中医“直折火热法”配合强化胰岛素治疗糖尿病酮症酸中毒患者的临床效果

Clinical effect of "Zhizhehuore" method of Chinese medicine combined with intensive insulin therapy in patients with diabetic ketoacidosis

目的观察对糖尿病酮症酸中毒患者采用中医"直折火热法"配合强化胰岛素治疗的效果。方法选取70例糖尿病酮症酸中毒患者,分为对照组(32例,常规支持治疗配合强化胰岛素治疗)、配合组(38例,对照组方法+中医"直折火热法")。对比两组患者治疗效果。结果治疗后,两组主症、次症中医证候积分和总积分、FBG和2 h PBG水平均降低,且配合组均低于对照组(P<0.05);两组治疗后CO2CP水平均升高,且配合组高于对照组(P<0.05);配合组治疗总有效率为94.74%,高于对照组的75.00%(P<0.05)。结论对糖尿病酮症酸中毒患者采用中医"直折火热法"配合强化胰岛素治疗效果理想,能够显著减轻症状,控制血糖水平,提高CO2CP水平。

Objective To observe the effect of ＂Zhizhehuore＂ method of Chinese medicine combined with intensiveinsulin therapy in patients with diabetic ketoacidosis. Methods A total of 70 patients with diabetic ketoacidosis wereenrolled and divided into control group （32 cases, routine supportive treatment plus intensive insulin therapy）, andmatched group （38 cases, control groups method＋＂Zhizhehuore＂ method of Chinese medicine）. The treatment effects werecompared between the two groups. Results After treatment, the scores of TCM symptoms of primary and secondary andtotal scores, FBG and2h PBG in the two groups significantly decreased, and those in the matched group were lowerthan the control group （P〈0.05）. The CO2CP levels in the two groups significantly increased, and that in the matchedgroup was higher than the control group（P〈0.05）. The total effective rate of treatment in the matched group was 94.74%,which was higher than 75.00% in the control group（P〈0.05）. Conclusion The effect of ＂Zhizhehuore＂ method of Chinesemedicine combined with intensive insulin therapy in patients with diabetic ketoacidosis is ideal, which can reducesymptoms, control blood sugar level and improve the level of CO2CP.