中西医结合治疗老年糖尿病多汗症的可行性研究

The feasibility study on treating hyperhidrosis of diabetic patients in integrated medicine

目的:评价西药结合加味玉屏风散治疗糖尿病多汗症患者的临床可行性。方法:选取2016年8月-2017年8月本院收治的糖尿病多汗症患者60例,随机分为西药组和中西结合组,各30例。西药组患者给予常规糖尿病药物治疗,中西结合组患者服用西药同时加用加味玉屏风散,以水煎制服用。两组患者疗程均为1个月,比较两组患者治疗前后的血糖水平变化及临床疗效。结果:治疗1个月后,两组血糖水平均显著改善,与治疗前比较,两组FPG和2 hPG水平均显著下降(P <0.01)。此外,与西药组相比,中西结合组治疗后FPG和2 hPG水平有一定下降,但差异无统计学意义(P> 0.05)。与西药组相比,中西结合组治疗后患者汗出中医症候总积分显著降低(P <0.01)。治疗1个月后,与西药组相比,中西结合组的多汗治疗有效率显著升高(P <0.01),前者有效率33.3%,后者则为73.3%。结论:西药结合加味玉屏风散汤剂可有效降低患者的高血糖水平,且治疗糖尿病患者多汗症临床效果更佳。

Objective: To evaluate the clinical feasibility of treating hyperhidrosis of diabetic patients in integrated medicine. Methods: 60 patients were randomly divided into the western medicine group and integrated medicine group. The patients in the western medicine group were given conventional diabetes medication. The integrated medicine group were treated with Yupingfeng San (玉屏风散) more. Results: The blood glucose levels in two groups were significantly improved after treatment (P<0.01). The levels of FPG and 2 hPG in the integrated medicine group were significantly lower than those in the western medicine group, but there was no statistical significance (P>0.05). The total score of TCM symptom after treatment in the integrated medicine group was significantly lower than the western medicine group (P<0.01). The effective rate of hyperhidrosis in the integrated medicine group was 73.3%, which was significantly higher than 33.3% in the western medicine group (P<0.01). Conclusion: Western medicine plus the Yupingfeng San decoction can effectively reduce the level of blood sugar glucose, and it has better clinical effect on hyperhidrosis of diabetic patients.