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中药穴位贴敷治疗二甲双胍致2型糖尿病腹泻

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目的 探讨中医穴位贴敷治疗二甲双胍致2型糖尿病患者腹泻临床效果.方法 将二甲双胍致腹泻的2型糖尿病患者126例随机分成对照组与观察组,各63例.对照组在二甲双胍等西医治疗基础上联合双歧杆菌三联活菌胶囊治疗,观察组在对照组治疗基础上联合中药穴位贴敷治疗.观察2组治疗2周后中医证候积分、大便性状变化、肠道菌群数量、血糖水平变化、临床疗效和治疗安全性.结果 2组治疗2周后大便稀溏、大便次数增多、食欲不振、食后腹胀、肢冷形寒积分,大便性状评分、10d中排便急迫感天数、每日排便最多次数、肠杆菌及肠球菌数量均降低(P均<0.05),且观察组均低于对照组(P均<0.05);2组治疗2周后乳酸杆菌、双歧杆菌数量均增加(P<0.05),且观察组均多于对照组(P<0.05);2组治疗2周后空腹血糖、餐后2h血糖均降低(P<0.05),组间比较差异无统计学意义(P>0.05);观察组总有效率(92.1%,58/63)明显高于对照组(71.4%,45/63)(P<0.05);2组用药期间均未见明显不良反应.结论 中药穴位贴敷能够有效缓解二甲双胍致2型糖尿病患者腹泻症状,调节肠道菌群紊乱状态,改善患者胃肠功能,并能保持良好的控糖效果.
Clinical study on treatment of diarrhea of diabetes mellitus type 2 caused by metformin with acupoint application of traditional Chinese medicine
Objective To explore the clinical therapeutic effect of acupoint application of traditional Chinese medicine on diarrhea of diabetes mellitus type 2 caused by metformin.Methods 126 patients of diabetes mellitus type 2 with diarrhea caused by metformin were randomly divided into the control group and the observation group,with 63 cases in each group.The control group was treated with bifidobacterium triple viable capsules on the basis of the treatment of Western medicine such as metformin,while the observation group was treated with acupoint application of traditional Chinese medicine on the basis of the treatment of the control group.Traditional Chinese medicine syndrome scores,changes in stool characteristics,enteric flora count,blood glucose levels,clinical efficacy,and treatment safety between two groups after 2 weeks of treatment were observed.Results After 2 weeks of treatment,two groups showed the decrease in loose stools,increased frequency of defecation,loss of appetite,postprandial abdominal distension,integral of extremities and cold syndrome,score of stool form,number of urgent defecation days in 10 days,maximum daily defecation frequency,and number of enterobacteriaceae and enterococcus(P<0.05),and the observation group was lower than the control group(P<0.05).After 2 weeks of treatment,the number of lactobacilli and bifidobacteria in both groups increased(P<0.05),and the observation group was more than the control group(P<0.05).After 2 weeks of treatment,fasting blood glucose and 2-hour postprandial blood glucose decreased in both groups(P<0.05),but there was no statistically significant difference between the groups(P>0.05).The total effective rate of the observation group(92.1%,58/63)was significantly higher than that of the control group(71.4%,45/63)(P<0.05).No significant adverse reactions were observed during the treatment of both groups.Conclusion Acupoint application of traditional Chinese medicine can effectively relieve diarrhea symptoms of diabetes mellitus type 2 patients caused by metformin,regulate enteric flora derangement,improve gastrointestinal function of patients,and maintain good sugar control effect.

metformindiabetes mellitus type 2diarrheaacupoint application of traditional Chinese medicineenteric flora derangementblood glucose level

李莹、张晓飞、赵景成、王晓佳、王永德、石峰

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北京中医医院怀柔医院,北京 101400

北京世纪坛医院,北京 100038

二甲双胍 2型糖尿病 腹泻 中药穴位贴敷 肠道菌群紊乱 血糖水平

北京中医医院怀柔医院科研项目北京市培育计划立项项目(2021)

2020-MP12PX2021031

2024

长春中医药大学学报
长春中医药大学

长春中医药大学学报

CSTPCD
影响因子:0.916
ISSN:1007-4813
年,卷(期):2024.40(4)
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