首页|闭关止渴汤加味治疗2型糖尿病酮症酸中毒(阴虚热盛证)的临床观察

闭关止渴汤加味治疗2型糖尿病酮症酸中毒(阴虚热盛证)的临床观察

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目的 观察闭关止渴汤加味对2型糖尿病酮症酸中毒(DKA)(阴虚热盛证)患者的疗效.方法 将104例2型DKA阴虚热盛证患者随机分为观察组与对照组各52例.两组均予常规治疗措施,对照组予胰岛素和补液,观察组在对照组基础上给予闭关止渴汤加味治疗.两组连续观察1周.比较两组2型DKA常规指标和酸中毒指标改善情况、治疗效果、氧化应激反应.结果 观察组血糖复常、酮体消失、酸中毒纠正的时间均短于对照组(P<0.05);治疗1周后,两组氢离子浓度指数(pH值)、二氧化碳结合力(CO2CP)显著升高,血乳酸、β-羟丁酸(β-HB)明显减少,并且观察组上述指标改善更优(P<0.05);治疗1周后,观察组病例总有效率为96.15%,明显高于对照组的80.77%(P<0.05);治疗1周后,两组病例血清超氧化物歧化酶(SOD)、谷胱甘肽过氧化物酶(GSH-Px)、总抗氧化能力(TAC)水平显著升高,并且观察组升高更显著(P<0.05).结论 闭关止渴汤加味对2型DKA(阴虚热盛证)患者的疗效显著,可促进病情好转,纠正酸中毒,以及减轻氧化应激损伤.
Effect of Biguan Zhike Decoction in the Treatment of Type 2 Diabetic Ketoacidosis Cases with Syndrome of Yin Deficiency and Heat Excess
Objective:To investigate the efficacy of Biguan Zhike Decoction in the treatment of type 2 diabetic Ketoacidosis(DKA)cases with syndrome of yin deficiency and heat excess.Methods:A total of 104 cases of type 2 DKA patients with syndrome of yin deficiency and heat excess were screened,and 52 cases were divided in-to the two groups by random number table method.Both groups received conventional treatment;the control group was given with insulin and fluid,and the observation group was given Biguan Zhike Decoction on the basis of the control group.The two groups were continuously observed for 1 week.The improvement of routine indexes and aci-dosis indexes of type 2 DKA,therapeutic effect and oxidative stress reaction were compared between the two groups.Results:The time of blood glucose normalization,ketone body disappearance and acidosis correction in the observation group were significantly reduced compared with control group(P<0.05).After 1 week of treat-ment,hydrogen ion concentration index(pH)and carbon dioxide binding power(CO2CP)were significantly in-creased in both groups,while blood lactic acid and β-hydroxybutyric acid(β-HB)were significantly decreased,and the above indexes improved better in the observation group(P<0.05).After 1 week of treatment,the total ef-fective rate of observation group(96.15%)was significantly higher than that of control group(80.77%)(P<0.05).After 1 week of treatment,the levels of serum superoxide dismutase(SOD),glutathione peroxidase(GSH-Px)and total antioxidant capacity(TAC)in the two groups were significantly increased,and the increases were more signifi-cant in observation group(P<0.05).Conclusion:The efficacy of Biguan Zhike Decoction in the treatment of type 2 DKA cases with syndrome of yin deficiency and heat excess is obvious,which can promote disease improvement,correct acidosis,and reduce oxidative stress damage.

Diabetic ketoacidosisBiguan Zhike DecoctionSyndrome of yin deficiency and heat excessOxida-tive stress

但玲英、孙霞、吴静

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浙江中医药大学附属丽水中医院,浙江丽水 323020

糖尿病酮症酸中毒 闭关止渴汤 阴虚热盛证 氧化应激

浙江省中医药科学研究基金

2021ZB340

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(1)
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