中药封包联合金黄膏涂擦治疗胰岛素注射相关皮下脂肪增生临床研究
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R758.63

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广东省中医药局科研课题(20211121)


Clinical Study on Chinese Medicine Packages Combined with Jinhuang Ointment Application for Insulin Injection-Related Subcutaneous Lipohypertrophy
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    摘要:

    目的:观察中药封包联合金黄膏涂擦治疗糖尿病胰岛素注射相关皮下脂肪增生的临床疗效。方法: 选取2020年3月—2022年7月在广州中医药大学第一附属医院住院部内分泌科接受皮下注射胰岛素治疗出现皮 下脂肪增生的糖尿病患者60例,采用随机数字表法分为治疗组和对照组各30例。对照组采用33%硫酸镁湿敷 治疗,治疗组采用中药封包联合金黄膏涂擦治疗。2组均治疗7天,比较2组临床疗效,以及治疗前后皮下脂 肪增生处面积。结果:治疗后,治疗组总有效率为93.33%(28/30),对照组为70.00%(21/30),组间比较,差 异有统计学意义(P<0.05)。治疗前,2组皮下脂肪增生面积比较,差异无统计学意义(P>0.05);治疗后, 2 组皮下脂肪增生面积均较治疗前缩小(P<0.05),且治疗组皮下脂肪增生面积治疗前后差值大于对照 组(P<0.05)。结论:中药封包联合金黄膏涂擦治疗胰岛素注射相关皮下脂肪增生疗效肯定,能有效缩小皮下 脂肪增生,效果优于硫酸镁湿敷。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Chinese medicine packages combined with Jinhuang Ointment application on insulin injection-related subcutaneous lipohypertrophy in diabetic mellitus patients. Methods: A total of 60 diabetic mellitus patients who developed subcutaneous lipohypertrophy after receiving subcutaneous insulin injections were selected from the Department of Endocrinology at the First Affiliated Hospital of Guangzhou University of Chinese Medicine between March 2020 and July 2022. The patients were divided into the treatment group and the control group according to the random number table method,with 30 cases in each group. The control group was treated with wet compressing with 33% Magnesium Sulfate, and the treatment group was treated with Chinese medicine packages combined with Jinhuang Ointment application. Both groups were treated for seven days. The area of subcutaneous lipohypertrophy before and after treatment as well as the clinical effects were compared between the two groups. Results: After treatment,the total effective rate was 93.33% (28/30) in the treatment group and 70.00% (21/30) in the control group, with a significant difference between the two groups (P<0.05). Before treatment, there was no significant difference being found in the comparison of the area of subcutaneous lipohypertrophy between the two groups (P>0.05). After treatment,the area of subcutaneous lipohypertrophy in the two groups was significantly reduced when compared with that before treatment (P<0.05), and the delta value of subcutaneous lipohypertrophy area before and after treatment in the treatment group was greater than that in the control group (P<0.05). Conclusion:The combination of Chinese medicine packages and Jinhuang Ointment application has a definite curative effect in treating insulin injectionrelated subcutaneous lipohypertrophy, which can significantly reduce the subcutaneous lipohypertrophy area, and is superior to wet compressing with Magnesium Sulfate.

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周英淳,梁凤根,黄燕娴,龙文丽,黄晴茵,李楠.中药封包联合金黄膏涂擦治疗胰岛素注射相关皮下脂肪增生临床研究[J].新中医,2025,57(10):132-135

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  • 在线发布日期: 2025-05-27
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