电药饼灸治疗2型糖尿病胃轻瘫的临床疗效观察(1)
摘要：目的 探讨电药饼灸治疗2型糖尿病胃轻瘫的临床疗效。方法 将92例2型糖尿病合并胃轻瘫患者随机分为治疗组46例，对照组46例。两组患者原降糖治疗方案不变，治疗组加用电药饼灸治疗，对照组加服枸橼酸莫沙必利片治疗，均治疗2 w。结果 两组治疗后消化道症状明显改善，两组比较差异有非常显著性意义(P<0.05)。治疗组空腹血糖治疗后有显著改善并具有统计学意义(P<0.05)，治疗组治疗后糖化血红蛋白有所下降，但无统计学意义(P>0.05)。对照组治疗后空腹血糖及糖化血红蛋白无明显变化。结论 电药饼灸治疗糖尿病胃轻瘫能明显改善症状，有较好临床疗效。
关键词：2型糖尿病；胃轻瘫；电药饼灸
中图分类号：R587.2 文献标识码：A 文章编号：1006-1959(2017)16-0113-02
Clinical Observation on Treatment of Type 2 Diabetic Gastroparesis by Electrosurgical Moxibustion
, http://www.100md.com
ZHANG Qi-fen，XIONG Yan，WANG Chang-qing
(Hongdu TCM Hospital of Jiangxi Province of Nanchang City，Nanchang 330008，Jiangxi，China)
Abstract：Objective To investigate the clinical efficacy of electro-drug moxibustion in the treatment of type 2 diabetic gastroparesis.Methods 92 cases of type 2 diabetic patients with gastroparesis were randomly divided into treatment group of 46 cases，46 cases in the control group.Two groups of patients with primary hypoglycemic treatment unchanged，the treatment group plus electric medicine moxibustion treatment，the control group plus citric acid mosapride tablets treatment，are treated 2 w.Results The symptoms of digestive tract improved obviously in the two groups after treatment，and there was a significant difference between the two groups(P<0.05).The fasting blood glucose in the treatment group was significantly improved and statistically significant(P<0.05)，after treatment，glycosylated hemoglobin decreased in the treatment group，but there was no statistical significance(P> 0.05).The fasting blood glucose and glycosylated hemoglobin did not change significantly in the control group after treatment.Conclusion Electrosurgical moxibustion treatment of diabetic gastroparesis can significantly improve the symptoms，have a better clinical efficacy.
, 百拇医药
Key words：Type 2 diabetes mellitus；Stomach paralysis；Electric medicine moxibustion
2型糖尿病胃輕瘫(diabetic gaatropareaia，DGP)是2型糖尿病胃肠植物神经病变常见的症状，其发病机制尚不完全明确。通常表现为胃张力低下，蠕动减慢和排空延迟，影响药物和食物的消化，对血糖控制不利。典型症状为腹胀、早饱、厌食、嗳气、恶心、呕吐、体重减轻，一般以餐后较为严重。体检可见胃区胀满，可闻及振水音。其多见于病程长、病情控制欠佳、依赖胰岛素的患者。我院用电药饼灸治疗糖尿病胃轻瘫取得了满意疗效，结果报告如下。
1 资料与方法
1.1一般资料
观察病例选取2011年10月～2014年12月南昌市洪都中医院内一科门诊和住院患者92例，将其随机分为治疗组和对照组两组，每组各46例。治疗组中，男24例，女22例；年龄45～74岁，平均年龄59岁；病程5.6～12年，平均8.5年。对照组中，男45例，女47例；年龄43～75岁，平均年龄58.5岁；病程5.6～12.6年，平均8.6年。两组患者在性别、年龄、病程经统计学分析差异无显著性意义(P>0.05)，具有可比性。
1.2诊断与排除标准
1.2.1诊断标准 ①按照WHO标准确诊为2型糖尿病[1]；糖尿病胃轻瘫诊断标准[2]；②参照《中医内科学》诊断为消渴、痞满、呕吐[3]；③临床表现为腹胀，早饱，厌食，恶心，呕吐，胃纳减弱，体重减轻；④胃B超检查显示：胃内容物的排空时间延长>6 h，胃蠕动减弱。, http://www.100md.com(张奇芬 熊燕 王长青)
关键词：2型糖尿病；胃轻瘫；电药饼灸
中图分类号：R587.2 文献标识码：A 文章编号：1006-1959(2017)16-0113-02
Clinical Observation on Treatment of Type 2 Diabetic Gastroparesis by Electrosurgical Moxibustion
, http://www.100md.com
ZHANG Qi-fen，XIONG Yan，WANG Chang-qing
(Hongdu TCM Hospital of Jiangxi Province of Nanchang City，Nanchang 330008，Jiangxi，China)
Abstract：Objective To investigate the clinical efficacy of electro-drug moxibustion in the treatment of type 2 diabetic gastroparesis.Methods 92 cases of type 2 diabetic patients with gastroparesis were randomly divided into treatment group of 46 cases，46 cases in the control group.Two groups of patients with primary hypoglycemic treatment unchanged，the treatment group plus electric medicine moxibustion treatment，the control group plus citric acid mosapride tablets treatment，are treated 2 w.Results The symptoms of digestive tract improved obviously in the two groups after treatment，and there was a significant difference between the two groups(P<0.05).The fasting blood glucose in the treatment group was significantly improved and statistically significant(P<0.05)，after treatment，glycosylated hemoglobin decreased in the treatment group，but there was no statistical significance(P> 0.05).The fasting blood glucose and glycosylated hemoglobin did not change significantly in the control group after treatment.Conclusion Electrosurgical moxibustion treatment of diabetic gastroparesis can significantly improve the symptoms，have a better clinical efficacy.
, 百拇医药
Key words：Type 2 diabetes mellitus；Stomach paralysis；Electric medicine moxibustion
2型糖尿病胃輕瘫(diabetic gaatropareaia，DGP)是2型糖尿病胃肠植物神经病变常见的症状，其发病机制尚不完全明确。通常表现为胃张力低下，蠕动减慢和排空延迟，影响药物和食物的消化，对血糖控制不利。典型症状为腹胀、早饱、厌食、嗳气、恶心、呕吐、体重减轻，一般以餐后较为严重。体检可见胃区胀满，可闻及振水音。其多见于病程长、病情控制欠佳、依赖胰岛素的患者。我院用电药饼灸治疗糖尿病胃轻瘫取得了满意疗效，结果报告如下。
1 资料与方法
1.1一般资料
观察病例选取2011年10月～2014年12月南昌市洪都中医院内一科门诊和住院患者92例，将其随机分为治疗组和对照组两组，每组各46例。治疗组中，男24例，女22例；年龄45～74岁，平均年龄59岁；病程5.6～12年，平均8.5年。对照组中，男45例，女47例；年龄43～75岁，平均年龄58.5岁；病程5.6～12.6年，平均8.6年。两组患者在性别、年龄、病程经统计学分析差异无显著性意义(P>0.05)，具有可比性。
1.2诊断与排除标准
1.2.1诊断标准 ①按照WHO标准确诊为2型糖尿病[1]；糖尿病胃轻瘫诊断标准[2]；②参照《中医内科学》诊断为消渴、痞满、呕吐[3]；③临床表现为腹胀，早饱，厌食，恶心，呕吐，胃纳减弱，体重减轻；④胃B超检查显示：胃内容物的排空时间延长>6 h，胃蠕动减弱。, http://www.100md.com(张奇芬 熊燕 王长青)
参见：首页 > 医疗版 > 疾病专题 > 内分泌科 > 糖尿病