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清热祛浊方联合二甲双胍治疗2型糖尿病疗效分析

赵红敏 李华君 李兰 孔五宝 牛跃龙 陈伟 王晓蕴 代亚芳 王子龙 冯娜娜

长春中医药大学学报2024,Vol.40Issue(7):751-755,5.
长春中医药大学学报2024,Vol.40Issue(7):751-755,5.DOI:10.13463/j.cnki.cczyy.2024.07.010

清热祛浊方联合二甲双胍治疗2型糖尿病疗效分析

Analysis of therapeutic effect of Qingre Quzhuo Decoction combined with metformin in the treatment of diabetes mellitus type 2

赵红敏 1李华君 1李兰 2孔五宝 1牛跃龙 1陈伟 1王晓蕴 1代亚芳 1王子龙 1冯娜娜1

作者信息

  • 1. 河北省沧州中西医结合医院内分泌二科,河北沧州 061000
  • 2. 河北省沧州中西医结合医院中医保健科,河北沧州 061000
  • 折叠

摘要

Abstract

Objective To explore the effect of Qingre Quzhuo Decoction combined with metformin in the treatment of diabetes mellitus type 2 of phlegm-damp and static blood and heat type,and its effect on inflammatory factors.Methods 130 patients with diabetes mellitus type 2 of phlegm-damp and static blood and heat type admitted to Cangzhou Hospital of Integrated Traditional Chinese and Western Medicine of Hebei Province from January 2020 to January 2021 were selected and randomly divided into the experiment group and the control group,with 65 cases in each goup.The control group was treated with metformin hydrochloride,and the experiment group was treated with self-made Qingre Quzhuo Decoction on the basis of the treatment of Western medicine.Both groups were treated for 3 months.The clinical efficacy,the scores of traditional Chinese medicine syndromes,the levels of fasting blood glucose(FPG),2-hour postprandial blood glucose(2hPG),glycosylated hemoglobin(HbAlc)and hypersensitive C-reactive protein(hs-CRP),interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),and insulin resistance(IR)of two groups were compared.Results After treatment,the total effective rate of the experiment group was 93.85%,while that of the control group was 81.54%,and the experiment group was higher than the control group(P<0.05).The traditional Chinese medicine syndrome scores,and the levels of FPG,2hPG,HbAlc,hs-CRP,IL-6,TNF-α,and IR of two groups decreased(P<0.05),and the experiment group was lower than the control group(P<0.05).Conclusion Qingre Quzhuo Decoction combined with metformin in the treatment of diabetes mellitus type 2 of phlegm-damp and static blood and heat type can improve the clinical efficacy,reduce blood sugar levels and inflammatory reaction.This therapy is worth promoting.

关键词

2型糖尿病/清热祛浊方/炎性反应/胰岛素抵抗

Key words

diabetes mellitus type 2/Qingre Quzhuo Decoction/inflammatory reaction/insulin resistance

分类

医药卫生

引用本文复制引用

赵红敏,李华君,李兰,孔五宝,牛跃龙,陈伟,王晓蕴,代亚芳,王子龙,冯娜娜..清热祛浊方联合二甲双胍治疗2型糖尿病疗效分析[J].长春中医药大学学报,2024,40(7):751-755,5.

基金项目

河北省中医药管理局(2020476) (2020476)

长春中医药大学学报

OACSTPCD

2095-6258

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