解郁化浊汤防治2型糖尿病前期56例

袁艺; 赵波; 陈劲秋

doi:10.11653/syfj2013240314

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解郁化浊汤防治2型糖尿病前期56例

更新时间：2024-01-04

- 解郁化浊汤防治2型糖尿病前期56例
- Therapeutic Effect of Jieyu Huazhuo Decoction on Treating 46 Cases of Type 2 Prediabetes
- 中国实验方剂学杂志 2013年19卷第24期页码：314-317
- 作者机构：
- 作者简介：
- 基金信息：
  
  成都中医药大学2012基金项目（170）
- DOI：10.11653/syfj2013240314
  中图分类号：
- 纸质出版日期：2013
- 稿件说明：
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袁艺, 赵波, 陈劲秋. 解郁化浊汤防治2型糖尿病前期56例[J]. 中国实验方剂学杂志, 2013,19(24):314-317.

YUAN Yi, ZHAO Bo, CHEN Jin-qiu. Therapeutic Effect of Jieyu Huazhuo Decoction on Treating 46 Cases of Type 2 Prediabetes[J]. Chinese journal of experimental traditional medical formulae, 2013, 19(24): 314-317.
袁艺, 赵波, 陈劲秋. 解郁化浊汤防治2型糖尿病前期56例[J]. 中国实验方剂学杂志, 2013,19(24):314-317. DOI： 10.11653/syfj2013240314.

YUAN Yi, ZHAO Bo, CHEN Jin-qiu. Therapeutic Effect of Jieyu Huazhuo Decoction on Treating 46 Cases of Type 2 Prediabetes[J]. Chinese journal of experimental traditional medical formulae, 2013, 19(24): 314-317. DOI： 10.11653/syfj2013240314.

摘要

目的：探讨解郁化浊汤对2型糖尿病前期（气滞痰阻证）的临床疗效。方法：将111例患者随机按数字法分为对照组55例和观察组56例。两组均采用基础干预，包括控制饮食、健康教育、运动等一般治疗，观察组加服解郁化浊汤，1剂/d，疗程均为12周。检测治疗前后空腹血糖（FBG）、餐后2 h血糖（2 hPBG）、空腹胰岛素（FINS）、餐后2 h胰岛素（2 hINS）糖化血红蛋白（HbA1c）、血脂（TC总胆固醇、TG甘油三酯、HDL-C高密度脂蛋白、LDL-C低密度脂蛋白），测量患者体重、腰围和臀围及记录中医证候积分，并随访患者的转归。结果：治疗后观察组15例（26.78%）糖代谢正常，优于对照组的6例（10.91%）（P<0.05），观察组为7例（12.5%）转为T2 DM，少于对照组的17例（30.91%）（P<0.05）；对照组治疗后FBG，2 hPBG，HbA1c，FINS，2 hINS均呈上升趋势，观察组以上指标则明显下降（P<0.05，P<0.01），观察组FBG，2 hPBG，HbA1c、FINS，2 h INS均低于对照组（P<0.05，P<0.01）；观察组BMI、体重、腰围及WHR改善均明显优于对照组（P<0.05）；观察组TG，HDL-C均较治疗前下降（P<0.05）；观察组形体肥胖、脘腹胀闷、心烦、大便干结及口苦等症状评分均低于对照组（P<0.01）。结论：在基础干预的基础上，解郁化浊汤能改善胰岛素抵抗，调节糖脂代谢，改善患者临床症状、体征，对防止糖尿病前期患者转化为T2 DM有一定的疗效。

Abstract

Objective: To discuss the clinical efficacy of Jieyu Huazhuo decoction on treating type 2 prediabetes (qi stagnation and phlegm obstruction type). Method: One hundred and eleven patients with chronic pyelonephritis were randomly divided into observation group (n=56) and control group (n=55). Patients in the two groups were both treated with basis interventions

including diet

health

education and sports. Jieyu Huazhuo decoction was used in the observation group (one dose per day

12 weeks as one cycle). Fasting blood glucose (FBG)

2 h postprandial blood glucose (2 h PBG)

fasting insulin (FINS)

2 h postprandial insulin (2 h INS)

glycosylated hemoglobin (HbA1c) and blood lipids total cholesterol (TC)

riglycerides (TG)

high density lipoprotein (HDL-C)

low densith lipoprotein (LDL-C) were tested before and after treatment

the patient's body weight

waist and hip and TCM syndrome score were measured. The patient's outcome was follow-up. Result: After treatment

15 cases in observation group (26.78%) have normal glucose metabolism

better than the control group (6 cases

10.91%) (P<0.05). 7 cases in the observation group (12.5%) was converted to T2 DM

lower than the control group (17 cases

30.91%) (P<0.05);After treatment FBG

2 h PBG

HbA1c

FINS

2 h INS of the patients in control group showed an upward trend

and the observation group index decreased significantly (P<0.05

P<0.01). FBG

2 hPBG

HbA1c

FINS

2 hINS of observation group were lower than the control group (P<0.05

P<0.01);BMI

weight

waist circumference and improment of WHR in observation group were significantly better than the control group (P<0.05);TG

HDL-C of observation group were decreased after treatment (P<0.05);Scores of body fat

abdominal distension

nausea

irritability

dry stool and mouth waiting symptom of observation group were lower than the control group (P<0.01). Conclusion: Based on the basis interventions

regulate glucose and lipid metabolism

improve clinical symptoms and signs

to prevent prediabetes into T2 DM have a certain effect.

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