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目的探讨中药方剂联合胰岛素治疗对2型糖尿病患者血糖波动的影响。方法选取2015年3月至2016年3月营口市中医院收治的86例2型糖尿病患者作为研究对象,按随机数字表法分为观察组和对照组,各43例。对照组患者皮下注射胰岛素,观察组在皮下注射胰岛素基础上采用健脾化湿汤进行治疗,两组患者均治疗3个月后观察血糖控制效果及波动情况。结果治疗后,观察组患者的FPG、2h PBG、Hb Alc水平均明显低于对照组,差异均有统计学意义(均P<0.05);治疗后观察组患者8点血糖测定值均显著低于对照组,差异均有统计学意义(均P<0.05)。结论健脾化湿汤联合胰岛素治疗2型糖尿病能够有效控制患者血糖波动,改善预后。
Objective To investigate the effect of traditional Chinese medicine combined with insulin therapy on blood glucose in type 2 diabetic patients. Methods Totally 86 type 2 diabetic patients treated in Yingkou Hospital of Traditional Chinese Medicine from March 2015 to March 2016 were selected as subjects and divided into observation group and control group according to random number table method, with 43 cases in each group. The control group was subcutaneously injected with insulin. The observation group was treated with Jianpi Huashi Decoction on the basis of subcutaneous injection of insulin. The two groups of patients were observed for 3 months after treatment of blood glucose control effect and fluctuations. Results After treatment, the levels of FPG, 2h PBG and Hb Alc in the observation group were significantly lower than those in the control group (all P <0.05). After 8 weeks of treatment, the observed 8-point blood glucose level of the observation group was significantly lower than that of the control group Control group, the differences were statistically significant (P <0.05). Conclusion Jianpi Huashi Decoction combined with insulin in type 2 diabetes can effectively control the fluctuation of blood glucose and improve prognosis.