加味当归六黄汤治疗糖尿病泌汗异常气阴两虚证临床分析-clinical analysis of modified danggui liuhuang decoction in treating diabetes mellitus with abnormal sweating and qi-yin deficiency syndrome.docxVIP

目录中文摘要.................................................IABSTRACT................................................II缩略词表................................................II前言...................................................1正文...................................................31.临床资料.............................................32．方法................................................63.观察指标.............................................74.疗效指标.............................................85.统计方法.............................................86.结果................................................9讨论..................................................11.祖国医学对糖尿病及糖尿病泌汗异常的病因病机治则的阐述.11.现代医学对糖尿病泌汗异常病因和发病机制的认识.........13.当归六黄汤治疗糖尿病泌汗异常的立论依据...............15.加味当归六黄汤的组方原则.............................155.疗效分析评价........................................206.存在的问题和展望....................................217.结束语..............................................21参考文献................................................21附录..................................................22综述.................................................25附表.................................................34致谢..................................................35中文摘要目的通过运用加味当归六黄汤治疗糖尿病泌汗异常，对症状、临床体征及血糖等指标治疗前后的对比，观察该方治疗糖尿病泌汗异常的有效性，探讨该方在临床的应用价值。方法①采用随机和对照的方法，将符合诊断标准及纳入标准的糖尿病泌汗异常患者60例，随机分为治疗组(加味当归六黄汤组)和对照组(甲钴胺组)，每组各30例。对照组在基础治疗上给予甲钴胺分散片口服(每次0.5mg，每日3次，1月为1疗程)。治疗组在糖尿病基础治疗上辨证加用加味当归六黄汤（黄芪、当归、黄连、黄芩、黄柏、生地、熟地、浮小麦、糯稻根、煅牡蛎）；②观察两组治疗前后症状、体征，填写证候积分量化表；③查空腹血糖、餐后两小时血糖等指标；④所得数据采用t检验及方差分析等方法进行统计分析，比较疗效。结果①治疗组泌汗情况总有效率为93.33%，对照组总有效率为56.67%，治疗组总有效率优于对照组，有显著性差异(P0.05)；②治疗组总有效率96.67％，对照组总有效率60％。两组临床综合治疗疗效有显著性差异(P0.05)；③主要血液学指标，治疗后两组空腹血糖和餐后两小时血糖均下降，两组比较显著性差异。治疗组优于对照组。结论加味当归六黄汤能显著缓解糖尿病泌汗异常患者的各种临床症状和体征，加味当归六黄汤中药组治疗的临床疗效优于单用甲钴胺西药组。主题词糖尿病泌汗异常；当归六黄汤；糖尿病自主神经病变；临床观察JiaweidangguiliuhuangtangClinicalResearchonTreatmentofDiabetesabnormalsweatingSpeciality:Internalmedicineof TCM Author:Liu FanSupervisor:Hu AiminAbstractObjectiveThroughtheuseofJia wei danggui liu huangtang in