运脾活血法对2型糖尿病血脂异常的临床研究  

A Clinical Trial on the Influence of Spleen-strengthening and Blood-activating Treatment on Lipid Disorder of Diabetic Millitus Type 2 Patients

作　　者：张彤[1] 盖云[1] 杨晓萍[1] 邵国强[2] 

机构地区：[1]上海市第七人民医院,上海200137 [2]上海市华东医院,上海200040

出　　处：《辽宁中医杂志》2009年第3期399-400,共2页Liaoning Journal of Traditional Chinese Medicine

基　　金：上海市浦东新区社会发展局资助项目(pw2004A-10)

摘　　要：目的:探讨运脾活血法对2型糖尿病血脂异常患者在调脂方面的作用。方法:56例中医证属脾气亏虚、瘀血阻滞的2型糖尿病血脂异常患者随机分为治疗组(运脾活血法组)30例和对照组(二甲双胍片组)26例,疗程3个月。结果:两组治疗前后FPG、HbA1C、BMI、TC、TG、HDL-C均有显著差异(P<0.05),治疗组经治疗后的TG、HDL-C与对照组比较,差异有统计学意义(P<0.05)。Objective：To study the influence of spleen -strengthening and blood-activating method in balancing the blood sugar and lipid of type 2 diabetic millitus （T2- DM） patients. Methods：56T2 -DM patients with lipid disorder were differentiated as spleen qi deficiency, blood stagnation type in TCM, and then divided into two groups （i. e. the group under TCM treatment and the group to be compared） randomly. All the patients were treated with basic treatment： low lipid diabetic diet and exercise;Glipizide tablet 5 -20mg po. daily. For the group under TCM treatment,the spleen-strengthening and blood-activating recipe was applied to the 30 patients. Each patient was given one recipe per day,which would be decocted and used twice,i, c. in the morning and evening respectively. For the group to be compared, the 26 patients were treated with Glipizide XL, 0. 5g TID, used after meal. Observation period for both groups is three months. Results：FPG,HbA1C,BMI,TC,TG and HDL - C values showed noted difference （ P 〈 0. 05） before and after treatment for both groups. Particularly, the difference （P 〈 0. 05） in TG and HDL - C values measured on the patients from the two groups after treatment was statistically significant. Conclusion：Spleen-strengthening and blood-activating therapy is helpful in decreasing the blood lipid of T2 - DM patients ,demonstrating the cooperated function and unique advantage of TCMin treating this disease.

关 键 词：2型糖尿病 血脂异常 中医药疗法 运脾活血 

分 类 号：R587.2[医药卫生—内分泌]