中西医结合治疗2型糖尿病临床研究(1)
[摘要] 目的 对中西医结合在2型糖尿病治疗中的临床运用效果进行探讨。方法 选取该院2014年3月—2015年3月所收治的84例2型糖尿病患者作为研究的对象，按随机数字表法均分为两组，实验组与对照组，每组各42例，前者予以中西医结合(二甲双胍片+降糖1号)治疗，后者予以单纯西医(二甲双胍片)治疗，且对2组患者的临床治疗效果进行观察与比较。 结果 经治疗后，两组患者治疗后的FBG、2hPG、HbA1c指标均优于该组治疗前，差异具有统计学意义(P<0.05);观察组患者治疗后的FBG、2hPG、HbA1c指标均低于对照组患者，差异有统计学意义(P<0.05)。观察组患者治疗后的有效率(95.2%)比对照组患者(81.0%)高，存在显著性的差异有统计学意义(P<0.05);观察组患者的不良反应发生率(7.1%)与对照组患者(16.7%)相比，明显较低，差异有统计学意义(P<0.05)。结论 对2型糖尿病患者予以中西医结合治疗，疗效显著，可有效控制血糖，且降低不良反应发生率，值得在临床上大力推行与运用。
[关键词] 2型糖尿病;二甲双胍片;降糖1号
[中图分类号] R587 [文献标识码] A [文章编号] 1672-4062(2016)01(a)-0117-03
Clinical research on the treatment of type 2 diabetes with Chinese and Western Medicine
LI Wu-zeng
Nanle county west shao township hospital，Henan nanle 457400，China
[Abstract] Objective The clinical effect of the combination of Chinese and Western medicine in the treatment of type 2 diabetes mellitus. Methods From March 2015 to March 2014， 84 patients with type 2 diabetes mellitus were randomly divided into two groups， the experimental group and the control group， 42 cases in each group. The former was treated with integrated traditional Chinese and Western Medicine (metformin tablet + 1).And then observe and compare the clinical effect of the 2 groups of patients. Results After treatment， the two groups of patients after treatment FBG， HbA1c， 2hPG index were better than this group of treatment， the difference was significant (P < 0.05); the 2hPG， HbA1c and FBG in the observation group were significantly lower than those in the control group， the difference was statistically significant (P < 0.05). The effective rate (95.2%) of the patients in the observation group was significantly higher than that in the control group (81%)， and the difference was statistically significant (P < 0.05). The incidence of adverse reactions in the observation group was significantly lower than that in the control group (16.7%)， and the difference was statistically significant (P < 0.05).Conclusion The combination of Chinese and Western medicine in the treatment of type 2 diabetes， the effect is significant， can effectively control blood sugar， and reduce the incidence of adverse reactions， it is worth to be vigorously implemented in the clinical application.
[key words] Type 2 diabetes;Dimethylbiguanide;Hypoglycemic 1
现今临床上所采取的治疗2型糖尿病的药物主要有双胍类、磺酰脲类等，但其有比较大的局限性，且极易引起各种不良反应。因此，对2型糖尿病的治疗方法进行进一步的研究，意义重大。有诸多研究表明，中医在治疗糖尿病上，具有一定的优越性。因此，笔者对该院所收治的42例2型糖尿病患者予以中西医结合治疗，获得了较好的效果，现报道如下。(李伍增)