首页|脾虚湿盛型糖尿病患者控糖治疗中加味六君子汤对胰岛功能的影响

脾虚湿盛型糖尿病患者控糖治疗中加味六君子汤对胰岛功能的影响

Effect of Modified Liujunzi Decoction on Islet Function in Patients with Diabetes Mellitus of Spleen Deficiency and Dampness Type in the Treat-ment of Glucose Control

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目的 研究加味六君子汤在脾虚湿盛型糖尿病血糖控制治疗中的应用成效及对胰岛功能的影响.方法 选取2023年2月—2024年2月于永春县中医院就诊的136例脾虚湿盛型糖尿病患者为研究对象,根据不同治疗方法分为两组,各68例.常规组以二甲双胍与甘精胰岛素联合治疗,观察组在常规组基础上联用加味六君子汤治疗,比较两组控糖效果、胰岛功能及中医证候积分.结果 治疗3个月后,观察组空腹血糖、餐后2 h血糖及糖化血红蛋白水平均低于常规组,差异均有统计学意义(P均<0.05).治疗3个月后,观察组胰岛素抵抗指数、中医证候积分均低于常规组,胰岛β细胞功能指数高于常规组,差异均有统计学意义(P均<0.05).结论 脾虚湿盛型糖尿病患者常规西药治疗基础上联用加味六君子汤,效果显著,可提高控糖效果并促进胰岛功能恢复,改善中医证候积分.
Objective To study the application effect of modified Liujunzi Decoction in the treatment of blood glucose control in diabetes mellitus with spleen deficiency and dampness type and its effect on islet function.Methods From February 2023 to February 2024,a total of 136 patients with spleen deficiency and dampness type diabetes mellitus in Yongchun County Traditional Chinese Medicine Hospital were selected as the research objects.According to differ-ent treatment methods,they were divided into two groups,68 cases in each group.The conventional group treated with metformin combined with insulin glargine,and the observation group treated with modified Liujunzi Decoction on the basis of the conventional group.The glucose control effect,islet function and traditional Chinese medicine syndrome score were compared between the two groups.Results After 3 months of treatment,the fasting blood glucose,2-hour postprandial blood glucose and glycated hemoglobin A1c in the observation group were lower than those in the conven-tional group,and the differences were statistically significant(all P<0.05).After 3 months of treatment,the insulin re-sistance index and traditional Chinese medicine syndrome score of the observation group were lower than those of the conventional group,and the islet β cell function index was higher than that of the conventional group,the differences were statistically significant(all P<0.05).Conclusion On the basis of conventional Western medicine treatment,modi-fied Liujunzi Decoction has a significant effect on diabetic patients with spleen deficiency and dampness type.It can improve the effect of glucose control and promote the recovery of islet function,and improve the traditional Chinese medicine syndrome score.

Diabetes mellitusSpleen deficiency and dampness typeModified Liujunzi DecoctionIslet functionTraditional Chinese medicine syndrome scores

陈玉玲、尤丽琼、郑彩霞

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泉州市永春县中医院药剂科,福建 泉州 362600

泉州市永春县医院供应室,福建 泉州 362600

糖尿病 脾虚湿盛型 加味六君子汤 胰岛功能 中医证候积分

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(20)