2型糖尿病采用中西医结合治疗的临床疗效观察(1)
[摘要] 目的：通过与单纯西药治疗2型糖尿病的治疗效果进行比较，探究采用中西医结合治疗2型糖尿病临床疗效。方法：选取92例患有2型糖尿病的患者，分成两组，分别给予单纯西医治疗和中西医结合治疗，对比两组的治疗效果。结果：两组患者治疗后比较，对照组患者的空腹血糖，餐后2h血糖，糖化血红蛋白均明显高于试验组患者，P<0.05。两组治疗后空腹血糖，餐后2h血糖，糖化血红蛋白均明显低于治疗前，P<0.05。试验组总有效率2.3%，明显高于对照组77.7%，P<0.05。结论：中西医结合治疗2型糖尿病临床疗效良好，能够明显降低诊断指标，改善临床症状，建议临床广泛采用中西医结合治疗方法治疗2型糖尿病。
[关键词]2型糖尿病；中西医结合治疗；临床疗效
By combining traditional Chinese and western medicine treatment of Diabetes mellitus type 2 clinical curative effect observation
, http://www.100md.com
Xu Jingtao
( Zhanjiang Chikan District Hospital of Traditional Chinese Medicine In Guangdong Province 524035)
[Abstract] Objective: With the pure western medicine treatment to compare the effect of Diabetes mellitus type 2, and to explore the clinical curative effect of combining traditional Chinese and western medicine treatment of Diabetes mellitus type 2.Methods:Select 92 cases of patients with Diabetes mellitus type 2, is divided into two groups, respectively, to give pure western medicine treatment and combine traditional Chinese and western medicine treatment, compared two groups of treatment effect.Result:Compared two groups of patients after treatment, the control group patients with fasting plasma glucose, postprandial 2 h blood sugar, glycosylated hemoglobin were significantly higher than that of experimental group patients, P < 0.05.Fasting glucose levels after treatment in both groups, postprandial blood sugar, 2 h glycosylated hemoglobin were significantly lower than before treatment, P < 0.05.Experimental group (the total effective rate 2.3%) is significantly higher than control group (77.7%), P < 0.05.Conclusion:Combine traditional Chinese and western medicine in the treatment of Diabetes mellitus type 2 clinical curative effect is good, can significantly reduce the diagnosis index, improve the clinical symptoms, suggested that clinical widely used with combined therapy of traditional Chinese and western medicine treatment of Diabetes mellitus type 2.
, 百拇医药
[Keywords]Diabetes mellitus type 2; Combine traditional Chinese and western medicine treatment; Clinical curative effect
2型糖尿病是一种人体出现的代谢失衡的疾病，与遗传因素关系密切，多发生于40岁以上的人群，肥胖的患者更容易发病，除多尿多饮和体重减轻外，还可能伴有许多其他症状和并发症发生，全身性的改变包括视力改变，皮肤改变，心脏功能改变，肾功能改变等，这些严重影响着患者的生活质量[1]。目前临床上常用的治疗方法为单纯给予西药降糖药治疗，有一定的治疗效果。本次试验中，我们重点研究了中西医结合的治疗方法对于2型糖尿病的治疗意义，现将结果总结如下：
1 资料与方法
1.1 临床资料
选取2011年1月到2013年11月在我院内分泌科住院的患有2型糖尿病的患者92例，将所有患者分为两组，对照组27例患者，试验组65例患者，分别给予单纯西医治疗和中西医结合治疗。2型糖尿病诊断标准：1、空腹血糖>7.0mmol/L,或者餐后2h血糖>11.1mmol/L。2、起病缓慢而隐袭3、患者多超重或肥胖。4、患者均有“三多一少”症状。对照组27例患者中男13例，女14例，年龄最小36岁，最大86岁，平均年龄(53.2±4.7)岁，平均病程(10.6±2.3)年。试验组中男33例，女32例，年龄35到87岁，平均年龄(52.3±6.5)岁，平均病程(10.5±3.1)年。两组患者的性别，年龄，病情，病程，一般身体素质等情况没有统计学差别，具有可比性。
, http://www.100md.com
1.2 治疗方法
对照组患者给予二甲双胍口服治疗，500-2000mg/日，每日分3次口服，根据患者的体重和病情调整剂量，同时给予患者阿卡波糖口服，30mg/次，日3次，给药一个月，治疗前后检测患者空腹血糖，餐后2h血糖，糖化血红蛋白情况。
试验组患者在对照组基础上配以中药治疗，处方如下：生黄芪30克，山药15克，苍术15克，玄参30克，当归10克，赤芍10克，川芎10克，益母草30克，丹参30克，葛根15克，生地15克，熟地15克，木香10克。开水煎服，日两次。给药一个月，治疗前后检测患者空腹血糖，餐后2h血糖，糖化血红蛋白情况。
