中西医结合治疗糖尿病临床研究

Clinical Study on the Treatment of Diabetes with Combination of Chinese and Western Medicine

目的探讨中西医结合疗法对糖尿病患者长期预后的影响。方法采用对照研究的方法,将患者随机分为2组,2组病例均采取饮食控制及运动疗法。西药治疗组在基础治疗的同时,根据患者血糖、体重、既往服药情况等选择合适的西药降糖方案(包括各种口服降糖药物和必要时的胰岛素治疗),中西医结合治疗组在西药治疗组基础上配合中医辨证施治(阴虚热盛、气阴两虚、阴阳两虚、气滞血瘀)。疗程结束后统计2组患者的血糖、血脂、中医证候变化情况,2年后随访是否出现糖尿病并发症。结果 2组患者治疗后在血糖及血脂方面差异无统计学意义,但在中医证候疗效、减少低血糖的发生率及2年后并发症的发生方面中西医结合治疗组有相对优势。结论采用中西医结合治疗可以有效改善糖尿病患者临床症状,并有可能预防和减少糖尿病并发症的发生。

Objective To probe the effect of combinative therapy of Chinese and western medicine on the long-term prognosis of diabetic patients. Methods The methodology of comparative analysis is used. Patients were randomly divided into two groups. Both groups were given the treatment of diet control and exercise. The group with the remedy of western medicine （Group A） was treated with the project to reduce the blood sugar by taking western medicine according to the blood glucose, weight, former dose-taking, together with basic therapy. The group with the combinative therapy of Chinese and western medicine （Group B） was given the same treatment as Group A in addition with syndrome differentiation treatment for Yin deficiency and extreme heat, Qi and Yin deficiency, Yin and Yang deficiency, Qi stagnation and blood stasis. After the course of the treatment, the change of blood glucose, blood lipid and TCM syndrome were collected for statistics, the complication was observed by two years foUow-visit. Results The two groups showed no noticeable difference in blood glucose and blood lipid after the treatment. But Group B showed relative superior improvement in the reduction of low-glucose and other complication two years later. Conclusion The combinative therapy of Chinese and western medicine is effective in improving clinical symptom of diabetes patients, and it may prevent and reduce the incidence of diabetic complications.