中医药辨证施治糖尿病自汗症的临床效果分析

Clinical analysis of the effect on traditional Chinese medicine syndrome differentiation in the treatment of diabetes spontaneous perspiration

目的:探讨中医药辨证施治糖尿病自汗症的临床效果。方法:收治糖尿病自汗症患者80例,随机分为观察组和对照组各40例,对照组给予降糖药物控制血糖稳定,维生素B 200 mg肌注,1次/d。观察组在对照组的基础上给予中医辨证分型治疗。气阴两虚证给予生脉饮加味治疗,气虚证给予四君子汤加味治疗,阴虚证给予当归六黄汤加减治疗。结果:观察组治愈29例,有效9例,无效3例,总有效率92.5%,其中气阴两虚证3例,治愈1例,有效2例,总有效率100.0%,气虚证5例,治愈3例,有效1例,无效2例,总有效率90.0%,阴虚证30例,治愈25例,有效5例,无效2例,总有效率93.7%。对照组治愈20例,有效12例,无效8例,总有效率80.0%,两组比较,差异有统计学意义(P<0.05)。结论:中医药辨证施治糖尿病自汗症疗效显著。

Objective:To explore the clinical curative effect of traditional Chinese medicine syndrome differentiation in thetreatment of diabetes spontaneous perspiration.Methods:80 patients with diabetes spontaneous perspiration were selected.Theywere randomly divided into the observation group and the control group with 40 cases in each.The control group was givenantidiabetic drug to control blood sugar stable,vitamin B 200 mg intramuscular injection,one time one day.The observation groupwas given traditional Chinese medicine syndrome differentiation classified treatment on the basis of the control group.The qi andyin deficiency pattern was given pulse-activating decoction add flavor treatment.The qi deficiency syndrome was given sijunzidecoction add flavor treatment.The yin deficiency syndrome was given TangKuei Six Yellow decoction adjusted treatment.Results:In the observation group,29 cases were cured,9 cases were effective,3 cases were invalid,the total effective rate was 92.5%.3 caseswere qi and yin deficiency pattern,1 case was cured,2 cases were effective,the total effective rate was 100.0% .5 cases were qideficiency syndrome,3 cases were cured,1 case was effective,2 cases were invalid,the total effective rate was 90.0%.30 cases wereyin deficiency syndrome,25 cases were cured,5 cases were effective,2 cases were invalid,the total effective rate was 93.7%.In thecontrol group,20 cases were cured,12 cases were effective,8 cases were invalid,the total effective rate was 80.0%.The differencewas statistically significant between the two groups(P<0.05).Conclusion:Traditional Chinese medicine syndrome differentiation inthe treatment of diabetes spontaneous perspiration has a significant curative effect.