“调理脾胃”针法结合枸橼酸莫沙必利分散片治疗糖尿病胃轻瘫的临床疗效  

Clinical efficacy of"regulating spleen and stomach"acupuncture combined with mosapride citrate dispersive tablets in the treatment of diabetic gastroparesis

作　　者：吴佳美 WU Jiamei(Department of Internal Medicine,the Fifth People's Hospital of Jiangyin,Wuxi,Jiangsu,214415,China)

机构地区：[1]江阴市第五人民医院内科,江苏无锡214415

出　　处：《当代医学》2023年第35期63-66,共4页Contemporary Medicine

摘　　要：目的探讨“调理脾胃”针法结合枸缘酸莫沙必利分散片治疗糖尿病胃轻瘫(DGP)患者的临床疗效。方法选取2020年12月至2022年1月江阴市第五人民医院收治的84例DGP患者作为研究对象,采用信封法分为研究组与对照组,每组42例。对照组给予枸橼酸莫沙必利分散片治疗,研究组在对照组的基础上给予“调理脾胃”针法治疗。比较两组临床疗效和治疗前后中医症状、血糖水平、胃排空时间、胃半排空时间及不良反应发生情况。结果研究组治疗总有效率为88.10%,高于对照组的69.05%,差异有统计学意义(P<0.05)。治疗后,两组中医症状积分低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05)。治疗后,两组空腹血糖(FBG)、餐后2h血糖(2hPG)、糖化血红蛋白(HbA_(1)c)水平均低于治疗前,且研究组低于对照组,差异有统计学意义(P<0.05)。治疗后,两组胃排空时间及胃半排空时间均短于治疗前,且研究组短于对照组,差异有统计学意义(P<0.05)。两组不良反应发生率比较差异无统计学意义。结论“调理脾胃”针法结合枸缘酸莫沙必利分散片治疗能改善患者症状,提高治疗效果,血糖控制效果显著,能明显提升胃排空能力,且较为安全。Objective To investigate the clinical efficacy of"regulating spleen and stomach"acupuncture combined with mosapride citrate dispersive tablet in the treatment of paitents with diabetic gastroparesis(DGP).Methods A total of 84 patients with DGP admitted to the Fifth People's Hospital of Jiangyin from December 2020 to January 2022 were selected as the research subjects and divided into the study group and the control group by envelope method,with 42 cases in each group.The control group was treated with moxabide citrate dispersive tablets,and the study group was treated with"regulating spleen and stomach"acupuncture.The clinical efficacy,and Traditional Chinese Medicine(TCM)symptoms,blood glucose level,gastric empting time,gastric half-empting time before and after treatment,and adverse reactions were compared between the two groups.Results The total effective rate in the study group was 88.10%,which was higher than 69.05%in the control group,and the difference was statistically significant(P<0.05).After treatment,the TCM symptom score of the two groups was lower than before treatment,and the study group was lower than the control group,the difference was statistically significant(P<0.05).After treatment,the levels of fasting blood glucose(FBG),2 h postprandial blood glucose(2 h PG)and glycosylated hemoglobin(HbA_(1)c)of the two groups were lower than before treatment,and the study group was lower than the control group,and the differences were statistically significant(P<0.05).After treatment,gastric emptying time and gastric semi-emptying time of the two groups were shorter than before treatment,and the study group was shorter than the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups.Conclusion"Regulating spleen and stomach"acupuncture combined with western medicine treatment can improve the symptoms of patients,improve the therapeutic effect,blood sugar control effect is significant,can signif

关 键 词：“调理脾胃”针法 糖尿病胃轻瘫 枸橼酸莫沙必利分散片 临床疗效 

分 类 号：R587.2[医药卫生—内分泌]