自拟健脾益气通络方联合中医特色疗法治疗2型糖尿病的临床效果分析

Analysis of Clinical Effect of Self-developed Jianpi Yiqi Tongluo Recipe Combined with Traditional Chinese Medicine Characteristic Therapy in Treatment of Type 2 Diabetes Mellitus

目的:探讨自拟健脾益气通络方联合中医特色疗法治疗2型糖尿病的临床效果。方法:选取2022年11月—2023年9月上海市虹口区四川北路街道社区卫生服务中心收治的2型糖尿病患者80例作为研究对象,随机分为对照组和观察组,各40例。两组均采用降糖药治疗,对照组配合饮食指导、运动控制,观察组采用自拟健脾益气通络方联合中医特色疗法。比较两组血糖水平、症状改善情况、心理状况。结果:治疗后,两组空腹血糖、餐后2 h血糖、糖化血红蛋白水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗后,两组脾虚、痰湿、气虚评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗后,两组焦虑、抑郁评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论:自拟健脾益气通络方联合中医特色疗法治疗2型糖尿病的临床效果良好,可降低患者血糖水平,减轻症状以及心理负担。

Objective:To explore the clinical effect of self-developed Jianpi Yiqi Tongluo recipe combined with traditional Chinese medicine characteristic therapy in treatment of type 2 diabetes mellitus.Methods:From November 2022 to September 2023,80 patients with type 2 diabetes mellitus who were admitted to Shanghai Hongkou District North Sichuan Road Sub-district Community Health Service Center were selected as the study subjects.They were randomly divided into control group and observation group,with 40 cases in each group.Both groups were treated with hypoglycemic drugs,the control group was given dietary guidance and exercise control,and the observation group was given self-developed Jianpi Yiqi Tongluo recipe combined with traditional Chinese medicine characteristic therapy.The blood glucose level,symptom improvement and psychological status were compared between the two groups.Results:After treatment,the levels of fasting blood glucose,2 h postprandial blood glucose and glycosylated hemoglobin in the two groups were lower than those before treatment,and these levels in the observation group were lower than those in the control group,with a statistically significant difference(P<0.05).After treatment,the scores of spleen deficiency,phlegm dampness and qi deficiency in the two groups were lower than those before treatment,and the scores in the observation group were lower than those in the control group,with a statistically significant difference(P<0.05).After treatment,the scores of anxiety and depression in the two groups were lower than those before treatment,and the scores in the observation group were lower than those in the control group,with a statistically significant difference(P<0.05).Conclusion:The self-developed Jianpi Yiqi Tongluo recipe combined with traditional Chinese medicine characteristic therapy has a good clinical effect in the treatment of type 2 diabetes mellitus,and can reduce the blood glucose levels of patients,relieve symptoms and psychological burden.