论文部分内容阅读
目的:观察中西医结合治疗糖尿病胃轻瘫的临床疗效。方法:将符合标准的84例患者随机分为2组。对照组40例,根据病情选择降糖药或胰岛素,同时服用西沙必利片,连续治疗4周;治疗组44例,在对照组治疗的基础上,予以健胃复瘫汤治疗,连续治疗4周。治疗前及治疗后分别进行胃排空时间、空腹血糖和糖化血红蛋白、临床疗效评价。结果:总有效率治疗组97.7%,对照组85.0%,2组临床疗效比较,差异有显著性意义(P<0.05)。治疗组治疗后胃排空时间较治疗前显著降低(P<0.01),且2组治疗后胃排空时间比较,差异有显著性意义(P<0.05)。2组治疗后空腹血糖和糖化血红蛋白水平均较治疗前降低(P<0.01);2组治疗后空腹血糖和糖化血红蛋白水平比较,差异均有显著性意义(P<0.05)。结论:中西医结合治疗糖尿病胃轻瘫临床疗效好,可有效改善患者的症状,提高患者的生活质量。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine in the treatment of diabetic gastroparesis. Methods: 84 patients who met the standard were randomly divided into two groups. Control group of 40 patients, according to the disease to choose hypoglycemic agents or insulin, while taking cisapride tablets, continuous treatment for 4 weeks; 44 cases of treatment group, on the basis of the control group, the treatment of Jianweifu paralysis, continuous treatment 4 week. Before treatment and after treatment, respectively, gastric emptying time, fasting blood glucose and glycosylated hemoglobin, clinical evaluation. Results: The total effective rate was 97.7% in the treatment group and 85.0% in the control group. There was significant difference between the two groups in clinical efficacy (P <0.05). After treatment, the gastric emptying time in the treatment group was significantly lower than that before treatment (P <0.01), and the gastric emptying time after treatment in the two groups was significantly different (P <0.05). The levels of fasting blood glucose and glycosylated hemoglobin in both groups were significantly lower than those before treatment (P <0.01). There was significant difference in fasting blood glucose and glycosylated hemoglobin level between the two groups after treatment (P <0.05). Conclusion: The combination of TCM and Western medicine has good clinical efficacy in treating diabetic gastroparesis, which can effectively improve the symptoms of patients and improve the quality of life of patients.