轻断食联合温阳健脾法治疗虚证超重/肥胖2型糖尿病患者的效果观察  

Effect observation of fasting diet combined with yang-warming and spleen-strengthening method in the treatment of overweight/obese type 2 diabetes mellitus patients with deficiency evidence

作　　者：梁嘉朗 肖静 潘伟钰 罗理云 彭良岳 LIANG Jialang;XIAO Jing;PAN Weiyu;LUO Liyun;PENG Liangyue(Guangdong Hospital of Integrated Traditional Chinese and Western Medicine,Foshan 528200,China)

机构地区：[1]广东省中西医结合医院,广东佛山528200

出　　处：《华夏医学》2023年第2期103-107,共5页Acta Medicinae Sinica

基　　金：佛山市卫生健康局医学科研课题(20210256)。

摘　　要：目的:观察轻断食联合温阳健脾法治疗超重/肥胖2型糖尿病(T2DM)患者的效果。方法:选取90例超重/肥胖T2DM患者,按照随机数字表法分成3组,对照组进行常规治疗,断食组给予常规治疗+轻断食,中药断食组联合温阳健脾法;比较体质量指数(BMI)、腰臀比、空腹C肽(C-P)以及空腹血糖(FBG)、糖化血红蛋白(HbAlc)、甘油三酯(TG)、总胆固醇(TC)等糖脂代谢值。结果:治疗3个月后,中药断食组BMI、腰臀比更低,FBG、HbAlc、TG、TC水平比另外两组低,C-P水平比另外两组高,组间比较差异均有统计学意义(P<0.05);3组不良反应发生率比较无统计学差异(P>0.05)。结论:轻断食联合温阳健脾法可改善超重/肥胖T2DM患者糖脂代谢、胰岛素功能,利于减轻体重,稳定血糖。Objective:To observe the effect of fasting diet combined with yang-warming and spleenstrengthening method in the treatment of patients with overweight/obese type 2 diabetes mellitus(T2DM).Methods:90 patients with overweight/obese T2DM were selected and divided into 3 groups according to the random number table method,the control group was treated with conventional treatment,the fasting group was given conventional treatment with fasting diet,and the Chinese medicine fasting group was combined with yang-warming and spleen-strengthening method;body mass index(BMI),waist-to-hip ratio,fasting C-peptide(C-P),glucose and lipid metabolism,such as fasting blood glucose(FBG),hemoglobin A1c(HbA1c),triglyceride(TG),total cholesterol(TC),and so on,were compared.Results:After 3 months of treatment,compared with the other two groups,the BMI,waist-to-hip ratio,FBG,HbAlc,TG and TC levels were lower in the Chinese medicine fasting group,while C-P was higher,with a statistically significant difference(P<0.05).There was no significant difference in the ratio of adverse reactions among the three groups(P>0.05).Conclusion:Fasting diet combined with yang-warming and spleen-strengthening method can improve glucose and lipid metabolism and insulin function in overweight/obese T2DM patients,which is conducive to weight reduction and blood glucose stabilization.

关 键 词：轻断食 温阳健脾法 2型糖尿病 超重 肥胖 糖脂代谢 

分 类 号：R259[医药卫生—中西医结合]