中医温阳健脾法联合西药治疗2型糖尿病胰岛素抵抗患者的临床疗效

Clinical effect of Warming Yang and Strengthening Spleen method in traditional Chinese medicine combined with western medicine in treatment of patients with type 2 diabetic insulin resistance

目的探究2型糖尿病胰岛素抵抗患者通过中医温阳健脾法与西药联合治疗后取得的临床成效。方法选取我院收治的2型糖尿病胰岛素抵抗患者80例,且均在2014年1月~2016年6月入院,依随机分组标准分为观察组(40例)和对照组(40例)。对照组治疗方法为常规西药治疗,观察组为中医温阳健脾法联合西药治疗。结果在空腹血糖及餐后2h血糖值方面,观察组明显优于对照组(P<0.05);观察组不良反应发生率(7.5%)与对照组(5.0%)比较差异无统计学意义(P>0.05);观察组糖化血红蛋白值及体重指数均低于对照组(P<0.05)。结论 2型糖尿病胰岛素抵抗患者通过中医温阳健脾法与西药联合治疗后,在提高治疗效果的同时,使患者的糖化血红蛋白及体重指数明显降低,且不良反应发生率明显较低,存在一定推广价值。

Objective To explore the clinical effect of warming yang and strengthening spleen method in traditionalChinese medicine combined with western medicine in treatment of patients with type2diabetic insulin resistance.Methods80patients with type2diabetic insulin resistance who were admitted to our hospital from January2014to June2016were selected and they were divided into the observation group(40persons)and the control group(40persons)according to the randomized grouping criteria.The control group was treated with conventional westernmedicine.The observation group was treated with warming yang and strengthening spleen method in traditionalChinese medicine combined with western medicine.Results Fasting blood glucose and blood glucose level ofpostprandial2hours in the observation group were both significantly better than those of the control group(P<0.05).There was no significant difference in rate adverse reactions between the observation group(7.5%)and the controlgroup(5.0%),P>0.05.The glycosylated hemoglobin and body mass index of the observation group were lower thanthose of the control group(P<0.05).Conclusion For patients with type2diabetic insulin resistance,warmingyang and strengthening spleen method in traditional Chinese medicine combined with western medicine can not onlyimprove the therapeutic effect to reduce glycosylated hemoglobin and body mass index of patients,but also reduce rateof adverse reactions,which is of a certain promotion value.