摘要
目的分析六味地黄汤治疗消渴病肾阴虚症的临床效果。方法回顾性选择60例2018年8月-2020年4月辽宁省昌图县中心医院收治的消渴病肾阴虚证患者作为研究对象,根据不同的治疗方案将60例患者分成2组,即对照组与观察组,每组30例。对照组采用常规西药治疗,观察组采用常规西药联合六味地黄汤治疗,对比2组患者治疗前后的血糖指标[空腹血糖(FPG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)]与相关中医证候(口渴欲饮、腰膝酸痛、五心烦热、舌红苔少)积分。结果治疗后观察组的FPG、2 h PG、HbA1c水平均明显低于对照组(P<0.05);治疗后观察组的口渴欲饮、腰膝酸痛、五心烦热、舌红苔少积分均明显低于对照组(P<0.05)。结论采用六味地黄汤治疗消渴病肾阴虚证,可以优化血糖指标,改善口渴欲饮、腰膝酸痛、五心烦热、舌红苔少症状。
Objective To analyze the clinical value of Liuwei Dihuang decoction in the treatment of diabetes with kidney yin deficiency syndrome.Methods A retrospective selection of 60 cases of diabetes with kidney yin deficiency syndrome admitted to Changtu County Central Hospital from August 2018 to April 2020 were selected as the research objects.According to different treatment plans,60 patients were divided into two groups,namely the control group and the observation group,with 30 cases in each group.The control group was treated with conventional western medicine,and the observation group was treated with conventional western medicine and Liuwei Dihuang decoction.The blood glucose indexes[fasting blood glucose(FPG),2 h blood glucose(2 hPG)after meal(2 hPG),glycosylated hemoglobin(HbA1c)]before and after treatment,traditional Chinese medicine syndromes(thirst and desire to drink,sore waist and knees,five upset and hot,red tongue and less fur)were compared between the two groups.Results After treatment,the FPG,2 hPG,and HbA1c levels of the observation group were significantly lower than those of the control group(P<0.05).After treatment,the scores of thirst and desire to drink,waist and knee pain,five upset fever,red tongue and less fur were significantly lower in the observation group In the control group(P<0.05).Conclusion Liuwei Dihuang decoction in the treatment of diabetes with kidney yin deficiency syndrome can optimize blood glucose levels,improve thirst and desire to drink,waist and knee pain,five upset heat,red tongue and less fur.
作者
王宇田
WANG Yutian(Department of Endocrinology,Changtu County Central Hospital,Liaoning Province,Tieling 112599,China)
出处
《中国中医药现代远程教育》
2022年第17期85-87,共3页
Chinese Medicine Modern Distance Education of China
关键词
六味地黄汤
消渴
肾阴虚证
中医药疗法
经方
Liuwei Dihuang decoction
consumptive thirst
kidney yin deficiency syndrome
therapy of traditional Chinese medicine
classical prescriptions
