首页|清热调糖饮对湿热内蕴证2型糖尿病患者危险因素的调控作用

清热调糖饮对湿热内蕴证2型糖尿病患者危险因素的调控作用

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目的 研究清热调糖饮对湿热内蕴证 2 型糖尿病(T2DM)患者危险因素的调控作用。方法 选取兰州市中医医院 2021 年 1 月至 2022 年 4 月收治的 76 例湿热内蕴证T2DM患者,采用数字抽样法分为对照组和研究组。对照组 36 例采用二甲双胍治疗,研究组 40 例在对照组治疗基础上联合清热调糖饮治疗,两组均治疗 2 个疗程。比较治疗前后各组糖代谢指标、脂代谢指标、震动感觉阈值(VPT)和踝肱指数(ABI)和中医证候积分等。其中糖代谢指标包括C肽、空腹胰岛素(INS)、空腹血糖(FBG)、胰岛素抵抗指数(IRI)、糖化血红蛋白(GHB)、血糖水平标准差(SDBG)及最大血糖波动幅度(LAGE)。脂代谢指标包括三酰甘油(TG)、总胆固醇(TC)、低密度脂蛋白(LDL)、高密度脂蛋白(HDL)。结果 经治疗,对照组GHB、LAGE低于治疗前;研究组GHB、IRI、LAGE、TC和LDL低于治疗前,且C肽、FBG、IRI、TC、LDL和中医证候积分低于对照组,差异有统计学意义(P<0。05)。两组VPT和ABI比较,差异无统计学意义(P>0。05)。两组证型转变率分别为27。78%和 20。00%,不良反应发生率分别为 13。89%和 15。00%,差异无统计学意义(P>0。05)。结论 清热调糖饮联合二甲双胍可调控湿热内蕴证T2DM的危险因素,且不会增加不良反应。
Regulatory effect of Qingre Tiaotang Decoction on hazardous factors of type 2 diabetes mellitus patients with the damp-heat syndrome
Objective To study the regulatory effect of Qingre Tiaotang Decoction on hazardous factors of type 2 diabetes mellitus(T2DM)patients with damp-heat syndrome.Methods A total of 76 T2DM patients with damp-heat syndrome admitted to and treated in Lanzhou Hospital of Traditional Chinese Medicine from January 2021 to April 2022 were selected,and divided into control group and study group by digital sampling.36 cases in the control group were treated with metformin,and 40 cases in the study group were treated with Qingre Tiaotang Decoction on the basis of treatment in the control group.Both groups were treated for two courses of treatment.The indicators of glucose metabolism,lipid metabolism,vibration perception threshold(VPT),ankle brachial index(ABI)and traditional Chinese medicine(TCM)syndrome score were compared in each group before and after treatment.The glucose metabolism indicators included C-peptide,fasting insulin(INS),fasting blood glucose(FBG),insulin resistance index(IRI),glycosylated hemoglobin(GHB),standard deviation of blood glucose(SDBG),and largest amplitude of glycemic excursions(LAGE).Lipid metabolism indicators included triglyceride(TG),total cholesterol(TC),low-density lipoprotein(LDL),and high-density lipoprotein(HDL).Results After treatment,the GHB and LAGE in the control group were lower than those before treatment.The GHB,IRI,LAGE,TC,and LDL of the study group were lower than those before treatment,and the levels of C-peptides,FBG,IRI,TC,LDL,and TCM syndrome were lower than those of the control group,with statistically significant differences(P<0.05).There was no statistically significant difference in VPT and ABI values between the two groups(P>0.05).The conversion rates of syndrome types between the two groups were 27.78%and 20.00%,and the incidence of adverse reactions was 13.89%and 15.00%,with no statistically significant difference(P>0.05).Conclusion Qingre Tiaotang Decoction combined with metformin can regulate the hazardous factors of T2DM with damp-heat syndrome,and will not increase the adverse reactions.

Qingre Tiaotang DecoctionType 2 diabetes mellitusDamp-heat syndromeHazardous factorsInsulin resistance

吴晶、陆润兰、赵海燕、宁雪峰

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兰州市中医医院科教科,甘肃兰州 730050

清热调糖饮 2型糖尿病 湿热内蕴证 危险因素 胰岛素抵抗

甘肃省兰州市科技计划项目

2021-1-130

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(1)
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