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吴茱萸小茴香封包干热外治法治疗脾胃虚寒型糖尿病胃轻瘫临床观察 被引量:6

Clinical Observation on Dry-heat External Therapy of Medicinal Evodia Fruit and Fennel Package in the Treatment of Gastroparesis of Patients with Deficient Cold of Spleen and Stomach Type Diabetes Mellitus
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摘要 目的观察吴茱萸联合小茴香封包干热外治法治疗脾胃虚寒型糖尿病胃轻瘫的疗效。方法通过选取广西中医药大学第一附属医院2016年8月-2018年8月在内分泌科住院的脾胃虚寒型糖尿病胃轻瘫患者70例作为本次研究的研究对象,随机分为2组,对照组(n=35)和观察组(n=35)。2组均给予胰岛素降糖、营养神经、改善胃动力等治疗,观察组在上述治疗的基础上同时接受场效应治疗仪进行中药封包干热外治法(吴茱萸200 g,小茴香100 g)给患者进行的腹部点穴烫疗,并观察干预前后治疗效果。结果观察组治疗总有效率(97.14%)高于对照组(77.14%),差异有统计学意义(P <0.05);观察组治疗后上腹胀、恶心呕吐、早饱、纳差等临床症状消失时间均明显短于对照组,差异有统计学意义(P <0.05);观察组治疗后胃排空时间低于对照组,差异有统计学意义(P <0.05)。结论采用中药封包干热外治法治疗糖尿病胃轻瘫患者具有良好的治疗效果,并且能够有效缓解患者消化道临床症状,缩短患者胃排空时间。 Objective To observe the therapeutic effect of dry-heat external therapy of medicinal evodia fruit and fennel package in the treatment of gastroparesis of patients with deficient cold of spleen and stomach type diabetes mellitus.Methods 70 cases of gastroparesis patients with deficient cold of spleen and stomach type diabetes mellitus admitted to the department of endocrinology in the first affiliated hospital of Guangxi University of Traditional Chinese Medicine from August 2016 to August 2018 were selected as research objects in this study.They were randomly divided into 2 groups:control group(n=35)and observation group(n=35).Both groups were treated with insulin hypoglycemic,nutritional nerve and gastric motility improvement.On the basis of the above treatment,the observation group received the field effect therapy instrument for the external treatment of medicinal evodia fruit and fennel dry-heat package(evodia rutae 200g,fennel 100g),and the patients were given the abdominal point scalding therapy.The therapeutic effect before and after the intervention was observed.Results The total effective rate of the observation group(97.14%)was higher than that of the control group(77.14%),and the difference was statistically significant(P<0.05).The disappearance time of clinical symptoms such as upper abdominal distension,nausea and vomiting,early satiety and poor appetite after treatment in the observation group was significantly shorter than that in the control group,and there had statistically significant differences(P<0.05).Gastric emptying time in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The external treatment of medicinal evodia fruit and fennel dry-he at package in the treatment of gastroparesis of patients with deficient cold of spleen and stomach type diabetes mellitus has a good therapeutic effect,and can effectively alleviate the clinical symptoms of digestive tract and shorten the time of gastric emptying.
作者 陆小娇 滕彩虹 梁颖 王振刚 杨爽 龚敏红 曾淋 陈昶蓉 邱丹韫 LU Xiaojiao;TENG Caihong;LIANG Ying;WANG Zhengang;YANG Shuang;GONG Minhong;ZENG Lin;CHEN Changrong;QIU Danyun(Department of Endocrinology,the First Affiliated Hospital ofGuangxi University of Traditional Chinese Medicine,Guangxi,Nanning 530023,China;Department of Internal Medicine,Guangxi Orthopedics Hospital,Guangxi,Nanning 530012,China)
出处 《中国中医药现代远程教育》 2020年第8期92-94,共3页 Chinese Medicine Modern Distance Education of China
基金 广西中医药民族医药自筹经费科研课题【No.GZZC16-18】。
关键词 脾胃虚寒 糖尿病 胃轻瘫 吴茱萸 小茴香 干热外治法 消渴 痞证 deficient cold of spleen and stomach diabetes gastroparesis medicinal evodia fruit fennel dry-heat external therapy consumptive thirst distention and fullness syndrome
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