探讨胰岛素结合中医分期辨证论治疗2型糖尿病的临床效果

Clinical Effect of Insulin Combined with TCM Staging and Syndrome Differentiation in the Treatment of Type 2 Diabetes Mellitus

目的对比分析2型糖尿病患者接受中医分期辨证论治对血糖达标和胰岛素功能的影响情况。方法根据2013年4月—2015年3月该院的100例2型糖尿病患者来分析研究,分组为对照组和观察组,均有50例。对照组使用胰岛素控制血糖,观察组使用胰岛素和中医分期辨证论治。对比分析两组的临床治疗效果。结果观察组治疗后,FPG平均(6.30±1.33)mmol/L,2 h PG平均(8.03±1.34)mmol/L,Hb A1c平均(6.22±0.42)mmol/L;对照组分别为(7.79±1.27)mmol/L,(10.01±1.83)mmol/L,治疗后(7.21±0.74)mmol/L;两组的FPG、2 h PG及Hb A1c均有所降低,观察组较为明显,结果差异有统计学意义(P<0.05)。观察组血糖达标36例,达标率72.0%;对照组达标21例,达标率为42.0%,结果差异有统计学意义(P<0.05)。观察组平均低血糖次数(5.15±0.72)次、高血糖次数(21.32±2.78)次,对照组为(9.23±0.23)次、(30.37±3.02)次,结果差异有统计学意义(P<0.05)。结论中医分期辨证论治对血糖控制效果突出,能够提升患者的血糖达标率,降低低血糖和高血糖发生率,改善胰岛素功能。

Objective This paper tries to compare and analyze the influence of TCM staging and syndrome differentiation on blood glucose standard and insulin function in patients with type 2 diabetes mellitus. Methods A total of 100 patients with type 2 diabetes mellitus in this hospital from April 2013 to March 2015 were analyzed and divided into the control group and the observation group, with 50 cases in each group. The control group used insulin to control blood glucose, and the observation group was treated with insulin and TCM staging according to syndrome differentiation. The clinical effects of the two groups were compared and analyzed. Results The average FPG was （6.30±1.33）mmol/L,2 hPG was （8.03±1.34）mmol/L, HbAle was （6.22±0.42）mmol/L in the observation group after treatment; and those in the control group was （7.79±1.27）mmol/L, （10.01±1.83）mmol/L,（7.21±0.74）mmol/L respectively; FPG, 2 hPG and HbAlc in the two groups were decreased, the observa- tion group decreased more obviously. There were significant differences between the two groups （P〈0.05）.36 eases in the observation group reached the standard blood glucose, whose rate was 72.0%, 21 cases in the control group reached that standard, and the standard rate was 42.0%, the difference was statistically significant （P〈0.05）. The average number of hypoglycemia in the observation group was （5.15±0.72）times, the number of hyperglycemia was （21.32±2.78）times, and those of the control group was （9.23±0.23）times,（30.37±3.02）times, the results were statistically significant （P〈0.05）. Conclusion TCM syndrome differentiation treatment can improve the blood glucose control rate, reduce the incidence of hypoglycemia and hyperglycemia, and improve the insulin function.