半夏泻心汤加减方对糖尿病前期湿热困脾证的临床干预探究.pdfVIP

提 要 目的：观察半夏泻心汤加减方对糖尿病前期湿热困脾证的疗效，并初步阐述其作 用机理。方法：60 例糖尿病前期证属湿热困脾型的者，随机分成两组，治疗组 30 例， 对照组 30 例。对照组行空白对照，给予糖尿病标准饮食运动调节的基础治疗；治疗 组予基础治疗加用半夏泻心汤加减方，治疗周期为 12 周。观察治疗前后患者中医证 候积分、血糖、HOMA-IR 、HbA1c 、BMI 、TG 等指标的变化。结果：经过 12 周的 治疗后，患者的中医证候积分、血糖、HOMA-IR 、HbA1c 、BMI 、TG 均得到改善， 两组间比较有显著差异（P0.01 ），治疗组明显优于对照组。结论：半夏泻心汤加减 方对糖尿病前期有良好的治疗作用，能较好的改善糖尿病前期湿热困脾证患者的症 状，改善胰岛素抵抗、降低糖化血红蛋白，有逆转糖尿病前期进展为临床糖尿病的趋 势。 关键词 糖尿病风险增加；湿热困脾；辛开苦降；糖尿病前期 Clinical Intervention Research on Treating A Type of Pre-diabetes Belong to Hot and Damp Cumber Spleen with the Adjusted BanxiaXiexin Decoction Speciality：Internal Medicine of Traditional Chinese Medicine Author ：ZhangYutao Tutor：ZhaoQuanlin Abstract Objective: Observed the adjusted BanxiaXiexin decoction treating Pre-diabetes in patients with type is the Hot And Damp cumber Spleen, and initially described its Principle.Methods: 60 cases of Pre-diabetes Belong to Hot and Damp Cumber Spleen were randomly divided into two groups, the treatment group and the control group. Blank control group were given the standard diabetes diet and exercise therapy based regulation; treatment group to the basic treatment plus the Adjusted BanxiaXiexin Decoction treatment period of 12 weeks. to observe in patients with clinical TCM syndrome, blood glucose, HOMA-IR, HbA1c, BMI, TG and other indicators of change.Results: After 12 weeks of treatment, Patients TCM syndrome score, blood glucose, HOMA-IR, HbA1c, BMI, TG, averaging Improvement between the two groups were significantly different (P 0.01), treatment group was significantly better than the control group 。Conclusion: the Adjusted BanxiaXiexin Decoction Treated Pre-diabetes Belong to Hot and Damp Cumber Spleen, have a good therapeutic effect, can