保苓汤辅治2型糖尿病合并肺部感染气虚阳亏证临床研究

Clinical Study on Baoling Decoction in the Treatment of Type 2 Diabetes Mellitus Complicated with Pulmonary Infection with Qi Asthenia and Yang Deficiency Syndrome

目的:观察保苓汤辅治2型糖尿病合并肺部感染气虚阳亏证的疗效。方法:72例随机分为治疗组和对照组各36例,两组均给予西医常规治疗,治疗组加用保苓汤治疗。结果:临床症状疗效治疗组总有效率高于对照组(P<0.05)。肺CT疗效两组总有效率比较差异无统计学意义(P>0.05)。治疗组中医证候疗效总有效率高于对照组(P<0.05)。两组中医证候积分治疗后均下降且治疗组低于对照组(P<0.05)。两组空腹血糖和餐后2h血糖治疗后均下降且治疗组低于对照组(P<0.05)。结论:保苓汤辅治2型糖尿病合并肺部感染气虚阳亏证可提高疗效。

Objective:To observe the curative effect of Baoling Decoction in adjuvant treatment of type 2 diabetes mellitus complicated with pulmonary infection with Qi asthenia and Yang deficiency syndrome.Methods:Seventy-two cases were randomly divided into the treatment group and the control group,36 cases in each group.The two groups were treated with routine western medicine,and the treatment group were treated with Baoling Decoction in addition.Results:The total effective rate of clinical symptoms in the treatment group was higher than that in the control group(P<0.05).The total effective rate of TCM syndromes in the treatment group was higher than that in the control group(P<0.05).The scores of TCM syndromes in both groups decreased after treatment and those in the treatment group were lower than the control group(P<0.05).The fasting blood glucose and 2 h postprandial blood glucose in the two groups decreased after treatment,and those in the treatment group were lower than the control group(P<0.05).Conclusion:Baoling Decoction coyld improve the curative effect in adjuvant treatment of type 2 diabetes mellitus complicated with pulmonary infection with Qi asthenia and Yang deficiency syndrome.