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[目的]观察降糖方联合西药治疗气阴两虚型2型糖尿病疗效。[方法]使用前瞻性设计方法,80例住院患者予降糖方(黄芪、生地黄、丹参、山茱萸各30g,山药20g,五味子、葛根各15g,黄连、苍术各10g),1剂/d,水煎200m L,早晚口服。饮食控制体重、控制血糖、血脂水平、减少用药剂量;锻炼保持肌肉紧张和身体舒适、降低血糖和血脂水平,增强药物敏感性;口服糖尿病药物,增加胰岛素释放,减少可利用葡萄糖和/或降低胰岛素抵抗;胰岛素治疗,提高胰岛素的作用并克服胰岛素抵抗;学习糖尿病知识,了解疾病危害,总结治疗经验,积极配合治疗,有效控制血糖。连续治疗30d为1疗程。观测临床症状、血糖、不良反应。连续治疗3疗程,判定疗效。[结果]临床控制33例,有效45例,无效2例,总有效率97.50%。[结论]降糖方联合西药治疗气阴两虚型2型糖尿病疗效满意,无严重不良反应,值得推广。
[Objective] To observe the therapeutic effect of hypoglycemic prescription combined with western medicine on type 2 diabetes with deficiency of both qi and yin. [Methods] A total of 80 inpatients were treated with hypoglycemic prescription (Astragalus, Radix Rehmanniae Preparata, Radix Salviae Miltiorrhizae, 30g of Fructus Corni, 20g of yam, 15g of Radix Puerariae, 15g of Radix Puerariae, Decoction 200m L, morning and evening oral. Diet control weight, blood sugar control, blood lipid levels, reduce the dosage; exercise to maintain muscle tone and body comfort, lower blood sugar and lipid levels and enhance drug sensitivity; oral diabetes drugs, increase insulin release, reduce available glucose and / or reduce insulin Resistance; Insulin treatment, improve the role of insulin and overcome insulin resistance; learn diabetes knowledge, understand the hazards of the disease, summarize the treatment experience, and actively cooperate with the treatment, effective control of blood sugar. Continuous treatment of 30d for a course of treatment. Observed clinical symptoms, blood sugar, adverse reactions. Continuous treatment of 3 courses to determine the efficacy. [Results] The clinical control in 33 cases, effective in 45 cases, 2 cases, the total effective rate was 97.50%. [Conclusion] Hypoglycemic prescription combined with Western medicine in treating type 2 diabetes with deficiency of both qi and yin deficiency has satisfactory curative effect and no serious adverse reactions, which deserves promotion.