活血通络法治疗65例Ⅱ型糖尿病合并脂肪肝患者的临床效果  

Clinical effect of Huoxue Tongluo method in the treatment of 65 cases of type Ⅱdiabetes mellitus with fatty liver

作　　者：李超 李晓燕[2] LI Chao;LI Xiao-yan(the Hospital of Dali County,Weinan 715100;Shaanxi Provincial People＇s Hospital,Xi＇an 710068,China)

机构地区：[1]大荔县医院,陕西渭南715100 [2]陕西省人民医院,陕西西安710068

出　　处：《临床医学研究与实践》2018年第34期139-141,共3页Clinical Research and Practice

摘　　要：目的探析活血通络法治疗65例Ⅱ型糖尿病合并脂肪肝的临床效果。方法选取2016年12月至2017年11月我院收治的65例Ⅱ型糖尿病合并脂肪肝患者,根据数字分组法将患者分为对照组(32例,采用当飞利肝宁治疗)与观察组(33例,采用活血通络法治疗)。对两组患者治疗效果进行评估,并观察两组患者治疗前、后血糖与血脂的变化情况。结果治疗后,观察组治疗总有效率为96.97%,显著高于对照组的68.75%,差异有统计学意义(P<0.05)。治疗后,两组患者空腹血糖(FPG)与餐后2 h血糖(2 h PG)水平均降低,且观察组患者FPG与2 h PG水平显著低于对照组,差异有显著统计学意义(P<0.05);两组患者总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白胆固醇(HDL-C)与低密度脂蛋白胆固醇(LDL-C)水平均改善,且观察组患者TG、HDL-C与LDL-C水平优于对照组,差异有显著统计学意义(P<0.05),但两组患者TC水平比较,差异无统计学意义(P>0.05)。结论在Ⅱ型糖尿病合并脂肪肝患者治疗中,应用活血通络法可改善患者血糖与血脂水平,值得临床推广应用。Objective To explore the clinical effect of Huoxue Tongluo method in the treatment of 65 cases of type Ⅱdiabetes mellitus with fatty liver. Method A total of 65 patients with type Ⅱ diabetes mellitus complicated with fatty liveradmitted in our hospital from December 2016 to November 2017 were selected, according to the digital grouping method,the patients were divided into control group （32 cases, Dangfei Liganning treatment） and observation group （33 cases,Huoxue Tongluo method treatment）. The therapeutic effects of the two groups were evaluated, and the changes of bloodglucose and blood lipid before and after treatment were observed. Results After treatment, the total treatment effective rateof the observation group was 96.97%, which was significantly better than 68.75% of the control group, the difference wasstatistically significant （P〈0.05）. After treatment, the levels of fasting plasma glucose （FPG） and2 h postprandial bloodglucose （2 h PG） in the observation group were significant lower than those in the control group, the differences werestatistically significant（P〈0.05）. The levels of total cholesterol （TC）, triglyceride （TG）, high density lipoprotein cholesterol（HDL-C） and low density lipoprotein cholesterol （LDL-C） improved in both groups, and the levels of TG, HDL-C andLDL-C in the observation group were better than those in the control group, the differences were statistically significant （P〈0.05）; but there was no significant difference between the two groups in the levels of TC （P〉0.05）. Conclusion In thetreatment of patients with type Ⅱ diabetes mellitus complicated with fatty liver, the method of Huoxue Tongluo canimprove the levels blood glucose and blood lipid, which is worthy of clinical application.

关 键 词：活血通络法 Ⅱ型糖尿病 脂肪肝 

分 类 号：R259[医药卫生—中西医结合]