首页|自拟补肾祛湿化痰方治疗老年糖尿病继发血管性轻度认知功能障碍的效果及对实验室指标的影响

自拟补肾祛湿化痰方治疗老年糖尿病继发血管性轻度认知功能障碍的效果及对实验室指标的影响

扫码查看
目的 探讨自拟补肾祛湿化痰方治疗老年糖尿病继发血管性轻度认知功能障碍的效果.方法 选取2019年5月至2021年5月收治的118例老年糖尿病继发血管性轻度认知功能障碍患者为研究对象,根据随机数字表法将其分为对照组和研究组,各 59 例.对照组接受常规西药治疗,研究组在对照组基础上联合自拟补肾祛湿化痰方治疗.比较两组的治疗效果.结果 研究组的治疗总有效率显著高于对照组(P<0.05).治疗后,研究组的蒙特利尔认知评估量表(MoCA)评分显著高于对照组,缓激肽(BK)、Aβ1-42、Tau蛋白水平显著低于对照组(P<0.05).治疗后,研究组的空腹胰岛素(FINS)、胰岛素抵抗指数(HOMA-IR)、丙二醛(MDA)、活性氧类物质(ROS)及乙酰胆碱酯酶(AchE)水平低于对照组,超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GSH-Px)水平高于对照组(P<0.05).结论 自拟补肾祛湿化痰方治疗老年糖尿病继发血管性轻度认知功能障碍患者的效果显著,有助于改善胰岛功能,抑制机体氧化应激,调节AchE水平,促进认知功能恢复,对病情恢复有积极意义.
Effect of self-made Bushen Qushi Huatan decoction in the treatment of vascular mild cognitive impairment secondary to senile diabetes mellitus and its influences on laboratory indexes
Objective To explore the effect of self-made Bushen Qushi Huatan decoction in the treatment of vascular mild cognitive impairment secondary to senile diabetes mellitus.Methods A total of 118 patients with vascular mild cognitive impairment secondary to senile diabetes mellitus admitted from May 2019 to May 2021 were selected as the research objects.According to the random number table method,the patients were divided into control group and study group,with 59 cases in each group.The control group was treated with conventional western medicine,and the study group was treated with self-made Bushen Qushi Huatan decoction on the basis of the control group.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the study group was significantly higher than that in the control group(P<0.05).After treatment,the Montreal Cognitive Assessment Scale(MoCA)score of the study group was significantly higher than that of the control group,and the levels of bradykinin(BK),Aβ1-42 and Tau protein were significantly lower than those of the control group(P<0.05).After treatment,the fasting insulin(FINS),homeostasis model assessment-insulin resistance index(HOMA-IR),malondialdehyde(MDA),reactive oxygen species(ROS)and acetylcholinesterase(AchE)levels in the study group were lower than those in the control group,the levels of superoxide dismutase(SOD)and glutathione peroxidase(GSH-Px)were higher than those in the control group(P<0.05).Conclusion The self-made Bushen Qushi Huatan decoction in the treatment of patients with vascular mild cognitive impairment secondary to senile diabetes mellitus has significant effect,which is helpful to improve islet function,inhibit oxidative stress,regulate AchE level and promote the recovery of cognitive function,and has a positive significance for the recovery of the disease.

self-made Bushen Qushi Huatan decoctionsenile diabetes mellitusvascular mild cognitive impairmentoxidative stressislet function

赵莉、马居里、杨春梅、王惠玲、秦刚新、苏衍进

展开 >

陕西中医药大学附属医院内分泌一科,陕西 咸阳,712000

西安市中医医院脑病科二病区,陕西 西安,710000

自拟补肾祛湿化痰方 老年糖尿病 血管性轻度认知功能障碍 氧化应激 胰岛功能

陕西省科技计划(2020)

2020SF-336

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(9)
  • 1
  • 13