世界中西医结合杂志
世界中西醫結閤雜誌
세계중서의결합잡지
WORLD JOURNAL OF TRADITIONAL CHINESE AND WESTERN MEDICINE
2014年
7期
740-743
,共4页
卓冰帆%李卫丽%范育玲%林晓云
卓冰帆%李衛麗%範育玲%林曉雲
탁빙범%리위려%범육령%림효운
中医药%糖尿病前期%社区%临床观察
中醫藥%糖尿病前期%社區%臨床觀察
중의약%당뇨병전기%사구%림상관찰
TraditionalChineseMedicine%Prediabetes%Community%ClinicalObservation
目的:观察中医药辨证论治对社区糖尿病前期患者的临床疗效。方法136例患者按数字表法随机分为两组:对照组70倒,予强化生活方式干预;治疗组66例,在对照组基础上加予中医辨证论治。比较两组治疗前后的空腹血糖(FPG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbAlc )、血脂[总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)]、血压[收缩压(SBP)、舒张压(DBP)]、体重指数(BMI)及健康调查简表(SF-36)的变化。结果与治疗前比较,两组患者治疗后2 h PG、BMI明显下降(P<0.05)。治疗组在降低FPG、2 h PG、TC、LDL-C均明显优于对照组(P<0.05);且 HDL -C 及 SF -36治疗组较对照组升高更明显(P<0.05);而干预后两组HbAlc、TG、BMI、血压的差异无统计学意义(P>0.05)。结论中医药辨证论治联合生活方式干预对社区糖尿病前期患者有良好的治疗作用,较单纯生活方式干预更能改善临床症状,降低血糖,调节脂代谢,提高患者的生活质量,不良反应少,具有良好的临床应用前景。
目的:觀察中醫藥辨證論治對社區糖尿病前期患者的臨床療效。方法136例患者按數字錶法隨機分為兩組:對照組70倒,予彊化生活方式榦預;治療組66例,在對照組基礎上加予中醫辨證論治。比較兩組治療前後的空腹血糖(FPG)、餐後2 h血糖(2 h PG)、糖化血紅蛋白(HbAlc )、血脂[總膽固醇(TC)、甘油三酯(TG)、低密度脂蛋白膽固醇(LDL-C)、高密度脂蛋白膽固醇(HDL-C)]、血壓[收縮壓(SBP)、舒張壓(DBP)]、體重指數(BMI)及健康調查簡錶(SF-36)的變化。結果與治療前比較,兩組患者治療後2 h PG、BMI明顯下降(P<0.05)。治療組在降低FPG、2 h PG、TC、LDL-C均明顯優于對照組(P<0.05);且 HDL -C 及 SF -36治療組較對照組升高更明顯(P<0.05);而榦預後兩組HbAlc、TG、BMI、血壓的差異無統計學意義(P>0.05)。結論中醫藥辨證論治聯閤生活方式榦預對社區糖尿病前期患者有良好的治療作用,較單純生活方式榦預更能改善臨床癥狀,降低血糖,調節脂代謝,提高患者的生活質量,不良反應少,具有良好的臨床應用前景。
목적:관찰중의약변증론치대사구당뇨병전기환자적림상료효。방법136례환자안수자표법수궤분위량조:대조조70도,여강화생활방식간예;치료조66례,재대조조기출상가여중의변증론치。비교량조치료전후적공복혈당(FPG)、찬후2 h혈당(2 h PG)、당화혈홍단백(HbAlc )、혈지[총담고순(TC)、감유삼지(TG)、저밀도지단백담고순(LDL-C)、고밀도지단백담고순(HDL-C)]、혈압[수축압(SBP)、서장압(DBP)]、체중지수(BMI)급건강조사간표(SF-36)적변화。결과여치료전비교,량조환자치료후2 h PG、BMI명현하강(P<0.05)。치료조재강저FPG、2 h PG、TC、LDL-C균명현우우대조조(P<0.05);차 HDL -C 급 SF -36치료조교대조조승고경명현(P<0.05);이간예후량조HbAlc、TG、BMI、혈압적차이무통계학의의(P>0.05)。결론중의약변증론치연합생활방식간예대사구당뇨병전기환자유량호적치료작용,교단순생활방식간예경능개선림상증상,강저혈당,조절지대사,제고환자적생활질량,불량반응소,구유량호적림상응용전경。
Objective Toobservetheclinicalefficacyonprediabetesinthepatientsofthecommu-nity treated in terms of syndrome/pattern differentiation in traditional Chinese medicine(TCM).Methods Onehundredandthirtysixcaseswererandomizedintotwogroups.Inthecontrolgroup,70casesweretreated with intensified intervention of life style.In the treatment group,66 cases were treated according to syndrome/pattern differentiation in TCM besides the treatment as the control group.FPG,2 h PG,HbAlc,TC,TG,LDL-C,HDL-C,SBP,DBP,BMI and SF-36 score were observed before and after treatment in the two groups.Re-sults Ascomparedwiththosebeforetreatment,2hPGandBMIwerereducedapparentlyaftertreatmentin the two groups.In the treatment group,the reducing degree of FPG,2 h PG,TC and LDL-C was much better than that in the control group(P<0.05)and HDL-C and SF-36 score were increased much obviously as compared with those in the control group(P<0.05).After intervention,the differences in HbAlc,TG,BMI and BPwerenotsignificantinthetwogroups(P>0.05).Conclusion TCMbasedonsyndrome/patterndifferenti-ation and intervention of life style achieve the good therapeutic effect on prediabetes in the patients of commu-nity.The simple life style intervention much relieves clinical symptoms,reduces BP,regulates lipid metabolism, improves life quality and has less adverse reactions.This therapy is much applicable in clinical practice.