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中医药治疗糖尿病胃轻瘫的机制研究进展

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近年来全球糖尿病发病率逐渐上升,糖尿病胃轻瘫(DGP)作为糖尿病后期常见并发症,严重影响患者生活质量.研究认为发病主要相关因素为高血糖、胃肠激素分泌紊乱、自主神经病变、组织学病变及免疫反应等,一般采用在控制饮食和血糖的基础上对症治疗,但存在椎体外系反应、心律失常等不良反应.大量研究显示,中医药治疗本病可显著提高临床有效率且不良反应较少,本文通过对近年来相关文献进行总结,分别从增加胃组织Cajal间质细胞数量、调节胃肠激素、改善自主神经病变、改善肠道菌群、调节免疫功能等方面阐述中医药治疗DGP的作用机制,发现中药复方及针刺治疗可有效改善胃肠道症状,抑制细胞及神经元凋亡,调节肠道微生态,减轻炎症损伤.
Research Progress on Mechanism of Traditional Chinese Medicine in Treating Diabetes Gastroparesis
In recent years,the global incidence of diabetes has gradually increased.Diabetic gastroparesis(DGP),as a common complication in the later stage of diabetes,seriously affects the quality of life of patients.Researches suggest that the main factors related to the onset of the disease are high blood sugar,disrupted secretion of gastrointestinal hormones,autonomic neuropathy,histological changes,and immune reactions.Generally,symptomatic treatment is adopted based on controlling diet and blood sugar,but there are adverse reactions in this treatment such as extravertebral reactions and arrhythmia.A large number of studies have shown that traditional Chinese medicine can significantly improve the clinical efficacy with fewer adverse reactions in the treatment of this disease.This article summarizes relevant literature in recent years,and elaborates on the mechanism of traditional Chinese medicine in treating DGP from the aspects of increasing the number of Cajal interstitial cells in gastric tissue,regulating gastrointestinal hormones,improving autonomic neuropathy,improving gut microbiota,and regulating immune function.It is found that traditional Chinese medicine formulas and acupuncture treatment can effectively improve gastrointestinal symptoms,inhibit cell and neuronal apoptosis,regulate intestinal microbiota,and reduce inflammatory damage.

Diabetes gastroparesisTraditional Chinese MedicineMechanism of actionResearch progress

李辽飞、张玉峰、王小嘉

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河南中医药大学第二临床医学院,河南 郑州 450003

河南省中医院,河南 郑州 450003

糖尿病胃轻瘫 中医药 作用机制 研究进展

河南省高等学校重点科研项目河南省科技发展计划(2019)

19A360016192102310428

2024

中医药信息
中华中医药学会,黑龙江中医药大学

中医药信息

影响因子:1.219
ISSN:1002-2406
年,卷(期):2024.41(4)
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