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《益氣健脾和胃法治療糖尿病性胃輕癱的臨床研究》由會員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫。
1、提要目的：觀察益氣健脾和胃法治療糖尿病性胃輕癱的有效性及安全性，及相對西藥嗎丁啉的優(yōu)勢，為臨床提供依據(jù)。方法：按照糖尿病性胃輕癱的診斷標(biāo)準(zhǔn)，依據(jù)納入標(biāo)準(zhǔn)和排除標(biāo)準(zhǔn)選擇60例糖尿病性胃輕癱的患者，隨機(jī)分為研究組、對照組，每組各30例。兩組患者均予糖尿病教育、合理飲食及運(yùn)動、口服降糖藥或胰島素降糖治療，將血糖控制在較好水平，不使用其它促胃動力藥物。研究組予補(bǔ)中益氣湯加減治療，對照組予嗎丁啉5mg，每日3次，餐前30分鐘口服，療程均為3周。通過對臨床癥狀、血糖等觀察指標(biāo)，根據(jù)癥狀評分作為療效評價指標(biāo)，進(jìn)行數(shù)據(jù)統(tǒng)計(jì)分析，比較兩組的療
2、效。結(jié)果：經(jīng)臨床觀察，對照組與研究組在改善糖尿病性胃輕癱臨床癥狀上均有療效，研究組療效明顯優(yōu)于對照組。研究組中藥治療控制血糖療效優(yōu)于對照組。結(jié)論：補(bǔ)中益氣湯加減治療糖尿病性胃輕癱在控制血糖、改善胃輕癱臨床癥狀方面優(yōu)于嗎丁啉，明顯改善了患者臨床癥狀。說明益氣健脾和胃法對于糖尿病性胃輕癱的治療有良好的效果。關(guān)鍵詞糖尿病性胃輕癱；益氣健脾和胃法；補(bǔ)中益氣湯加減；臨床研究ClinicalResearchonSupplementingQitoReinforceSpleenandStomachTreatmentofDiabeticGas
3、troparesisSpeciality:InternalmedicineofTCMAuthor:WangYingTutor:ProfessorZhaoQuanlinAbstractObjective:ToobserveeffectivenessandsafetyofsupplementingQitoreinforcespleenandstomachtreatmentofdiabeticgastroparesis.Todiscussitsrelativeadvantagescomparingwithdomperidonein
4、ordertoprovidethebasisforclinicalpractice.Methods:Accordingtothediagnosticcriteriaofdiabeticgastroparesis,selectthepatientswithdiabeticgastroparesis.Basedoninclusionandexclusioncriteriatochoosethe60casesofqualifiedpatients.60casesofdiabeticgastroparesispatientswere
5、randomlydividedintotreatmentgroupof30patients,30casesofthecontrolgroup.Bothgroupsmaintaintheoriginaldietcontrol,exerciseandglucose-loweringtreatment.ThetreatmentgrouptoBuZhongYiQisoup,thecontrolgrouptodomperidone5mg,threetimesaday,threeweekscourseoftreatment.Throug
6、hobserveingthebloodglucoseandtheclinicalsymptoms,usingapplicationalsoftwareSPSS19.0totherelevanceofthedatastatisticanalysisandgetasummaryoftherelevancebetweentreatmentgroupandcontrolgroup.Results:Throughclinicalobservationandcomparisonbetweenthetreatmentgroupandthe
7、controlone,bothgroupshascurativeeffectondecreasingthebloodglucoseandimprovingsymptomsofdiabeticgastroparesis,butthetreatmentgroupwasbetterthanthecontrolone.Conclusions:BuZhongYiQisouphasobviousadvantagesindecreasingbloodglucoseandimprovingclinicalsymptomsofdiabetic
8、gastroparesispatients.TheresultsshowthatthesupplementingQitoreinforcespleenandstomachtreatmentofmedicinehasobviousadvantagesinpatientswithdiabeti
