From a perspective of Chinese medicine(CM), persons with unregulated "unhealthy" body constitution(BC) will further develop chronic diseases, such as diabetes mellitus(DM). Conventional dietary therapy with ...From a perspective of Chinese medicine(CM), persons with unregulated "unhealthy" body constitution(BC) will further develop chronic diseases, such as diabetes mellitus(DM). Conventional dietary therapy with nutrition component has its limitations in the regulation of "unhealthy" BC. However, empirical evidence supports that "unhealthy" BC can be regulated with food natures and fl avors from a perspective of CM. Presentations of "unhealthy" BC types, such as Yin-deficiency, Yang-deficiency and Yin-Yang deficiency were found in persons with DM. It would be necessary to regulate the "unhealthy" BC presentations with integration of conventional dietary therapy and Chinese food therapy. The ultimate goal is to either stabilize glycaemic control or prevent the development of other chronic diseases leading to reduction of disease burden, such as disease-related poor quality of life, stress of healthcare professionals and the rising of healthcare cost.展开更多
目的:研究中药消酮汤治疗脾虚津亏型糖尿病酮症酸中毒(DKA)的临床效果。方法:采用回顾性研究,选取2020年2月—2021年10月天津中医药大学附属武清区中医医院内分泌科住院部的DKA患者,收集患者病历资料,根据是否服用中药消酮汤分为对照组...目的:研究中药消酮汤治疗脾虚津亏型糖尿病酮症酸中毒(DKA)的临床效果。方法:采用回顾性研究,选取2020年2月—2021年10月天津中医药大学附属武清区中医医院内分泌科住院部的DKA患者,收集患者病历资料,根据是否服用中药消酮汤分为对照组和治疗组。对照组采用西医常规治疗,治疗组在对照组的基础上加用消酮汤治疗,观察两组患者治疗前后的空腹血糖(FPG)、餐后2 h血糖(2 h PG)、尿酮体转阴时间及临床疗效等指标。结果:治疗组总有效率(91.3%)明显高于对照组(75.0%),差异有统计学意义(P<0.001);治疗组FPG、2 h PG均低于对照组,差异有统计学意义(P=0.015,P=0.041);治疗组治疗后FPG、2 h PG下降水平优于对照组,差异有统计学意义(P=0.022,P=0.002);治疗组尿酮体转阴时间优于对照组,差异有统计学意义(P<0.001);治疗组与对照组住院治疗时间比较,差异无统计学意义(P>0.05)。结论:消酮汤具有改善糖脂代谢的作用,有利于降低血糖及血酮,纠正脱水和电解质紊乱,对于脾虚津亏型DKA有良好的治疗效果,临床疗效显著,值得推广。展开更多
文摘From a perspective of Chinese medicine(CM), persons with unregulated "unhealthy" body constitution(BC) will further develop chronic diseases, such as diabetes mellitus(DM). Conventional dietary therapy with nutrition component has its limitations in the regulation of "unhealthy" BC. However, empirical evidence supports that "unhealthy" BC can be regulated with food natures and fl avors from a perspective of CM. Presentations of "unhealthy" BC types, such as Yin-deficiency, Yang-deficiency and Yin-Yang deficiency were found in persons with DM. It would be necessary to regulate the "unhealthy" BC presentations with integration of conventional dietary therapy and Chinese food therapy. The ultimate goal is to either stabilize glycaemic control or prevent the development of other chronic diseases leading to reduction of disease burden, such as disease-related poor quality of life, stress of healthcare professionals and the rising of healthcare cost.
文摘目的:研究中药消酮汤治疗脾虚津亏型糖尿病酮症酸中毒(DKA)的临床效果。方法:采用回顾性研究,选取2020年2月—2021年10月天津中医药大学附属武清区中医医院内分泌科住院部的DKA患者,收集患者病历资料,根据是否服用中药消酮汤分为对照组和治疗组。对照组采用西医常规治疗,治疗组在对照组的基础上加用消酮汤治疗,观察两组患者治疗前后的空腹血糖(FPG)、餐后2 h血糖(2 h PG)、尿酮体转阴时间及临床疗效等指标。结果:治疗组总有效率(91.3%)明显高于对照组(75.0%),差异有统计学意义(P<0.001);治疗组FPG、2 h PG均低于对照组,差异有统计学意义(P=0.015,P=0.041);治疗组治疗后FPG、2 h PG下降水平优于对照组,差异有统计学意义(P=0.022,P=0.002);治疗组尿酮体转阴时间优于对照组,差异有统计学意义(P<0.001);治疗组与对照组住院治疗时间比较,差异无统计学意义(P>0.05)。结论:消酮汤具有改善糖脂代谢的作用,有利于降低血糖及血酮,纠正脱水和电解质紊乱,对于脾虚津亏型DKA有良好的治疗效果,临床疗效显著,值得推广。