复方益糖康颗粒联合常规疗法治疗2型糖尿病气阴两虚证临床研究
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Clinical Study on Compound Yitangkang Granules Combined with Routine Interven⁃ tion Measures for Type 2 Diabetes Mellitus with Syndrome of Dual Deficiency of Qi and Yin
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    摘要:

    目的:观察在常规干预措施基础上加用复方益糖康颗粒联合盐酸二甲双胍缓释片治疗气阴两虚型 2 型糖尿病患者的效果。方法:将纳入的 116 例气阴两虚型 2 型糖尿病患者随机分为 2 组各 58 例。2 组均实施 常规干预措施,并内服盐酸二甲双胍缓释片,观察组联合复方益糖康颗粒治疗,2 组均连续治疗 12 周。治疗 前后测定糖脂代谢指标[空腹血糖 (FBG)、餐后 2 h 血糖 (P2hBG)、糖化血红蛋白 (HbA1c)、甘油三 酯(TG)、总胆固醇(TC)及低密度脂蛋白胆固醇(LDL-C)]、氧化应激指标[超氧化物歧化酶(SOD)、丙 二醛(MDA)、谷胱甘肽还原酶(GSH-Px)及活性氧类物质(ROS)],评定中医证候评分,比较 2 组的临床 疗效,统计不良反应发生率。结果:治疗 12 周,观察组总有效率 93.10%,对照组总有效率 74.14%,2 组比 较,差异有统计学意义(P<0.05)。2 组倦怠乏力、咽干口燥、口渴喜饮、五心烦热、多食易饥评分均低于治 疗前(P<0.05),观察组 5 项中医证候评分均低于对照组(P<0.05)。2 组 FBG、P2hBG、HbA1c、TC、TG 及 LDL-C 水平均低于治疗前(P<0.05),观察组 6 项指标值均低于对照组(P<0.05)。2 组 SOD、GSH-Px 水平 均高于治疗前,MAD、ROS 水平均低于治疗前,差异均有统计学意义(P<0.05);观察组 SOD、GSH-Px 水平 均高于对照组,MAD、ROS 水平均低于对照组,差异均有统计学意义(P<0.05)。2 组不良反应发生率比较, 差异无统计学意义(P>0.05)。结论:在常规干预措施基础上加用复方益糖康颗粒联合盐酸二甲双胍缓释片能 调节气阴两虚型 2 型糖尿病患者的糖脂代谢水平,快速缓解临床症状,提高治疗效果,安全性较高。

    Abstract:

    Abstract:Objective:To observe the curative effect of Compound Yitangkang Granules combined with Metformin Hydrochloride Sustained- Release Tablets on patients with type 2 diabetes mellitus with syndrome of dual deficiency of qi and yin based on routine intervention measures. Methods:A total of 116 patients with type 2 diabetes mellitus with dual deficiency qi and yin syndrome were included and randomly divided into two groups, with 58 cases in each group. The two groups were given routine intervention measures and oral administration of Metformin Hydrochloride Sustained-Release Tablets,and the observation group was additionally treated with Compound Yitangkang Granules. The two groups were treated for 12 weeks. Before and after treatment,the indexes of glucose and lipid metabolism,including fasting blood glucose (FBG), 2- hour postprandial blood glucose (P2hBG), glycosylated hemoglobin (HbA1c),triglyceride (TG),total cholesterol (TC) and low density lipoprotein-cholesterol (LDL-C),and indexes of oxidative stress,including superoxide dismutase (SOD),malondialdehyde (MDA),glutathione peroxidase (GSH-Px) and reactive oxygen species(ROS) in the two groups were determined,the traditional Chinese medicine (TCM) syndrome scores were evaluated,the clinical effects were compared and the incidence of adverse reactions were counted. Results:After treatment for 12 weeks,the total clinical effective rate was 93.10% in the observation group,higher than that of 74.14%,the difference being significant (P<0.05). The scores of fatigue and lack of strength,dry throat and mouth,dry mouth with desire for drink,feverish sensation in chest and frequent diets and easiness to hunger in the two groups were lower than those before treatment (P<0.05), and the above five TCM syndrome scores in the observation group were lower than those in the control group (P<0.05). The levels of FBG, P2hBG, HbA1c,TC,TG and LDL-C in both groups were lower than those before treatment (P<0.05),and the above six indexes in the observation group were lower than those in the control group (P<0.05). Compared with those before treatment,the levels of SOD and GSH-Px in both groups were higher,and the levels of MAD and ROS were lower,differences being significant (P<0.05);the levels of SOD and GSH-Px in the observation group were higher than those in the control group,and the levels of MAD and ROS were lower than those in the control group,differences being significant (P<0.05). There was no significant difference beingfoundinthecomparisonofincidenceofadversereactionsbetweenthetwogroups(P>0.05).Conclusion: Based on routine intervention measures, Compound Yitangkang Granules combined with Metformin Hydrochloride Sustained-Release Tablets can help regulate the level of glucose and lipid metabolism of patients with type 2 diabetes mellitus with syndrome of dual deficiency of qi and yin,accelerate the mitigation of clinical symptoms,and improve the curative effect with good safety.

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叶雪卫,金奕,朱光建.复方益糖康颗粒联合常规疗法治疗2型糖尿病气阴两虚证临床研究[J].新中医,2023,55(14):77-81

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  • 在线发布日期: 2023-07-24
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