摘要
目的探究加减四物汤结合中医辨证治疗老年糖尿病的效果和预后情况。方法选取该院2018年5月-2019年6月收诊的80例老年糖尿病患者作为研究对象,运用随机数字法将其分为观察组和对照组,对照组患者给予常规治疗,观察组患者给予加减四物汤结合中医辨证对患者进行治疗,连续治疗3个月,对比两组的治疗效果。结果观察组的治疗总有效率为92.5%,高于对照组的75.0%(χ^2=4.500,P<0.05)。观察组患者治疗后FBG为(7.45±1.25)mmol/L,对照组为(8.64±1.34)mmol/L;观察组患者治疗后2 h FBG为(6.33±1.34)mmol/L,对照组为(7.58±1.86)mmol/L;观察组血糖水平均显著低于对照组(t=4.107、3.449,P<0.05)。观察组的并发症发病率5.0%,对照组的并发症发病率为22.5%,观察组的并发症发病率低于对照组(χ^2=5.164,P<0.05)。结论加减四物汤结合中医辨证治疗老年糖尿病具有较好的治疗效果,能够有效提高患者的治疗效果,有效控制血糖。
Objective To investigate the effect and prognosis of adding and subtracting Siwu Decoction combined with TCM syndrome differentiation in treating elderly diabetes.Methods 80 elderly diabetic patients admitted from May 2018 to June 2019 in the hospital were selected as the research objects,and they were divided into observation group and control group by random number method.Patients in the control group were given conventional treatment and patients in the observation group were given.Modified Siwu Decoction combined with TCM syndrome differentiation to treat the patients.The treatment was continued for three months,and the therapeutic effects of the two groups were compared.Results The total effective rate in the observation group was 92.5%,which was higher than 75.0%in the control group(χ^2=4.500,P<0.05).FBG in the observation group was(7.45±1.25)mmol/L after treatment,and(8.64±1.34)mmol/L in the control group;2 hFBG in the observation group was(6.33±1.34)mmol/L after treatment,and the control group was(7.58±1.86)mmol/L;the blood glucose level in the observation group was significantly lower than that in the control group(t=4.107,3.449,P<0.05).The incidence of complications in the observation group was 5.0%,and the incidence of complications in the control group was 22.5%,and the incidence of complications in the observation group was lower than that in the control group(χ^2=5.164,P<0.05).Conclusion The addition and subtraction of Siwu Decoction combined with TCM dialectics has a good therapeutic effect on senile diabetes.It can effectively improve the treatment effect of patients and effectively control blood glucose.
作者
杨金丹
潘雪
解志坚
刘伟
王冬梅
YANG Jin-dan;PAN Xue;XIE Zhi-jian;LIU Wei;WANG Dong-mei(Department of Internal Medicine,Harbin Traditional Chinese Medicine Hospital,Harbin,Heilongjiang Province,150076 China)
出处
《糖尿病新世界》
2020年第9期70-72,共3页
Diabetes New World Magazine
关键词
加减四物汤
中医辨证治疗
老年糖尿病
Modified Siwu Decoction
TCM Syndrome Differentiation
Senile Diabetes
