和血糖指标,能够获得显著的临床治疗效果,实施安全性极高。
Objective To observe the effect of spleen turbidity and turbidity intervention on patients with glycolipidopathy(type 2 diabetes mellitus complicated with hyperlipidemia).Methods Patients with type 2 diabetes mellitus complicated with hyperlipidemia(number of cases:120 cases,time:January 2017 to June 2018)were convenient selected.Different interventions were performed:conventional hypoglycemic lipid-lowering(control group),conventional drop glucose+lipid-lowering+spleen turbidity method(study group).Total effective rate of clinical treatment between groups,fasting blood glucose(FPG),postprandial 2-hour blood glucose(2 hPG),glycosylated hemoglobin(HbA1c),triglyceride(TG),cholesterol(TC),high-density lipoprotein index(HDL-C),low density lipoprotein index(LDL-C)for comparative observation.Results The total effective rate of clinical treatment(96.67%),high-density lipoprotein(1.36±0.35)mmol/L,and low-density lipoprotein(2.34±0.34)mmol/L were superior to the control group[the effective,high-density protein index and low-density lipoprotein were:78.33%,(1.19±0.41)mmol/L,(3.98±2.34)mmol/L],and the fasting blood glucose of the study group(6.44±0.77)mmol/L;2 h postprandial blood glucose(8.55±0.79)mmol/L,glycated hemoglobin(4.05±1.01)%,triglyceride(1.43±0.79)mmol/L,cholesterol index(4.11±1.01)mmol/L were lower than the control group[fasting blood glucose,2 h postprandial blood glucose,glycosylated hemoglobin,triglyceride,cholesterol:(6.76±0.81)mmol/L,(10.76±0.81)mmol/L,(4.83±1.05)%,(1.76±0.81)mmol/L,(4.83±1.05)mmol/L].After testing,the difference was statistically significant(χ^2=9.22,P=0.01;t=2.44,5.37,2.22,15.13,2.26,3.83,P<0.05).Conclusion Invigorating spleen and turbidity method can improve the blood lipid and blood sugar index,and can obtain significant clinical treatment effect,and the safety is extremely high.
作者
兰启防
丘澍萍
LAN Qi-fang;QIU Shu-ping(Baoai Hospital,Longyan,Fujian Province,364000 China;Institute of Integrated Traditional and Western Medicine,Longyan,Fujian Province,364000 China)
出处
《中外医疗》
2019年第22期175-177,共3页
China & Foreign Medical Treatment
关键词
健脾化浊法
临床干预
糖脂病变
研究观察
Jianpi Huazhuo method
Clinical intervention
Glycolipidopathy
Research observation
