中西药联合治疗2型糖尿病合并超重或肥胖患者19例

the Therapy of Combined Traditional Chinese and Western Medicine in the Treatment of Type 2 Diabetes Mellitus with Overweight or Obesity 19 cases

目的观察采用健脾利湿方剂联合西药治疗2型糖尿病合并超重或肥胖的临床效果。方法本研究采用随机对照分析,将38例2型糖尿病合并超重或肥胖的患者随机分为对照组和治疗组。两组均采用口服西药控制血糖,对个别高血压患者采用口服西药降压。治疗组增加服用健脾利湿中药汤剂,连续治疗2个月观察治疗效果。结果治疗组和对照组在治疗后,BMI、FPG、Hb A1c等指标均低于治疗前,差异显著(P<0.05);治疗组与对照组疗效比较,治疗组各项指标均优于对照组,且两组差异显著(P<0.05)。结论采用中医健脾利湿法合并常规西药控制血糖,治疗2型糖尿病合并超重或肥胖,在体质量、血脂和血糖的同步控制上明显优于单纯西药治疗,可以取得更加满意的临床疗效。

Objective To observe the curative effect of combined the prescription of strengthening spleen and removing dampness and Western medicine in treating type 2 diabetes mellitus with overweight or obesity. Methods Randomized controlled trials were used in this study. 38 patients with type 2 diabetes mellitus were randomly divided into control group and treatment group. Two groups were treated with oral Western medicine to control blood sugar. The oral antihypertensive drugs were used for patients with hypertension. The treatment group took traditional Chinese medicine decoction of strengthening spleen and removing dampness. After two months of continuous treatment,the curative effect was observed. Results After treatment,the BMI,FPG,Hb A1 c and other indicators of the treatment group and the control group were lower than those before treatment,and the difference was significant（ P〈0. 05）. Conclusion In the treatment of type 2diabetes with overweight or Obesity,the effect of combining strengthening spleen and removing dampness and Western medicine is better than Western medicine.