应用浊毒理论治疗2型糖尿病合并急性脑梗死临床观察  

Clinical Observation on Toxic Theory in Treatment of Type 2 Diabetes Mellitus Patients with Acute Cerebral Infarction

作　　者：关婕婷[1] 刘宝珍[1] 李莲英[1] 呼永河[2] 张亮[1] 王建[1] 周东海[1] 

机构地区：[1]北京市怀柔区中医医院,北京101400 [2]解放军第452医院,四川成都610021

出　　处：《辽宁中医杂志》2014年第7期1448-1450,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：北京市中医管理局科研项目(JJ2011-49);北京市怀柔区优秀人才培养专项经费资助

摘　　要：目的:观察应用浊毒理论治疗2型糖尿病合并急性脑梗死的临床疗效。方法:将108例患者随机分为治疗组与对照组,对照组55例常规内科治疗;治疗组53例在对照组基础上应用浊毒理论给予口服中药煎剂,14 d后观察疗效。结果:治疗组与对照组总有效率分别为86.79%和74.54%,有显著性差异(P<0.05);治疗组在神经功能缺损情况,出院时评定病残程度,改善中医证候及血脂、纤维蛋白原、D二聚体等指标与对照组比较,均有显著性差异(P<0.05,P<0.01)。结论:应用浊毒理论治疗2型糖尿病合并急性脑梗死具有较好的临床疗效。Objective：To observe the toxic theory in the treatment of type 2 diabetes patients with acute cerebral infarction. Methods：lOS patients were randomly divided into treatment group and control group. The control group （55 cases） was treated with conventional medical treatment and the treatment group （53 cases） added Chinese medicine decoction based on toxic theory for 14 days. The effect was observed. Results ：The total effective rate in the treatment group was 86.79% and the control group＇s was 74.54% and there was a significant difference （P 〈 0.05 ）. The treatment group% neurological deficit situation, assessment of the degree of disability at discharge, TCM symptoms and blood lipids improvement, fibrin original, D - dimer and other indicators had significant differences compared with those of the control group （ P 〈 0. 05, P 〈 0.01 ）. Conclusion ： The toxic theory in the treatment of type 2 diabetes mellitus patients with acute cerebral infarction has good clinical efficacy.

关 键 词：2型糖尿病 急性脑梗死 浊毒理论 化浊解毒 

分 类 号：R587.1[医药卫生—内分泌]