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加味苓桂术甘汤治疗肥胖型2型糖尿病对患者血糖水平的改善评价

Improvement Evaluation of Blood Sugar Level of Obese Type 2 Diabetes Patients Treated with Modified Poria,Bighead Atractylodes,Cinnamom and Licorice Decoction
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摘要 目的探讨肥胖型2型糖尿病患者接受加味苓桂术甘汤治疗的整体效果。方法以北京中医药大学附属第三医院密云院区糖尿病内分泌门诊2020年9月—2023年9月抽取的70例肥胖型2型糖尿病患者为研究对象,采用随机数字表方法分为实验组(加味苓桂术甘汤+二甲双胍用药方案)和参照组(二甲双胍单药用药方案),每组35例。对照两组临床整体疗效的差异。结果实验组治疗整体有效率高于参照组(P<0.05)。治疗前,两组空腹血糖、餐后2h血糖及糖化血红蛋白相比,差异无统计学意义(P>0.05);治疗后,实验组以上指标均低于参照组(P<0.05)。治疗前,两组体质量指数和腰臀比,差异无统计学意义(P>0.05);治疗后,实验组以上2项指标均低于参照组(P<0.05)。结论在肥胖型2型糖尿病患者的治疗过程中,加味苓桂术甘汤的用药方案被证实具有显著且有效的治疗效果。该方案不仅能够有效控制患者的血糖水平,还在降低体质量指数及腰臀比方面发挥着至关重要的作用,从而全面促进患者的健康恢复。 Objective To explore overall effect of modified poria,bighead atractylodes,cinnamom and licorice decoction on obese type 2 diabetes patients.Methods The paper chose 70 patients with obese type 2 diabetes in diabetes endocrinology clinic of Miyun Hospital District,Beijing University of Chinese Medicine Affiliated the Third Hospital from September 2020 to September 2023,and divided them into experimental group(35 cases),treated with modified poria,bighead atractylodes,cinnamom and licorice decoction+metformin drug,and reference group(35 cases)with metformin single drug randomly.Difference of overall clinical effect between two groups was compared.Results Overall effective rate of experimental group was significantly higher than reference group,with P<0.05.There was no significant difference in fasting blood glucose,2-hour postprandial blood glucose,and glycated hemoglobin between two groups before treatment,with P>0.05.After treatment,above indicators in experimental group were significantly lower than reference group,with P<0.05.There was no significant difference in body mass index and waist to hip ratio between two groups before treatment,with P>0.05.After treatment,above two indicators in experimental group were significantly lower than control group,with P<0.05.Conclusion Modified poria,bighead atractylodes,cinnamom and licorice decoction can achieve significant effect for obese type 2 diabetes patients,with key role in controlling blood sugar level,body mass index and waist hip ratio of patients.
作者 林玉 LIN Yu(Miyun Branch,Ward 1,Beijing University of Chinese Medicine Affiliated the Third Hospital,Beijing 101500)
出处 《智慧健康》 2024年第19期28-30,共3页 Smart Healthcare
关键词 肥胖型2型糖尿病 加味苓桂术甘汤 血糖控制效果 Obesity type 2 diabetes Modified poria,bighead atractylodes,cinnamom and licorice decoction Blood glucose control effect
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