益气养阴法治疗2型糖尿病心脏自主神经病变临床观察

发布时间：2018-06-22 16:52

本文选题：糖尿病心脏自主神经病 + 心率变异性　；参考：《山东中医药大学》2016年硕士论文

【摘要】：目的:观察采用益气养阴法治疗2型糖尿病心脏自主神经病变患者的临床疗效。方法:临床将经过2周导入期治疗,符合血糖条件的患者随机分为实验组和对照组,每组各30例,均通过饮食运动疗法和西药降糖等基础降糖治疗,实验组加用加减生脉散,对照组应用甲钴胺片,观察治疗60天。通过观察两组患者空腹血糖、餐后血糖、肝肾功能、心率变异性(HRV)等指标的变化,对治疗前后及两组间进行分析对比。结果:实验组有效率为86.7%,对照组有效率为70%,两组有统计学差异(P0.05),实验组与对照组患者在血常规、肝功能、血糖控制等方面无明显差异,HRV比较分析,治疗后两组频域指标和时域指标均有不同程度升高,而加用加味生脉散的实验组疗效优于单纯使用甲钴胺的对照组。结论:采用益气养阴法治疗DCAN有显著临床疗效,可提高心率变异性,改善自主神经功能。
[Abstract]:Objective: to observe the clinical effect of supplementing qi and nourishing yin in patients with type 2 diabetic cardiac autonomic neuropathy. Methods: the patients who met the condition of blood sugar were randomly divided into experimental group and control group after two weeks of induction therapy. 30 cases in each group were treated with diet and exercise therapy, western medicine and other basic hypoglycemic therapy, and the experimental group was treated with add and subtractive Shengmai powder. The control group was treated with mecobalamin tablets for 60 days. The changes of fasting blood glucose, postprandial blood glucose, liver and kidney function and heart rate variability (HRV) were observed and compared before and after treatment. Results: the effective rate was 86.7% in the experimental group and 70 in the control group. There was significant difference between the two groups (P0.05). There was no significant difference in blood routine examination, liver function, blood glucose control between the experimental group and the control group. After treatment, the frequency domain index and time domain index of the two groups were increased in different degrees, but the experimental group with Jiawei Shengmai powder was better than the control group only using mecobalamin. Conclusion: the method of supplementing qi and nourishing yin has a remarkable clinical effect on Dcan, which can improve heart rate variability and autonomic nervous function.
【学位授予单位】：山东中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259

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