[1]芦少敏,李浩冉,周欢,等.平陈汤治疗脾虚痰湿型2型糖尿病前期患者100例[J].西部中医药,2018,31(10):59-62.
　LU Shaomin,LI Haoran,ZHOU Huan,et al.PingChen Decoction in Treating 100 Patients Suffering Type Two Prediabetes of Spleen Deficiency Phlegm Damp Pattern[J].Western Journal of Traditional Chinese Medicine,2018,31(10):59-62.
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平陈汤治疗脾虚痰湿型2型糖尿病前期患者100例()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
31
期数:
2018年10期
页码:
59-62
栏目:
出版日期:
2018-10-15

文章信息/Info

Title:
PingChen Decoction in Treating 100 Patients Suffering Type Two Prediabetes of Spleen Deficiency Phlegm Damp Pattern
文章编号:
1004-6852(2018)10-0059-04
作者:
芦少敏1，李浩冉2，周欢3，邴雅珺1，汪付田1，史晓伟1，连琯1
1 甘肃省中医院，甘肃 兰州 730050； 2 甘肃中医药大学； 3 甘肃省第三人民医院消化科
Author(s):
LU Shaomin1, LI Haoran2, ZHOU Huan3, BING Yajun1, WANG Futian1, SHI Xiaowei1, LIAN Guan1
1 Gansu Provincial Hospital of Traditional Chinese Medicine, Lanzhou 730050, China; 2 Gansu University of Chinese Medicine; 3 Gastrointestinology Department, Gansu Province the Third People′s Hospital
关键词:
糖尿病前期; 2型; 平陈汤; 脾虚痰湿型; 胰岛素抵抗指数
Keywords:
prediabetes;  type two;  PingChen decoction;  spleen deficiency phlegm damp pattern;  insulin resistance index
分类号:
R587.1
文献标志码:
B
摘要:
目的：观察平陈汤对脾虚痰湿型2型糖尿病前期患者的临床疗效。方法：将100例脾虚痰湿型2型糖尿病前期患者随机分为观察组和对照组各50例。2组均给予糖尿病教育+饮食+运动的基础干预，观察组同时服用平陈汤配方颗粒，开水冲服每次200 mL，2次/d，2组均治疗8周。观察2组临床疗效及治疗前后中医证候积分、空腹血糖、胰岛素抵抗指数(IR)、体质指数(BMI)、腰围、总胆固醇(TCHO)、甘油三酯(TG)、高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C)、血压和血尿酸水平的变化情况。结果：总有效率观察组为84.75%，对照组为55.32%，2组比较差异有统计学意义(P＜0.05)。中医证候总积分、空腹血糖、IR、BMI、腰围、TC、TG、HDL-C、LDL-C治疗前后组内比较，差异有统计学意义(P＜0.05)；治疗后组间比较差异也有统计学意义(P＜0.05)。收缩压、舒张压、血尿酸治疗前后本组组内比较，差异有统计学意义(P＜0.05)；治疗后组间比较差异无统计学意义(P＞0.05)。结论：平陈汤治疗脾虚痰湿型2型糖尿病前期患者，可以较好改善患者的临床症状及胰岛素抵抗指数等相关指标，延缓糖调节受损(IGR)向2型糖尿病的进一步发展。
Abstract:
Objective: To survey curative effects of PingChen decoction in the treatment for the patients with type two prediabetes of spleen deficiency phlegm damp pattern. Methods: All 100 patients were randomized into the observation group and the control group, 50 cases each group. Both groups accepted basic intervention including diabetic education+diet+exercise, and the observation group took the granules of PingChen decoction, 200 mL each time, twice each day, both groups were treated for eight weeks. The levels of blood uric acid (BUA), blood pressure, low density lipoprotein-cholesterol (LDL-C), high density lipoprotein-cholesterol (HDL-C), triglyceride (TG), total cholesterol (TCHO), waistline, body mass index (BMI), insulin resistance (IR), fasting blood-glucose (FBG) and TCM syndrome integrals and clinical effects of both groups were observed before and after treating. Results: Total effective rate of the observation group was 84.75%, higher than 55.32% of the control group, and the difference showed statistical meaning (P＜0.05). The difference was statistically significant in the comparisons of TCM syndrome integrals, FBG, IR, BMI, waistline, TC, TG, HDL-C and LDL-C between before and after treating within the group (P＜0.05); the difference showed statistical meaning in the comparisons between both groups after treating (P＜0.05). There was a significant difference in the comparisons of systolic pressure, diastolic pressure and BUA between before and after treating within the group (P＜0.05); the difference had no statistical meaning in the comparisons between both groups after treating (P＞0.05). Conclusion: PingChen decoction is effective in clinical intervention for the patients with type two prediabetes of spleen deficiency phlegm damp pattern, it could improve clinical symptoms and the related indexes of IR, and delay further progress of impaired glucose regulation (IGR) into type two diabetes mellitus.

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[8]王延玲,指导：裴建.耳穴贴压干预糖尿病前期糖代谢水平的临床观察[J].西部中医药,2014,27(11):4.
[9]郭红艳,翟昱,赵新辉,等.延续护理在2型糖尿病患者中的应用[J].西部中医药,2015,28(02):123.
[10]邓小花,陈新,李文军,等.中西医结合治疗2型糖尿病所致白内障60眼[J].西部中医药,2015,28(08):109.

备注/Memo

备注/Memo:
收稿日期：2018-03-13 *基金项目：甘肃省中医药管理局科研课题(编号GZK-2015-13)。 作者简介：芦少敏(1964—)，女，主任医师。研究方向：中西医结合防治内分泌及代谢系统疾病的研究。
更新日期/Last Update: 2018-08-15