中西医结合治疗2型糖尿病35例临床观察.pdfVIP

· 1082· 中医杂志2007年第48卷第12期 Journal of Traditional Chinese Medicine，2007，Vo1．48，No．12 中西医结合治疗2型糖尿病3 5例临床观察 徐 青 (浙江省桐乡市巾医医院内：：病区，桐乡市梧桐镇庆丰中路4号，314500) [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 将 69例确诊为2型糖尿病且中医辨证为气阴两虚型的患 者随机分为治疗组和对照组．对照组给予西药治疗，治疗组在此基础上加用中药治疗，同时观察两组患者治疗前后血糖、血脂、糖化 血红蛋白及中医证候的变化，评价两组疗效。 结果 两组空腹血糖、餐后2小时血糖和糖化血红蛋白治疗后均明显下降(P 0．01)，且治疗组下降尤为明显(PO．05)；治疗组治疗后血脂及中医证候积分均有明显改善(PO．01)。结论 中西医结合治疗2 型糖尿病疗效肯定。 [关键词] 2型糖尿病；气阴两虚型；中西医结合疗法 A CI inical Observation on Treatment of Integrated Chinese and Western Medicine for 35 Cases of Type 2 Diabetes XU Qing ( ’ongxiang Hospital of Chinese Medicine，Zhe9 iang 314500) ABSTRACT Objective To observe the therapeutic effect of integrated therapy of Chinese and western medicine for type 2 diabetes． Methods Totally 69 cases of type 2 diabetes with qi—yin deficiency pattern were randomly divided into treatment group and control group．Western medicine treatment was given to control group．while Chinese medicine treatment was added in treatment group． Blood sugar，blood lipid，glycosylated hemoglobin Alc(GHbAlc)，Chinese medical pattern and therapeutic effect were observed． Re— suits Fasting plasma glucose．postprandial 2 hours plasma glucose and GHbAlc decreased significantly in both groups(PO．01)，es— pecially in treatment group(PO．05)．Blood lipid and score of Chinese medical pattern improved significantly in treatment group(P O．O1)． Conclusion The treatment of integrated Chinese and western medicine for type 2 diabetes has sure therapeutic effect． Key Words Type 2 diabetes；Qi—yin deficiency pattern；Treatment of integrated Chinese and western medicine 为了研究中西医结合治疗糖尿病的有效方法，笔 (()GTT)后2小时血糖≥11．1mmol／I ；或一次FPG≥ 者自2004年1月～2006年6月以益气养阴辅以活血 7．Ommol／L且()GTT后2小时血糖≥1 1．1mmol／L。 化瘀法，采用自拟降糖益阴汤治疗气阴两虚型2型糖 1．3 中医辨证标准 尿病35例，并与单纯西药治疗作对照，现报告如下。 参考1993年卫生部制定发布的《中药新药治疗