摘要
目的:探讨糖尿病(DM)合并焦虑抑郁状态患者应用针刺联合甘麦大枣汤治疗的临床疗效。方法:将60例DM合并焦虑抑郁状态患者随机分为对照组和观察组,各30例。对照组口服氟哌噻吨美利曲辛片治疗,观察组在此基础上加用针刺联合甘麦大枣汤治疗,两组均连续治疗4周。对比两组临床疗效、血糖水平、情绪指标及不良反应。结果:观察组临床总有效率高于对照组,治疗后空腹血糖、餐后2 h血糖水平及汉密尔顿焦虑量表、汉密尔顿抑郁量表评分低于对照组(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:DM合并焦虑抑郁状态患者应用针刺联合甘麦大枣汤治疗可改善血糖水平及焦虑抑郁状态,效果良好,安全性好,有一定的临床应用价值。
Objective:To investigate the clinical efficacy of the application of acupuncture combined with Ganmai Dazao Tang in the treatment of patients with diabetes mellitus(DM)complicated with anxiety and depressive states.Methods:Sixty patients with DM combined with anxiety and depressive states were randomly divided into a control group and an observation group with 30 cases each.The control group was treated with oral haloperidol melittin tablets,and the observation group was treated with acupuncture combined with Ganmai Dazao Tang on the base of the control group,and the treatment was lasted for four weeks.The clinical efficacy,blood glucose levels,mood indicators and adverse reactions were compared between the two groups.Results:The total clinical effectiveness rate was higher,and the levels of fasting blood glucose and 2-hour postprandial plasma glucose and the scores of the Hamilton anxiety scale and Hamilton depression scale were lower in the observation group than the control group(P<0.05).The differences in the incidence of adverse reactions between the two groups were not statistically significant(P>0.05).Conclusion:The application of acupuncture combined with Ganmai Dazao Tang in the treatment of patients with DM complicated with anxiety and depressive states can improve the blood glucose level and anxiety and depressive states with good effect and safety,and has a certain clinical value.
作者
邵伟薇
林群芳
陈丽莎
邹平平
许燕妮
范志文
SHAO Weiwei;LIN Qunfang;CHEN Lisha;ZOU Pingping;XU Yanni;FAN Zhiwen(Department of Endocrinology,Jingdezhen Hospital of Chinese Medicine,Jingdezhen 333000,China;Department of Rehabilitation,Jingdezhen Hospital of Chinese Medicine,Jingdezhen 333000,China)
出处
《上海医药》
CAS
2024年第5期23-26,共4页
Shanghai Medical & Pharmaceutical Journal
基金
景德镇市科技计划项目(20222SFZC033)。
关键词
糖尿病
焦虑抑郁状态
针刺
甘麦大枣汤
血糖水平
用药安全性
diabetes mellitus
anxiety and depressive state
acupuncture
Ganmai Dazao Tang
blood sugar level
medication safety
