调心饮对糖尿病脏自主神经病变心率变异性的影响.pdfVIP

The influence of tiao xin yin treatment of diabetic cardiac autonomic neuropathy in patients with heart rate variability Abstract Objective: To evaluate the influence of Tiao xin yin treatment of diabetic cardiac autonomic neuropathy in patients with heart rate variability.Methods:60 patients of diabetic cardiac antonomic neuropathy were divided into experiment group(n=30) and control group (n=30),the experiment group were treated with Diamicron ，Diformin and tiao xin yin ,with a total course of treatment for 8 weeks.Control group were treated with Diamicron, Diformin and Methycobal, observed changes in the blood glucose,clinical symptom,heart rate variability index,blood cenvention, uro-convention, liver function,renal function before and after treatment.Results:After treatment,effective power in experiment Is 90%,and 53.3% in control group.the differences was statically significant(P0.05).Conc lusion: Tiao xin yin treatment of diabetic cardiac autonomic neuropathy has significant effect and can improve heart variability. Key words Tiao xin yin ；Heart rate variability ；diabetic cardiac autonomic neuropathy ；blood glucose 目 录 引 言 1 临床研究 2 一 、资料和方法 （一）病例选择2 1.诊断标准2 2．试验病例纳入标准2 3.排除标准3 4．剔除、脱落与中止观察标准3 （二）治疗方案3 1.治疗方法3 2.观察指标及方法4 3.疗效指标4 （三）疗效评定标准5 （四）统计方法6 二、临床资料分析6 三、疗效结果分析8 （一）患者一般情况 8 （二） 两组治疗前后血糖的变化8 （三）两组治疗前后肝肾功能的比较8 （四）两组治疗前后中医总疗效的比较9 （五）两组治疗前后中医症状积分比较9 （六）两组治疗前后 HRV 指标比较9 （七）两组治疗前后总疗效比较10 讨 论 11 一、HRV 分析对本病的诊断意义11 二、西医对本病的治疗现状12 三、祖国医学对糖尿病心脏自主神经病变的认识13 四、益气解毒、调和营卫法的理论探讨14 五、调心饮的组方用药析17 六、调心饮对糖尿病心脏自主神经病变的疗效分析17 (一)总疗效分析17 （二）中医证侯疗效分析18 （三）对血糖的影响18 （四）对 HRV 的影响18 （五）安全性检测18 七、调心饮的疗效机理探讨19 八、结论20 结 语 21 参考文献22