中西医结合治疗肥胖型2型糖尿病60例疗效观察推荐.docVIP

中西医结合治疗肥胖型2型糖尿病60例疗效观察 中西医结合治疗肥胖型2型糖尿病60例疗效观察 【摘要】 目的 观察中西医结合治疗肥胖型2型糖尿病的临床疗效，并探讨其作用机制。方法 将120例肥胖型2型糖尿病患者随机分为2组。对照组60例口服降糖药二甲双胍2片，每日3次。治疗组60例在对照组治疗基础上加服养阴清热活血消脂汤，每日1剂，每日服3次。2组均6周为1个疗程，1个疗程后统计疗效。结果 治疗组总有效率78.3%，对照组总有效率58.3%，2组比较差异有统计学意义（P＜0.05）。治疗组在降低总胆固醇、甘油三酯，改善全血黏度（高切、低切）、血浆黏度、红细胞比积、纤维蛋白原方面明显优于对照组（P＜0.05，P＜0.01）。结论 中西医结合治疗肥胖型2型糖尿病能有效减轻患者的症状，改善微循环及脂肪代谢，临床疗效确切。 【关键词】 肥胖症；并发症; 糖尿病, 2型；中西医结合疗法 Study of effect of integrated traditional Chinese medicine and estern medicine on obese patients ith type 2 diabetes mellitus 【Abstract】 Objective To observe the clinic effect of integrated Traditional Chinese Medicine and estern medicine on obese patients ith type 2 diabetes mellitus and to find its mechanisms. Methods 120 obese patients ith type 2 diabetes mellitus ere randomly divided into control group and treatment group. The patients in the control group ere given metformin hydrochloride 2 tablets, tid. The patients in the treatment group ere given Yangyinqingre-huoxueqingzhi decoction 1dose, tid. in addition to the same treatment as the ones in the control group. The course of both groups ere 6 eeks. Results The total effective rate as more significant in treatment group than that in control group . Total cholesterol , triglyceride ,high and lo shear, plasma viscosity, hematocrit and fibrinogen in treatment group ere reduced more obviously pared ith those in control group . Conclusion Integrated Western medicine and Traditional Chinese Medicine in treating diabetes can not only alleviate the symptoms of the patients but also improve the fat metabolism and microcirculation. It has better effects on diabetes than only use estern medicine. 【Key ords】 Obesity;Complications; Diabetes mellitus; Type 2; Integrated Traditional Chinese Medicine and estern medicine therapy 随着经济发展和生活方式改变，糖尿病的发病率逐年上升，发病的年龄也日趋低龄化。此外糖尿病人群中发生冠状动脉粥样硬化性心脏病（以下简称冠心病）、缺血性或出血性脑血管病、失明、肢端坏疽等严重并发症均明显高于非糖尿病人群。因此，糖尿病已成为严重威胁人类健康的世界性公共卫生问题。-01—-02，我们运用中西医结合治疗肥胖型2型糖尿病60例，并与单纯西医治疗60例对照观察，现报告如下。 1 资料与方法 1.1