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时间:2019-03-03
《葛根芩连汤配合胰岛素强化治疗湿热证2型糖尿病临床观察》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、维普资讯http://www.cqvip.com·514·中国中西医结合杂志2006年6月第26卷第6期cJITWM,June,!:!:葛根芩连汤配合胰岛素强化治疗湿热证2型糖尿病临床观察曾艺鹏黄云胜胡蕴刚王爱华摘要目的观察伴湿热证的2型糖尿病,经胰岛素强化血糖控制、并联合葛根芩连汤加味对湿热证候的疗效及胰岛素用量的影响。方法中药组以葛根芩连汤加味配合胰岛素强化治疗,常规组单予胰岛素强化治疗。结果中药组14例,显效5例,有效6例,无效3例,总有效率为78.6%;常规组16例,显效2例,有效7例,无效7例,总有效率56.3%;两组比较,
2、差异有显著性(“=2.58,P<0.01)。经胰岛素强化治疗血糖达标时间(天)中药组(4.54±0.50)较常规组(5.31±0.57)短(P<0.01);治疗结束时胰岛素用量较血糖达标时中药组减少(9.07±6.51)u,常规组减少(4.38±5.94)U;两组比较,差异有显著性(P<0.05)。结论对伴湿热证的2型糖尿病,在短期胰岛素强化治疗基础上,联合葛根芩连汤加味治疗,可以相对减少胰岛素用量,并取得较好的临床疗效。关键词2型糖尿病;湿热证;胰岛素强化治疗;葛根芩连汤EffectofGegenQinlianDecoctionCo
3、mbinedwithShort-termIntensiveInsulinTreatmentonPatientswithType2DiabetesMellitusofDampness-HeatSyndromeZENGYi—peng,HUANGYun—sheng,HUYun—gang,etalDepartmentofEndocrinology,CentralHospitalofNanhuiDistrict,ShanghaiUniversityofTCM,Shanghai(201300)AbstractObjectiveToobservet
4、heeffectofGegenQinlianDecoction(GQD)incombinationwithshort—termintensiveinsulintreatmentontype2diabetesmellitus(T2DM)ofdampness—heatsyndromeanditsinflu—enceondosageofinsulinused.MethodsTheGQDgroup(n=14)wastreatedbyGQDandinsulin,whiletheconventionalgroup(n=16)wasgivenins
5、ulinintensivetreatmentalone、ResultsIntheGQDgroup,thetreatmentwasmarkedlyeffectivein5patients,effectivein6andineffectivein3,thetotaleffectiveratebeing78.6%,muchbetterthanthatintheconventionalgroup(2,7,7and56.3%respectively,“=2.58,P<0.01).Andittooklesstimeforcontrollingbl
6、odglucose(BG)intheGQDgroup(4.54±0.50days)thanthatintheconventionalgroup(5.31±0.57days,P<0.01);Furthermore,bytheendofthetreatmentcourse,ascomparedwiththatatthetimejustafterBGbeingcontrolled,thedailyaverageinsulindosageusedintheGQDgroupreducedby9.07±6.51U,whileitwasonly4.
7、38±5.94Uintheconventionalgroup,showingsignifi—cantdifferencebetweenthem(P<0.05).ConclusionBasedonshort—terminsulinintensivetreatment,thecombinedusingofGQDcouldreducethedosageofinsulinusedandshowsbetterclinicalcurativeeffectforpa—tientswithT2DMofdampness—heatsyndrome.Key
8、wordstype2diabetesmellitus;dampness—heatsyndrome;insulinintensivetreatment;GegenQinlianDeeoetionCDDCDDCDDCDD高血
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