首页|参苓白术散加减联合德谷门冬双胰岛素治疗脾虚湿盛型2型糖尿病的临床观察

参苓白术散加减联合德谷门冬双胰岛素治疗脾虚湿盛型2型糖尿病的临床观察

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目的 探讨参苓白术散加减联合德谷门冬双胰岛素治疗脾虚湿盛型 2 型糖尿病的临床疗效.方法 选取我院2022 年1月至 2023年 12月收治的脾虚湿盛型 2型糖尿病 60例患者为研究对象,随机分为观察组和对照组各 30 例.对照组给予德谷门冬双胰岛素皮下注射治疗,观察组给予参苓白术散加减联合德谷门冬双胰岛素治疗,对比两组治疗前后脾虚湿盛型 2 型糖尿病患者中医症状积分、空腹及餐后 2 小时血糖,对比两组治疗后 2 个月的糖化血红蛋白指标.结果 治疗后,观察组 2 型糖尿病中医症状积分、空腹血糖及餐后 2 小时血糖、糖化血红蛋白指标优于对照组,差异有统计学意义(P<0.05);观察组治疗总有效率明显优于对照组,差异有统计学意义(P<0.05).结论 参苓白术散加减联合德谷门冬双胰岛素治疗能改善脾虚湿盛型 2 型糖尿病患者临床症状及血糖指标,提高患者生活质量.
Clinical Observation on ShenlingBaizhuPowder Combined with Insulin Degludec/Insulin Aspart in Treating Type 2 Diabetes Mellitus with Spleen Deficiency and Dampness Excess
Objectives To explore the clinical efficacy of ShenlingBaizhu Powder combined with insulin degludec/insulinaspart in the treatment of type 2 diabetes mellituswith spleen deficiency and dampness excess.Methods A total of 60 patients with type 2 diabetes of spleen deficiency and dampness excess type admitted to our hospital from January 2022 to December 2023 were randomly divided into observation group and control group,with 30 cases in each group.The control group was treated with subcutaneous injection of insulin degludec/insulinaspart,and the observation group was treated with modified ShenlingBaizhu Powder combined withinsulin degludec/insulinaspart.The TCM symptom scores,fasting blood glucose,and 2-hour postprandial blood glucose of patients with type 2 diabetes of spleen deficiency and dampness before and after treatment were compared between the two groups,and the glycosylated hemoglobin indexes of the two groups after 2 months of treatment were compared.Results After treatment,the TCM symptom score,fasting blood glucose,2-hour postprandial blood glucose and glycosylated hemoglobin in the observation group were better than those in the control group(P<0.05).The total effective rate of the observation group was significantly better than that of the control group,and the difference was statistically significant(P<0.05).Conclusions ShenlingBaizhu Powder combined withinsulin degludec/insulinaspartcan improve the clinical symptoms and blood glucose indicators of type 2 diabetes patients with spleen deficiency and dampness excess,and improve the quality of life of patients.

Addition and subtraction of ShenlingBaizhuPowderInsulin degludec/insulin aspartType 2 diabetes with spleen deficiency and dampness excess

刘希茜、陈童、郑超群、胡淑云、袁泉英

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宜春市中医院,江西 宜春 336000

参苓白术散加减 德谷门冬双胰岛素 脾虚湿盛型2型糖尿病

江西省中医药管理局科技计划

2022B825

2024

现代诊断与治疗
南昌市医学会 南昌市医学科学研究所

现代诊断与治疗

影响因子:0.736
ISSN:1001-8174
年,卷(期):2024.35(6)