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葛根芩连汤联合短期强化胰岛素治疗对2型糖尿病湿热证患者的疗效

[Effect of gegen qinlian decoction combined with short-term intensive insulin treatment on patients with type 2 diabetes mellitus of dampness-heat syndrome].

作者信息

Zeng Yi-peng, Huang Yu-sheng, Hu Yun-gang

机构信息

Department of Endocrinology, Central Hospital of Nanhui District, Shanghai University of TCM.

出版信息

Zhongguo Zhong Xi Yi Jie He Za Zhi. 2006 Jun;26(6):514-6, 520.

Abstract

OBJECTIVE

To observe the effect of Gegen Qinlian Decoction (GQD) in combination with short-term intensive insulin treatment on type 2 diabetes mellitus (T2DM) of dampness-heat syndrome and its influence on dosage of insulin used.

METHODS

The GQD group (n = 14) was treated by GQD and insulin, while the conventional group (n = 16) was given insulin intensive treatment alone.

RESULTS

In the GQD group, the treatment was markedly effective in 5 patients, effective in 6 and ineffective in 3, the total effective rate being 78.6%, much better than that in the conventional group (2, 7, 7 and 56.3% respectively, u = 2.58, P < 0.01). And it took less time for controlling blood glucose (BG) in the GQD group (4.54 +/- 0.50 days) than that in the conventional group (5.31 +/- 0.57 days, P <0.01); furthermore, by the end of the treatment course, as compared with that at the time just after BG being controlled, the daily average insulin dosage used in the GQD group reduced by 9.07 +/- 6.51 U, while it was only 4.38 +/- 5.94 U in the conventional group, showing significant difference between them (P < 0.05).

CONCLUSION

Based on short-term insulin intensive treatment, the combined using of GQD could reduce the dosage of insulin used and shows better clinical curative effect for patients with T2DM of dampness-heat syndrome.

摘要

目的

观察葛根芩连汤(GQD)联合短期强化胰岛素治疗对湿热证2型糖尿病(T2DM)的疗效及其对胰岛素用量的影响。

方法

GQD组(n = 14)采用GQD联合胰岛素治疗,常规组(n = 16)单纯给予胰岛素强化治疗。

结果

GQD组显效5例,有效6例,无效3例,总有效率为78.6%,明显优于常规组(分别为2例、7例、7例和56.3%,u = 2.58,P < 0.01)。GQD组血糖控制时间(4.54±0.50天)短于常规组(5.31±0.57天,P < 0.01);此外,治疗疗程结束时,与血糖刚控制时相比,GQD组每日平均胰岛素用量减少9.07±6.51 U,而常规组仅减少4.38±5.94 U,两组差异有统计学意义(P < 0.05)。

结论

在短期胰岛素强化治疗基础上,联合应用GQD可减少胰岛素用量,对湿热证T2DM患者显示出较好的临床疗效。

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