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芪归通络汤配合雷火灸治疗气虚血瘀型2型糖尿病临床观察

Qigui Tongluo Decoction Combined with Thunder-fire Moxibustion in the Treatment of Type 2 Diabetes Mellitus with Qi Deficiency and Blood Stasis Type
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摘要 目的探究芪归通络汤配合雷火灸治疗气虚血瘀型2型糖尿病的临床效果及对血糖、周围神经的影响。方法选取2020年6月—2022年6月南昌市第一医院收治的气虚血瘀型2型糖尿病患者66例,按随机数字表法分为对照组和观察组,各33例。对照组给予芪归通络汤治疗,观察组在此基础上给予雷火灸治疗。比较两组临床疗效、血糖水平、周围神经电流阈值。结果观察组临床总有效率为90.91%(30/33),高于对照组的69.70%(23/33)(P<0.05)。治疗后,两组餐后2 h血糖、空腹血糖水平均降低,且观察组低于对照组(P<0.05);两组左右两侧正中神经/尺神经、腓肠神经电流阈值均降低,且观察组低于对照组(P<0.05)。结论对气虚血瘀型2型糖尿病患者实施芪归通络汤配合雷火灸治疗,可以有效降低血糖水平,改善周围神经病变情况,提高临床效果。 Objective To explore the clinical effect of Qigui Tongluo decoction combined with thunder-fire moxibustion on patients with type 2 diabetes mellitus with qi deficiency and blood stasis type,and the influence on blood sugar and peripheral nerves.Meth-ods A total of 66 patients with type 2 diabetes mellitus with qi deficiency and blood stasis type admitted from June 2020 to June 2022 were selected as research objects and divided into control group and observation group according to random number table method,with 33 cases in each group.The control group was treated with Qigui Tongluo decoction,and the observation group was treated with thunder-fire moxibustion on the basis of the control group.The clinical efficacy,blood glucose level and peripheral nerve current threshold were compared between the two groups.Results The total effective rate of the observation group was 90.91%(30/33),which was higher than that of the control group(69.70%,23/33)(P<0.05).After treatment,2 h postprandial blood glucose and fasting blood glucose levels in both groups were decreased,and the observation group was lower than the control group(P<0.05).The current thresh-olds of the left and right median nerve/ulnar nerve and sural nerve were decreased in both groups,and the observation group was lower than the control group(P<0.05).Conclusion Qigui Tongluo decoction combined with thunder-fire moxibustion can effectively reduce blood glucose level,improve peripheral neuropathy and improve the therapeutic effect of type 2 diabetes patients with qi deficiency and blood stasis type.
作者 胡艺 喻淑琴 HU Yi;YU Shuqin(Department of Endocrinology,Nanchang First Hospital,Jiangxi Province,Nanchang 330008,China)
出处 《中国中医药现代远程教育》 2024年第14期109-111,共3页 Chinese Medicine Modern Distance Education of China
关键词 消渴 2型糖尿病 气虚血瘀证 芪归通络汤 雷火灸疗法 中医综合疗法 consumptive thirst type 2 diabetes mellitus qi deficiency and blood stasis syndrome Qigui Tongluo decoction thunder-fire moxibustion comprehensive therapy of traditional Chinese medicine
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