糖尿病新世界2024,Vol.27Issue(13) :67-70.DOI:10.16658/j.cnki.1672-4062.2024.13.067

大柴胡汤联合穴位贴敷对肝胃郁热型2型糖尿病患者血脂血糖、胰岛素的影响

Effect of Dachaihu Decoction and Acupoint Application on Blood Lipids,Blood Glucose and Insulin in Patients of Type 2 Diabetes Mellitus with Liver and Stomach Heat Stagnation Type

黄银龙
糖尿病新世界2024,Vol.27Issue(13) :67-70.DOI:10.16658/j.cnki.1672-4062.2024.13.067

大柴胡汤联合穴位贴敷对肝胃郁热型2型糖尿病患者血脂血糖、胰岛素的影响

Effect of Dachaihu Decoction and Acupoint Application on Blood Lipids,Blood Glucose and Insulin in Patients of Type 2 Diabetes Mellitus with Liver and Stomach Heat Stagnation Type

黄银龙1
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作者信息

  • 1. 徐州市中医院中医内科,江苏 徐州 221000
  • 折叠

摘要

目的 探究大柴胡汤联合穴位贴敷治疗对肝胃郁热型2型糖尿病患者血糖血脂等指标的影响.方法 选取2022年5月—2024年5月徐州市中医院中医内科收治的80例肝胃郁热型2型糖尿病患者为研究对象,按照不同治疗方法分为参照组和联合组,各40例.参照组行盐酸二甲双胍联合格列美脲治疗,联合组在参照组基础上实施大柴胡汤联合穴位贴敷治疗,对比治疗后两组的治疗总有效率、血糖指标、血脂指标、中医证候积分、胰岛素指标.结果 联合组治疗总有效率高于参照组,差异有统计学意义(P<0.05).联合组血糖指标(空腹血糖、餐后2 h血糖、糖化血红蛋白)、血脂指标(甘油三脂、总胆固醇)、中医证候积分、胰岛素指标(空腹胰岛素水平、胰岛β细胞功能指数)均优于参照组,差异有统计学意义(P均<0.05).结论 肝胃郁热型2型糖尿病患者实施大柴胡汤联合穴位贴敷治疗,可改善其血脂、血糖、胰岛素、中医证候积分,提高治疗效果.

Abstract

Objective To explore the effect of Dachaihu Decoction combined with acupoint application on blood glu-cose and blood lipid in patients with type 2 diabetes mellitus of liver and stomach heat stagnation type.Methods From May 2022 to May 2024,a total of 80 patients with type 2 diabetes mellitus of liver and stomach heat stagnation type admitted to Medical Department of Traditional Chinese Medicine of Xuzhou City Hospital of Traditional Chinese Medicine were selected as the research objects.According to different treatment methods,they were divided into refer-ence group and combined group,with 40 cases in each group.The reference group was treated with metformin hydro-chloride combined with glimepiride,and the combined group was treated with Dachaihu Decoction combined with acu-point application on the basis of the reference group.The total effective rate,blood glucose indexs,blood lipid in-dexes,traditional chinese medicine syndrome score,insulin indexes after treatment were compared between the two groups.Results The total effective rate of treatment in the combined group was higher than that in the reference group,and the difference was statistically significant(P<0.05).The blood glucose indexes(fasting blood glucose,2-hour postprandial blood glucose and glycated hemoglobin A1c),blood lipid indexes(triglyceride,total cholesterol),tra-ditional chinese medicine syndrome score and insulin indexes(fasting insulin level,islet β cell function index)of the combined group were better than those of the reference group,and the differences were statistically significant(all P<0.05).Conclusion Dachaihu Decoction combined with acupoint application can improve the blood lipid,blood glu-cose,insulin and traditional chinese medicine syndrome score of patients with type 2 diabetes mellitus with liver and stomach heat stagnation type,and improve the therapeutic effect.

关键词

2型糖尿病/血脂/胰岛素/大柴胡汤/穴位贴敷

Key words

Type 2 diabetes mellitus/Blood lipids/Insulin/Dachaihu Decoction/Acupoint application

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出版年

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
参考文献量9
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