[摘要] 目的 观察消痞通络方干预糖尿病胃轻瘫(寒热错杂证)的临床疗效，探讨其作用机制。方法 选取2018年7月—2019年3月该院收治的70例糖尿病胃轻瘫患者，随机分为实验组和对照组，前者给予中药消痞通络方联合枸橼酸莫沙必利片治疗，后者给予枸橼酸莫沙必利片治疗，每组各35例。观察治疗前后各组中医证候积分、胃排空、胃泌素、胃动素的指标变化。结果 实验组有效率91.4%，对照组有效率85.7%，差异有统计学意义(P<0.05);治疗前后两组中医证候积分、胃动素、胃泌素组内和组间对比，差异有统计学意义(P<0.05)。 结论 消痞通络方能够改善糖尿病胃轻瘫(寒热错杂证)临床症状，促进胃排空，作用机制与调节胃动素、胃泌素有关。

    [关键词] 中医药;胃轻瘫;糖尿病;络病;临床观察

    [中图分类号] R259 [文献标识码] A [文章编号] 1672-4062(2020)01(b)-0012-03

    [Abstract] Objective To observe the clinical efficacy of Xiaopitongluo Recipe in intervention of diabetic gastroparesis (cold fever and miscellaneous syndrome) and to explore its mechanism. Methods Seventy patients with diabetic gastroparesis admitted to the hospital from July 2018 to March 2019 were randomly divided into experimental group and control group. The former was given Chinese medicine Xiaopitongluo combined with mosapride citrate tablets ......