耳穴压豆联合温阳润肠汤加减治疗糖尿病合并便秘临床研究
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Clinical Study on Auricular Point Pressing with Beans Combined with Modified Wenyang Runchang Tang for Diabetes Complicated with Constipation
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    摘要:

    目的:观察耳穴压豆联合温阳润肠汤加减治疗糖尿病合并便秘的临床疗效。方法:选取100 例糖尿病合并便秘患者,随机分为对照组和观察组各50 例。2 组均给予西药降糖治疗,对照组在此基础上给予乳果糖治疗,观察组加用耳穴压豆联合温阳润肠汤加减治疗,2 组均连续治疗8 周。比较2 组治疗前后血糖指标、周排便次数及便秘症状评分;比较2 组临床疗效及首次排便时间。结果:治疗后,2 组空腹血糖(FBG)、餐后2 h 血糖(P2hBG) 水平均较治疗前降低(P<0.05),观察组FBG、P2hBG 水平均低于对照组(P<0.05)。治疗后,观察组首次排便时间短于对照组(P<0.05);2 组周排便次数均较治疗前增多(P<0.05),观察组周排便次数多于对照组(P<0.05)。治疗后,2 组便秘症状评分均较治疗前降低(P<0.05),观察组便秘症状评分均低于对照组(P<0.05)。观察组总有效率为92.00%,高于对照组的70.00%(P<0.05)。结论:耳穴压豆联合温阳润肠汤加减治疗糖尿病合并便秘疗效较好,能有效控制患者血糖,改善便秘症状。

    Abstract:

    Abstract: Objective: To observe the clinical effect of auricular point pressing with beans combined with modified Wenyang Runchang tang for diabetes complicated with constipation. Methods:A total of 100 cases of patients with diabetes complicated with constipation were randomly divided into the control group and the observation group, 50 cases in each group. Both groups were given hypoglycemic treatment in western medicine;the control group was additionally treated with lactulose, and the observation group was additionally given auricular point pressing with beans combined with modified Wenyang Runchang tang based on hypoglycemic treatment in western medicine. Both groups were treated for eight weeks. The indexes of blood glucose,the frequency of defecation in a week and the symptom scores of constipation before and after treatment, as well as the first defecation time and the clinical effects in the two groups were compared. Results: After treatment, the levels of fasting blood glucose(FBG) and postprandial 2 h blood glucose(P2hBG) in the two groups were decreased when compared with those before treatment(P<0.05),and the levels of FBG and P2hBG in the observation group were lower than those in the control group(P<0.05). After treatment,the first defecation time in the observation group was shorter than that in the control group(P<0.05),the frequency of defecation in a week in the two groups were increased when compared with those before treatment,and the number of defecation in a week in the observation group was more than that in the control group(P<0.05). After treatment, scores of the defecation interval, defecation speed, defecation characteristics and defecation difficulty in the two groups were decreased when compared with those before treatment(P< 0.05),and the above scores in the observation group were lower than those in the control group(P<0.05). The total effective rate was 92.00% in the observation group,higher than that of 70.00% in the control group(P<0.05). Conclusion:Auricular point pressing with beans combined with modified Wenyang Runchang tang has good curative effect in treating diabetes complicated with constipation,and can effectively control blood glucose and improve the symptom of constipation.

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白洁,宗晓,李丹丹,辛雯雯,李哲.耳穴压豆联合温阳润肠汤加减治疗糖尿病合并便秘临床研究[J].新中医,2021,53(22):174-177

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  • 在线发布日期: 2021-11-26
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