首页|肾阴亏虚型2型糖尿病患者的六味地黄丸加减治疗效果及对血糖的影响

肾阴亏虚型2型糖尿病患者的六味地黄丸加减治疗效果及对血糖的影响

Effect of Addition and Reduction of Liuwei Dihuang Pills and Its Influence on Blood Glucose in Patients with Type 2 Diabetes Mellitus with Kidney-yin Deficiency

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目的 探讨六味地黄丸加减治疗对肾阴亏虚型2型糖尿病患者的影响.方法 选取2019年6月—2023年6月柘荣县中医院收治的79例肾阴亏虚型2型糖尿病患者为研究对象,按照随机投掷法将患者分为两组,即观察组(40例,给予盐酸二甲双胍片+六味地黄丸加减治疗)和对照组(39例,给予盐酸二甲双胍片治疗).比较两组血糖水平、炎症反应[C-反应蛋白(C-Reactive Protein,CRP)、肿瘤坏死因子-α(Tumor Necrosis Fac-tor-α,TNF-α)及白细胞介素-6(Interleukin-6,IL-6)]、中医证候积分、治疗有效性及治疗安全性.结果 治疗3个疗程后,观察组患者的空腹血糖、餐后2 h血糖、糖化血红蛋白、CRP、TNF-α、IL-6水平低于对照组,差异有统计学意义(P均<0.05).观察组中医证候评分低于对照组,差异有统计学意义(P<0.05).观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05).两组不良反应总发生率比较(12.50%vs 10.26%),差异无统计学意义(P>0.05).结论 肾阴亏虚型2型糖尿病患者经六味地黄丸加减治疗后,疗效突出,其不仅能有效控制血糖水平,还能积极促进机体微炎症状态的改善,进而缓解患者的临床症状.
Objective To investigate the effect of addition and reduction of Liuwei Dihuang pill on type 2 diabetes pa-tients with kidney-yin deficiency.Methods A total of 79 patients with type 2 diabetes mellitus with kidney-yin defi-ciency admitted to Zherong County Hospital of Traditional Chinese Medicine from June 2019 to June 2023 were se-lected as the study objects,and the patients were divided into two groups according to random throwing method,namely observation group(40 cases,treated with metformin hydrochloride tablets + addition and reduction of Liwei Di-huang pills)and control group(39 cases,treated with metformin hydrochloride tablets).Blood glucose level,inflamma-tory response[C-reactive protein(CRP),tumor necrosis factor-α(TNF-α)and interleukin-6(IL-6)],traditional Chi-nese medicine(TCM)symptom score,treatment effectiveness and treatment safety were compared between the two groups.Results After three sessions of treatment,the levels of fasting blood glucose,2 h postprandial blood glucose,glycated hemoglobin,CRP,TNF-α and IL-6 in observation group were lower than those in control group,and the dif-ferences were statistically significant(all P<0.05).The TCM syndrome score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The total effective rate of the obser-vation group was higher than that of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the total incidence of adverse reactions between the two groups(12.50%vs 10.26%)(P>0.05).Conclusion After treatment with addition and reduction of Liuwei Dihuang pill,the curative ef-fect is outstanding,which can not only effectively control blood glucose level,but also actively promote the improve-ment of micro-inflammatory state of the body,and then alleviate the clinical symptoms of patients.

Kidney-yin deficiency typeType 2 diabetesLiuwei Dihuang pillMetformin hydrochloride tablets

罗忠金、张丽国

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柘荣县中医院内科,福建宁德 355300

柘荣县黄柏卫生院全科,福建宁德 355300

肾阴亏虚型 2型糖尿病 六味地黄丸 盐酸二甲双胍片

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(4)
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