首页|二术二陈汤辅助治疗肥胖型2型糖尿病(脾虚痰湿证)的效果及对氧化应激指标、胰岛素抵抗的影响

二术二陈汤辅助治疗肥胖型2型糖尿病(脾虚痰湿证)的效果及对氧化应激指标、胰岛素抵抗的影响

扫码查看
目的 探究二术二陈汤辅助治疗肥胖型2型糖尿病(脾虚痰湿证)的效果及对氧化应激指标、胰岛素抵抗的影响。方法 选择2023年6月至2024年6月我院收治的94例肥胖型2型糖尿病(脾虚痰湿证)患者为研究对象,以随机数字表法将其分为对照组和观察组,每组47例。对照组给予吡格列酮联合利拉鲁肽治疗,观察组在对照组治疗基础上增加二术二陈汤辅助治疗。比较两组的治疗效果。结果 治疗后,观察组的内脏脂肪面积(VFA)、腰围(WC)、最大血糖波动幅度(LAGE)及平均血糖波动幅度(MAGE)小于对照组(P<0。05)。治疗后,观察组的过氧化氢酶(CAT)、总抗氧化能力(T-AOC)及超氧化物歧化酶(SOD)水平均高于对照组(P<0。05)。治疗后,观察组的空腹胰岛素(FINS)水平、稳态模型胰岛素抵抗指数(HOMA-IR)低于对照组,胰岛素敏感指数(ISI)高于对照组(P<0。05)。结论 二术二陈汤辅助治疗肥胖型2型糖尿病(脾虚痰湿证)的效果佳,其可减小VFA及WC,改善胰岛素抵抗及氧化应激反应,维持血糖稳定性,值得推广。
Effect of Erzhu Erchen decoction in the adjuvant treatment of obese type 2 diabetes mellitus(spleen deficiency and phlegm dampness syndrome)and its influences on oxidative stress indexes and insulin resistance
Objective To explore the effect of Erzhu Erchen decoction in the adjuvant treatment of obese type 2 diabetes mellitus(spleen deficiency and phlegm dampness syndrome)and its influences on oxidative stress indexes and insulin resistance.Methods A total of 94 obese patients with type 2 diabetes mellitus(spleen deficiency and phlegm dampness syndrome)admitted in our hospital from June 2023 to June 2024 were selected as the research objects.The patients were divided into control group and observation group by random number table method,with 47 cases in each group.The control group was treated with pioglitazone combined with liraglutide,and the observation group was treated with Erzhu Erchen decoction on the basis of the control group.The therapeutic effects of the two groups were compared.Results After treatment,the visceral fat area(VFA),waist circumference(WC),last amplitude of glycaemic excursion(LAGE)and mean amplitude of glycemic excursions(MAGE)in the observation group were smaller than those in the control group(P<0.05).After treatment,the levels of catalase(CAT),total antioxidative capacity(T-AOC)and superoxide dismutase(SOD)in the observation group were higher than those in the control group(P<0.05).After treatment,the fasting insulin(FINS)level and homeostasis model assessment-insulin resistance(HOMA-IR)in the observation group were lower than those in the control group,and the insulin sensitivity index(ISI)was higher than that in the control group(P<0.05).Conclusion Erzhu Erchen decoction in the adjuvant treatment of obese type 2 diabetes mellitus(spleen deficiency and phlegm dampness syndrome)has good effect,it can reduce VFA and WC,improve insulin resistance and oxidative stress response,and maintain blood glucose stability,which is worth promoting.

Erzhu Erchen decoctionobese type 2 diabetes mellitusspleen deficiency and phlegm dampness syndromeoxidative stressinsulin resistance

李琼、刘挺

展开 >

西安交通大学第一附属医院榆林医院中医科,陕西榆林,719000

二术二陈汤 肥胖型2型糖尿病 脾虚痰湿证 氧化应激 胰岛素抵抗

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(33)