1.3疗效评价标准[2]：
有效：患者症状有所改善，检测指标(空腹血糖，餐后2h血糖，糖化血红蛋白)有所下降；痊愈：患者症状消失，所有检测指标恢复正常；无效：患者症状没有改变或加重，检测指标没有下降或升高。, 百拇医药(徐经涛)
[关键词]2型糖尿病；中西医结合治疗；临床疗效
By combining traditional Chinese and western medicine treatment of Diabetes mellitus type 2 clinical curative effect observation
, http://www.100md.com
Xu Jingtao
( Zhanjiang Chikan District Hospital of Traditional Chinese Medicine In Guangdong Province 524035)
[Abstract] Objective: With the pure western medicine treatment to compare the effect of Diabetes mellitus type 2, and to explore the clinical curative effect of combining traditional Chinese and western medicine treatment of Diabetes mellitus type 2.Methods:Select 92 cases of patients with Diabetes mellitus type 2, is divided into two groups, respectively, to give pure western medicine treatment and combine traditional Chinese and western medicine treatment, compared two groups of treatment effect.Result:Compared two groups of patients after treatment, the control group patients with fasting plasma glucose, postprandial 2 h blood sugar, glycosylated hemoglobin were significantly higher than that of experimental group patients, P < 0.05.Fasting glucose levels after treatment in both groups, postprandial blood sugar, 2 h glycosylated hemoglobin were significantly lower than before treatment, P < 0.05.Experimental group (the total effective rate 2.3%) is significantly higher than control group (77.7%), P < 0.05.Conclusion:Combine traditional Chinese and western medicine in the treatment of Diabetes mellitus type 2 clinical curative effect is good, can significantly reduce the diagnosis index, improve the clinical symptoms, suggested that clinical widely used with combined therapy of traditional Chinese and western medicine treatment of Diabetes mellitus type 2.
, 百拇医药
[Keywords]Diabetes mellitus type 2; Combine traditional Chinese and western medicine treatment; Clinical curative effect
2型糖尿病是一种人体出现的代谢失衡的疾病，与遗传因素关系密切，多发生于40岁以上的人群，肥胖的患者更容易发病，除多尿多饮和体重减轻外，还可能伴有许多其他症状和并发症发生，全身性的改变包括视力改变，皮肤改变，心脏功能改变，肾功能改变等，这些严重影响着患者的生活质量[1]。目前临床上常用的治疗方法为单纯给予西药降糖药治疗，有一定的治疗效果。本次试验中，我们重点研究了中西医结合的治疗方法对于2型糖尿病的治疗意义，现将结果总结如下：
1 资料与方法
1.1 临床资料
选取2011年1月到2013年11月在我院内分泌科住院的患有2型糖尿病的患者92例，将所有患者分为两组，对照组27例患者，试验组65例患者，分别给予单纯西医治疗和中西医结合治疗。2型糖尿病诊断标准：1、空腹血糖>7.0mmol/L,或者餐后2h血糖>11.1mmol/L。2、起病缓慢而隐袭3、患者多超重或肥胖。4、患者均有“三多一少”症状。对照组27例患者中男13例，女14例，年龄最小36岁，最大86岁，平均年龄(53.2±4.7)岁，平均病程(10.6±2.3)年。试验组中男33例，女32例，年龄35到87岁，平均年龄(52.3±6.5)岁，平均病程(10.5±3.1)年。两组患者的性别，年龄，病情，病程，一般身体素质等情况没有统计学差别，具有可比性。
, http://www.100md.com
1.2 治疗方法
对照组患者给予二甲双胍口服治疗，500-2000mg/日，每日分3次口服，根据患者的体重和病情调整剂量，同时给予患者阿卡波糖口服，30mg/次，日3次，给药一个月，治疗前后检测患者空腹血糖，餐后2h血糖，糖化血红蛋白情况。
试验组患者在对照组基础上配以中药治疗，处方如下：生黄芪30克，山药15克，苍术15克，玄参30克，当归10克，赤芍10克，川芎10克，益母草30克，丹参30克，葛根15克，生地15克，熟地15克，木香10克。开水煎服，日两次。给药一个月，治疗前后检测患者空腹血糖，餐后2h血糖，糖化血红蛋白情况。
1.3疗效评价标准[2]：
有效：患者症状有所改善，检测指标(空腹血糖，餐后2h血糖，糖化血红蛋白)有所下降；痊愈：患者症状消失，所有检测指标恢复正常；无效：患者症状没有改变或加重，检测指标没有下降或升高。, 百拇医药(徐经涛)