加味七味白术散治疗糖尿病性腹泻临床观察【精选】.pdfVIP

· 临床研究 · 加昧七味白术散治疗糖尿病性腹泻临床观察 麻明佳 扶绥县中医医院 532199 广西崇左市扶绥县临江街149号 摘 要 目的：观察加味七味白术散治疗糖尿病性腹泻的临床疗效。方法：将66例糖尿病性腹泻患者随机 分为两组各33例，治疗组给予加味七味白术散(炒白术15g，党参15g，木香6g，茯苓15g，藿香叶10g，葛根15g， 甘草6g，石榴皮15g，诃子l2g)化裁治疗；对照组服用盐酸洛哌丁胺胶囊，每次1粒，每 日2次，两组均以10d为1 个疗程，治疗3个疗程。结果：治疗组总有效率为97．0％，对照组总有效率为78．8％，治疗组疗效优于对照组(P 0．05)；两组空腹血糖、餐后2h血糖及HbAlc水平治疗前后比较有显著性差异(P0．05)，但治疗后治疗组与对照 组比较无显著性差异(P0．05)；治疗组主要症状改善较对照组明显(PO．01)。结论：加味七味白术散治疗糖尿病 性腹泻能够显著改善患者的临床症状，疗效满意。 关键词 糖尿病性腹泻；加味七味白术散；中医药疗法 中图分类号：R587．1 文献标识码：A 文章编号：1003—0719(2014)03—0012—03 Clinicalobservationonthetreatmentofdiabeticdiarrheawiht theChinese formulamodifiedQiweiBaizhuPowder Ma胧， TraditionalChineseMedicalHospitalofFusuiCounty NO．149，LinjiangStreet，FusuiCounty，chongzuoCity，Guangxi Abstract Obiective：Toobservetheclinical efficacyonthetreatmentofdiabeticdiarrheawithQiweiBaizhu Powder．M ethod：66 casesofdiabeticdiarrheawererandomlydivided intotwogroups，thetreatmentgroup was treatedwithmodifiedQiweiBaizhuPowder(roastedRhizomaAtractylodisMacrocephalae15g，Codonopsispilosula l5g，Costustoot6g，PoriaCOCOS15g，Leafof Agastacherugosus10g，PuerariaeRadix15g，liquorice6g，pericarpi- amgranati15g，myrobalan12g)，whichtailorstreatmenttoindividualneeds；Thecontrolrgoupwasadministered withLoperamidehydroehloridecapsuleswticeaday(oneforeachtime)．Bothtwogroupstake10daysasacourseof rteatmentwiththreecoursesaltogether．Result：Thetotal effectiverateofthetreatmentgroupwas97％ whilethatof thecontrolgroupwas78．8％．Theefficacyofrteatmentgroupwassuperiortothatofthecontrolrgoup (P0．05)． TherehadsignificantdifferencesinFastingplasmaglucose，2-hourpostprandialbloodglucoseandHbAlclevelsbe- foreandaftertreatmentbetweenthewtorgoups(PO．05)，whiletherewasnosignificantdifferencebewteenthetwo groupsaftertreatment(尸=O．05)．Theremissionofsymptomsofhterteatmentgroupismoresignificantthanthatof thecontrolgroup(P0．O1)．Conclusion：’IetreatmentofQiweiBaizhuPowde