达郁安神饮对女性2型糖尿病并更年期患者糖代谢的影响

An effect of Dayu Anshen Yin on glucose metabolism of female patients with type 2 diabetes and menopause

目的:观察达郁安神饮对2型糖尿病并更年期患者糖代谢的影响。方法:选取64例2型糖尿病并更年期辨证属肝郁神伤证患者,随机分为两组,试验组33例辅助应用达郁安神饮,对照组给予加强管理和生活护理指导,共4周,观察空腹血糖、餐后2小时血糖,糖化白蛋白及中医证候的变化。结果:试验组餐后2小时血糖及糖化白蛋白与对照组比较,P<0.05;试验组总有效率为80.65%,高于对照组的39.29%,且P<0.05。结论:糖尿病患者在不同的生理阶段,或存在心因性因素时,对血糖控制有负面影响,通过疏肝达郁的方式可能提高了血糖及胰岛素在外周的利用度,降低应激产生的对抗糖代谢激素的效用,可以达到改善糖代谢的目的。

Objective:To observe effects of Dayu Anshen Yin on glucose metabolism of patients with type2diabetes and menopause.Methods:64patients were randomly divided into two groups.The experimental group(33patients)was treated with Dayu Anshen Yin.The control group was given guidance on management and life nursing,for4weeks.Results:The differences in2hours postprandial blood glucose and glycated albumin were statistically significant between groups,P<0.05.The total efficiency was80.65%in the experimental group,higher than39.29%in the control group,P<0.05.Conclusion:Diabetic patients may have psychological factors in different physiological stages,which maybe shows an negative effect on glycemic control.Dayu Anshen on type2diabetes can improve the utilization of blood glucose and insulin in peripheral,reduce efficacy of anti-carbohydrate metabolism hormone by stress,to improve carbohydrate metabolism.