摘要
[目的]观察降糖方联合西药治疗气阴两虚型2型糖尿病疗效。[方法]使用前瞻性设计方法,80例住院患者予降糖方(黄芪、生地黄、丹参、山茱萸各30g,山药20g,五味子、葛根各15g,黄连、苍术各10g),1剂/d,水煎200m L,早晚口服。饮食控制体重、控制血糖、血脂水平、减少用药剂量;锻炼保持肌肉紧张和身体舒适、降低血糖和血脂水平,增强药物敏感性;口服糖尿病药物,增加胰岛素释放,减少可利用葡萄糖和/或降低胰岛素抵抗;胰岛素治疗,提高胰岛素的作用并克服胰岛素抵抗;学习糖尿病知识,了解疾病危害,总结治疗经验,积极配合治疗,有效控制血糖。连续治疗30d为1疗程。观测临床症状、血糖、不良反应。连续治疗3疗程,判定疗效。[结果]临床控制33例,有效45例,无效2例,总有效率97.50%。[结论]降糖方联合西药治疗气阴两虚型2型糖尿病疗效满意,无严重不良反应,值得推广。
[Objective]To observe the Jiangtang soup combined with western medicine Qi type 2 diabetes treatment.[Methods]Using a prospective design,80 inpatients to hypoglycemic side(Huangqi,Shengdihaung,Da nshen,Shanzhuyu each 30 g,Shanyao 20 g,Wuweizi,Gegen 15 g,Huanglian,Cangzhu 10g),1/d,cook 200 m L,sooner or later orally to the 30 th as a course of treatment after taking medicine for the treatment of three courses were observed.Conventional treatment: diet to control weight,control blood sugar,blood lipid levels,reduce dose;exercise to maintain muscle tension and physical comfort,lowering blood glucose and lipid levels,and enhance drug sensitivity;oral diabetes medications,increase insulin release,reducing the available glucose and/or reduce insulin resistance;Insulin therapy to improve the action of insulin and overcome the insulin resistance;learn diabetes knowledge to understand the disease hazards,summarize treatment experience to actively support the treatment and effective control of blood glucose.30 d for a course of continuous treatment.Observation of clinical symptoms,blood sugar,adverse reactions.Continuous treatment of 3 courses,to determine efficacy.[Results]33 cases of clinical control,effective 45 cases,2 cases,the total efficiency of 97.50%.[Conclusion]Jiangtang soup combined western medicine Qiyinliangxu Type 2 diabetes results were satisfactory,no side effects,worthy of promotion.
出处
《实用中医内科杂志》
2015年第8期117-118,共2页
Journal of Practical Traditional Chinese Internal Medicine