中医药干预对痰湿体质老年糖尿病患者的临床治疗效果研究  

Study on clinical effect of traditional Chinese medicine intervention on elderly patients with diabetes of phlegm and dampness constitution

作　　者：吴凤鸣 萧韵雅 谢丽琴 WU Feng-ming;XIAO Yun-ya;XIE Li-qin(Beijiao Community Health Service Center of Shunde District,Foshan 528300,China)

机构地区：[1]佛山市顺德区北滘社区卫生服务中心,528300 [2]广东省工伤康复医院,510440 [3]广州医科大学附属中医医院,510130

出　　处：《中国现代药物应用》2021年第16期197-199,共3页Chinese Journal of Modern Drug Application

摘　　要：目的探讨痰湿体质老年糖尿病患者采用中医药干预的临床治疗效果。方法60例痰湿体质糖尿病患者,依据治疗方法不同分为中医药干预治疗方法组和饮食运动干预治疗方法组,每组30例。饮食运动干预治疗方法组给予患者饮食运动干预治疗,中医药干预治疗方法组对患者应用中药复方制剂。随访3个月,比较两组患者治疗前后体质量指数、血糖指标(糖化血红蛋白、空腹血糖)以及临床疗效、不良反应发生情况。结果治疗后,中医药干预治疗方法组患者体质量指数(23.0±1.5)kg/m^(2)、糖化血红蛋白(6.3±1.1)%、空腹血糖(5.2±1.4)mmol/L均低于饮食运动干预治疗方法组的(26.3±1.1)kg/m^(2)、(7.0±1.3)%、(6.6±1.3)mmol/L,差异均具有统计学意义(P<0.05)。中医药干预治疗方法组治疗总有效率93.3%(28/30)高于饮食运动干预治疗方法组的83.3%(22/30),不良反应发生率16.7%(5/30)低于饮食运动干预治疗方法组的40.0%(12/30),差异均具有统计学意义(P<0.05)。结论痰湿体质老年糖尿病患者中医药干预治疗方法的临床治疗效果好。Objective To discuss the clinical effect of traditional Chinese medicine intervention on elderly patients with diabetes of phlegm and dampness constitution.Methods A total of 60 elderly patients with diabetes of phlegm and dampness constitution were divided into traditional Chinese medicine intervention group and diet and exercise intervention group according to different intervention methods,with 30 cases in each group.The diet and exercise intervention group received diet and exercise intervention,and the traditional Chinese medicine intervention group received traditional Chinese medicine intervention.After 3 months of followup,the body mass index and blood glucose indicators(glycated hemoglobin,fasting blood glucose)before and after treatment,clinical efficacy and occurrence of adverse reactions were compared between the two groups.Results After treatment,the body mass index,glycated hemoglobin and fasting blood glucose of traditional Chinese medicine intervention group were(23.0±1.5)kg/m^(2),(6.3±1.1)%and(5.2±1.4)mmol/L,which were all lower than(26.3±1.1)kg/m^(2),(7.0±1.3)%and(6.6±1.3)mmol/L of diet and exercise intervention group,and the difference was statistically significant(P<0.05).The total effective rate 93.3%(28/30)of traditional Chinese medicine intervention group was higher than 83.3%(22/30)of diet and exercise intervention group,and theincidence of adverse reactions 16.7%(5/30)was lower than 40.0%(12/30)of diet and exercise intervention group.All the difference was statistically significant(P<0.05).Conclusion Traditional Chinese medicine intervention has better clinical effect on elderly patients with diabetes of phlegm and dampness constitution.

关 键 词：痰湿体质 糖尿病 饮食运动干预治疗方法 中医药干预 

分 类 号：R259[医药卫生—中西医结合]