中医临床研究
中醫臨床研究
중의림상연구
CLINICAL JOURNAL OF CHINESE MEDICINE
2014年
9期
53-55
,共3页
2 型糖尿病%高尿酸血症%开郁清热法
2 型糖尿病%高尿痠血癥%開鬱清熱法
2 형당뇨병%고뇨산혈증%개욱청열법
Type 2 Diabetes Mellitus%Hyperuricemia%Kaiyu Qingre Treatment(opening qi depression and clearing away heat )
目的：开郁清热法治疗2型糖尿病( type2diabetesmellitus,T2DM)合并高尿酸血症（hyperuricemia)的临床效果。方法：将T2DM合并高尿酸血症的患者98例随机分为两组，每组各49例，对照组患者采用降糖降压治疗及生活方式干预方案并加用盐酸吡格列酮片15mg/d，观察组在对照组的基础上实施开郁清热法治疗，并观察患者治疗前后空腹血糖（FBG）及血脂TG、TC、Cr 等指标变化。结果：观察组总有效率为93.88%，而对照组为89.90%，两组比较差异无统计学意义（P>0.05），观察组治疗后FBG、P2HbBG、BUA 及血脂均得到良好的改善（P<0.05）。观察组治疗后 BUA、TG、TC 与对照组比较改善更加明显（P<0.05）。结论：开郁清热法治疗T2DM合并高尿酸血症具有较好的疗效，并能改善基血脂水平。
目的：開鬱清熱法治療2型糖尿病( type2diabetesmellitus,T2DM)閤併高尿痠血癥（hyperuricemia)的臨床效果。方法：將T2DM閤併高尿痠血癥的患者98例隨機分為兩組，每組各49例，對照組患者採用降糖降壓治療及生活方式榦預方案併加用鹽痠吡格列酮片15mg/d，觀察組在對照組的基礎上實施開鬱清熱法治療，併觀察患者治療前後空腹血糖（FBG）及血脂TG、TC、Cr 等指標變化。結果：觀察組總有效率為93.88%，而對照組為89.90%，兩組比較差異無統計學意義（P>0.05），觀察組治療後FBG、P2HbBG、BUA 及血脂均得到良好的改善（P<0.05）。觀察組治療後 BUA、TG、TC 與對照組比較改善更加明顯（P<0.05）。結論：開鬱清熱法治療T2DM閤併高尿痠血癥具有較好的療效，併能改善基血脂水平。
목적：개욱청열법치료2형당뇨병( type2diabetesmellitus,T2DM)합병고뇨산혈증（hyperuricemia)적림상효과。방법：장T2DM합병고뇨산혈증적환자98례수궤분위량조，매조각49례，대조조환자채용강당강압치료급생활방식간예방안병가용염산필격렬동편15mg/d，관찰조재대조조적기출상실시개욱청열법치료，병관찰환자치료전후공복혈당（FBG）급혈지TG、TC、Cr 등지표변화。결과：관찰조총유효솔위93.88%，이대조조위89.90%，량조비교차이무통계학의의（P>0.05），관찰조치료후FBG、P2HbBG、BUA 급혈지균득도량호적개선（P<0.05）。관찰조치료후 BUA、TG、TC 여대조조비교개선경가명현（P<0.05）。결론：개욱청열법치료T2DM합병고뇨산혈증구유교호적료효，병능개선기혈지수평。
Objective:To explore the clinical effect of Kaiyu Qingre treatment(opening qi depression and clearing away heat) for type 2 diabetes mellitus (T2DM) combined hyperuricemia.Methods:98 patients with type 2 diabetes mellitus (T2DM) combined hyperuricemia were randomly divided into two groups,49 cases in each group.Patients in control group were treated by oral glucose-lowering antihypertensive therapy and lifestyle intervention program and used with pioglitazone hydrochloride 15 mg/d.On the basis of the control group,the observation group implemented Kaiyu Qingre treatment.Indexes of fasting blood glucose (FBG)before and after treatment, blood lipid of TG,TC,Cr were observed. Results:total effective rates of observation group and control group were 93.88%and 89.90%, and the difference between two groups has no statistical significance (P>0.05).After the treatment,FBG, P2HbBG, BUA and blood lipids in observation group were improved (P<0.05). BUA, TG, TC after the treatment in Observation group improved much more significantly than those in control group(P<0.05).Conclusion:Kaiyu Qingre treatment for type 2 diabetes mellitus combined hyperuricemia has a good curative effect and can improve the blood lipid level.
