首页|半夏泻心汤联合针刺治疗老年糖尿病胃轻瘫患者临床研究

半夏泻心汤联合针刺治疗老年糖尿病胃轻瘫患者临床研究

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目的 观察半夏泻心汤联合针刺治疗老年糖尿病胃轻瘫(SDG)患者临床疗效.方法 将我院120例SDG患者随机分为治疗组与对照组各60例.对照组采用西医疗法,治疗组在西医治疗基础上采用半夏泻心汤联合针刺治疗.治疗后,比较两组总有效率,空腹血糖(FBG)、餐后2h血糖(2hPG)、糖化血红蛋白(HbA1c),症状积分,胃排空时间、匹兹堡睡眠质量指数(PSQI)评分及血浆纤维蛋白原(FIB)、全血黏度(WBV)水平及治疗后第8周复发率.结果 治疗后,治疗组总有效率显著高于对照组(P<0.05);两组FBG、2hPG、HbA1c、症状积分、胃排空时间、PSQI评分、FIB、WBV水平低于治疗前,治疗组上述指标低于对照组(P<0.05);治疗后第8周治疗组复发率显著低于对照组(P<0.05).结论 半夏泻心汤联合针刺治疗SDG患者疗效较好,可降低复发率,显著降低血糖和症状积分,加速胃排空,改善睡眠,调节血液流变学.
Clinical efficacy of acupuncture combined with Banxia Xingxin Decoction in treatment of elderly patients with diabetic gastroparesis
Objective To observe the clinical efficacy of acupuncture combined with Banxia Xingxin Decoction in treatment of elderly patients with diabetic gastroparesis(SDG).Methods 120 SDG patients were randomly divided into treatment group and control group,with 60 cases in each group.Control group was treated with Western medical methods,and treatment group was treated with acupuncture combined with Banxia Xingxin Decoction.After treatment,the total effective rate,fasting blood glucose(FBG),2 h postprandial blood glucose(2 hPG),glycosylated hemoglobin(HbA1c),symptom score,gastric emptying time,Pittsburgh Sleep Quality Index(PSQI)score,plasma fibrinogen(FIB),whole blood viscosity(WBV)levels and recurrence rate at 8 weeks after treatment were compared between the two groups.Results After treatment,the total effective rate of treatment group was significantly higher than that of control group(P<0.05);the levels of FBG,2 hPG,HbA1c,symptom score,gastric emptying time,PSQI score,FIB and WBV in treatment group were lower than those before treatment,and were lower in treatment group than control group(P<0.05);the recurrence rate of treatment group was significantly lower than that of the control group at 8 weeks after treatment(P<0.05).Conclusion Acupuncture combined with Banxia Xingxin Decoction has good efficacy in treatment of SDG,which can reduce the recurrence rate,significantly reduce blood sugar and symptom scores,accelerate gastric emptying,improve sleep,and regulate blood rheology.

DiabetesGastric paresisElderlyAcupunctureBanxia Xiexin Decoction

张持萍、孙宇、周益新、张进

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江苏省南京鼓楼医院集团宿迁医院/江苏省徐州医科大学附属宿迁医院,江苏宿迁 223800

糖尿病 胃轻瘫 老年 针刺 半夏泻心汤

江苏省中医药科技发展计划项目

MS2021094

2024

湖北中医药大学学报
湖北中医药大学

湖北中医药大学学报

CSTPCD
影响因子:0.873
ISSN:1008-987X
年,卷(期):2024.26(3)
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