清瘀化痰饮配合西药治疗小儿代谢综合征的疗效及对体质量指数的影响

发布时间：2018-03-16 14:53

本文选题：清热化痰　切入点：小儿代谢综合征　出处：《中华中医药学刊》2017年10期 　论文类型：期刊论文

【摘要】：目的:探索清热化痰饮配合西药治疗小儿代谢综合征(MS)的临床疗效及对患儿体质量指数(BMI)的影响。方法:选择2014年1月—2015年12月期间于医院检查确诊并接受治疗的90例代谢综合征患儿纳入临床研究,根据其入院时间进行编号,其中被编为单号者45例为对照组,采取常规西药治疗,编为双号者45例为观察组,在西药治疗基础上配合清瘀化痰饮,分析临床治疗效果并进行差异分析。结果:观察组患者治疗后腰围(85.23±1.67)cm、BMI(24.10±1.54)均较其治疗前和对照组明显减少,各项差异有统计学意义(P0.05)。观察组患者治疗后FBG(7.30±0.76)mmol/L、PBG(8.43±0.76)mmol/L、SBP(120.25±5.56)mm Hg、DBP(75.85±4.01)mm Hg,均较其治疗前和对照组有明显减少,各项差异均有统计学意义(P0.05)。观察组患者治疗后TC(4.48±0.55)mmol/L、TG(1.78±0.27)mmol/L、LDL(2.80±0.33)mmol/L,均较其治疗前和对照组有明显减少,各项差异均有统计学意义(P0.05)。结论:清热化痰饮配合西药治疗小儿代谢综合征能调节其糖脂代谢紊乱,且在控制血压,减轻体质量方面效果显著,可作为临床治疗的首选方案。
[Abstract]:Objective: to explore the clinical effect of Qingre Huatan decoction combined with western medicine in the treatment of metabolic syndrome in children (MSM) and its effect on the body mass index (BMI) of children. Methods: from January 2014 to December 2015, the patients were diagnosed and treated in hospital. 90 children with metabolic syndrome were included in the clinical study. According to the time of admission, 45 cases were classified as single number as control group, 45 cases were treated with routine western medicine, 45 cases as observation group, and combined with Qingyu Huatan decoction on the basis of western medicine treatment. Results: after treatment, the waist circumference of the patients in the observation group was significantly lower than that before treatment and in the control group. The difference was statistically significant (P 0.05). After treatment, the FBG(7.30 卤0.76 mmol / L PBGG in the observation group was 8.43 卤0.76 mmol-L / L, respectively, which was significantly lower than that before treatment and in the control group (P < 0.05). The LDL2.80 卤0.33 mmol / L of LDL2.80 卤0.33 mmol / L in the observation group was significantly lower than that in the control group and the treatment group, and there was no significant difference between the treatment group and the control group in terms of TC(4.48 卤0.55 mmol / L ~ (-1) T ~ (-1), which was significantly lower than that before and in the control group (P < 0.05), and the difference between the two groups was significant (P < 0.05), which was significantly lower than that in the control group (P < 0.05), and was significantly lower than that in the control group (P < 0.05), and the difference was statistically significant (P < 0.05), and the difference was significant (P < 0.05). Conclusion: Qingre Huatan decoction combined with western medicine can regulate the disorder of glucose and lipid metabolism in children with metabolic syndrome, and has remarkable effect in controlling blood pressure and reducing body mass, so it can be used as the first choice in clinical treatment.
【作者单位】：保定市第一医院儿科;
【分类号】：R725.8

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