中西医结合治疗2型糖尿病67例的临床观察.docVIP

中西医结合治疗2型糖尿病67例的临床观察 浙江省宁波镇海区人民医院中医科，陈莹315202 【中文摘要】目的：观察中西医结合治疗2型糖尿病的临床疗效。方法：选择我院2007年1月-2010年1月134例2型糖尿病患者，随机分为对照组和治疗组。对照组采用常规西医的治疗方法；治疗组在对照组的基础上加付金芪降糖片。两组均连续治疗3月。分别在治疗前及治疗12W后测定两组病人的空腹血糖、餐后2h血糖等指标。 结果：①治疗组与对照组疗效比较有显著的统计学意义差异(P0.05)。②空腹血糖和餐后血糖：治疗组及对照组治疗后和治疗前比较有显著的统计学差异（P0.05）；治疗组治疗后与对照组治疗后比较有显著的统计学差异（PO.05）。结论:在西医常规治疗的基础上加用金芪降糖片治疗2型糖尿病降糖效果显著，优于单用西医常规治疗。 【关键词】 2型糖尿病；金芪降糖片；临床观察 Ordinary western medicine combined with Jinqi Jiangtang pill on 67 type 2 diabetes patients’s therapeutical effect 【Abstract】Objective: To observe the clinical effects of ordinary western medicine combined with Jinqi Jiangtang pill on type 2 diabetes disease. Methods: 134 type 2 diabetes patients perioded from January 2007 to January 2010 were picked out and were randomly divided into control group and treatment group，each group 67 patients. The control group was treated with ordinary western medicine.The treatment group received Jiangtang pill, except took ordinary western medicine.Two groups all completed a therapeutic period of 12 weeks. Results: ① The effect of the treatment group compared with the control group has significantly statistics difference (P0.05). ②Fasting blood glucose and postprandial blood glucose: compared back and forth，the treatment group and control group all have significantly statistics difference (P0.05);the result of the treatment group compared with that of the control group has significantly statistics difference also(P0.05).Conclusion: The therapeutic effect of pioglitazone combined with glipizide on type 2 diabetes patients is much better than glipizide only，and worthy of being widely used.【Key words】:Type 2 diabetes; Jinqi Jiangtang pill； Clinical investigate 随着现代生活水平的提高，糖尿病的发病率呈现上升的趋势，中医药在糖尿病的治疗中发挥着重要的作用，笔者采用在常规西医治疗的基础上加服金芪降糖片治疗2型糖尿病67例，取得了良好的临床效果，现报告如下。 1　资料与方法 病例选择　 2007年1月至2010年1月在我院门诊或住院的2型DM患者134例,所有患者的诊断符合2004年中华医学会糖尿病建议代谢综合征(MS)诊断标准[1]；所有患者均未伴发或并发严重的糖尿病急性或慢性并发症或合并症；134例患者的中医辨证分型均属于气阴两虚型。其中治疗组男41例,女26例, 平均年龄53.6±6.7岁，病程6.1±3.9年，体重指数24.96±