首页|五苓散化裁治疗脾虚湿盛型2型糖尿病合并肥胖疗效观察

五苓散化裁治疗脾虚湿盛型2型糖尿病合并肥胖疗效观察

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目的:观察五苓散化裁治疗脾虚湿盛型2型糖尿病合并肥胖的临床疗效。方法:将脾虚湿盛型2型糖尿病伴肥胖的60例患者随机分为两组各30例。对照组予盐酸二甲双胍缓释片治疗,治疗组在对照组基础上予五苓散化裁治疗。12周后比较两组的临床疗效、体重指数(BMI)、腰围、空腹血糖(FPG)、餐后2h血糖(2hPG)、糖化血红蛋白(HbA1c)水平及不良反应。结果:治疗组总有效率93。33%,对照组总有效率63。33%,两组比较差异具有统计学意义(P<0。05);两组BMI、腰围、FPG、2hPG、HbA1c水平均较治疗前降低,差异具有统计学意义(P<0。05),且治疗组降低水平均优于对照组(P<0。05)。结论:五苓散化裁治疗脾虚湿盛型2型糖尿病合并肥胖疗效显著,能够有效改善患者临床症状,降低肥胖程度,控制血糖水平。
Efficacy observation of modified Wuling powder on type 2 diabetes mellitus with syndrome of over-abundance of damp due to spleen deficiency and complicated with obesity
Objective:To observe the clinical efficacy of modified Wuling powder on type 2 diabetes mellitus with syndrome of over-abundance of damp due to spleen deficiency and complicated with obesity.Methods:60 cases of patients with type 2 diabetes mellitus with syndrome of over-abundance of damp due to spleen deficiency and complicated with obesity were randomly divided into two groups,30 cases in each group.The control group was treated with metformin hydrochloride sustained-release tablets,while the treatment group was treated plus with modified Wuling powder on the basis of control group.After 12 weeks,the clinical efficacy,body mass index(BMI),waist circumference,levels of fasting plasma glucose(FPG),2-hour postprandial blood glucose(2hPG)and glycosylated hemoglobin(HbA1c)as well as adverse reactions were compared between two groups.Results:After treatment,the total effective rate was 93.33%in the treatment group and 63.33%in the control group,and the comparative difference between two groups was statistically significant(P<0.05).BMI,waist circumference and levels of FPG,2hPG and HbA1c in two groups were lower than those before treatment,and the difference was statistically significant(P<0.05),and the degree of reduction of treatment group was larger than that of control group(P<0.05).Conclusion:The clinical efficacy of modified Wuling powder on type 2 diabetes mellitus with syndrome of over-abundance of damp due to spleen deficiency and complicated with obesity is significant,which can effectively improve the clinical symptoms of patients,reduce the degree of obesity and control the level of blood glucose,and it is safe and reliable.

type 2 diabetes mellitusobesityover-abundance of damp due to spleen deficiencyWuling powdertherapy of TCM

赵洁、吴秋生、胡剑卓

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湖南中医药大学第二附属医院(长沙410005)

2型糖尿病 肥胖 脾虚湿盛 五苓散 中医药疗法

湖南省自然科学基金

2022JJ70026

2024

山西中医
山西省中医药学会 山西中医药研究院

山西中医

影响因子:0.59
ISSN:1000-7156
年,卷(期):2024.40(4)
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