针刺联合健脾疏肝方治疗糖尿病胃轻瘫（肝郁脾虚证）的临床研究

发布时间：2018-10-08 17:57

【摘要】：目的:完全体现了中医药治疗的特色,通过对针刺联合健脾疏肝方治疗糖尿病胃轻瘫(肝郁脾虚证)的临床治疗效果及安全性进行评价,为针刺联合中药治疗糖尿病胃轻瘫的临床推广提供了可行性依据。方法:在吉林省中医院内分泌科疗区及门诊内符合糖尿病胃轻瘫诊断标准的患者中,筛选出符合本试验纳入标准的患者60例,将其随机分为对照组(30例)和治疗组(30例)。在基础降血糖治疗的基础上,治疗组给予针刺联合中药口服进行治疗,对照组则给予多潘立酮片口服治疗,1疗程(4周)后观察治疗效果。分别监测全部受试者治疗前后的中医临床症状、相关理化检查改善情况,记录并统计、评价。结果:经过临床观察发现,经过1疗程的治疗两组患者的胃排空率、中医临床症状等均较治疗前改善(P0.05)。其中,治疗组患者胃排空率及临床证候表现等方面效果更为显著(P0.01)。临床总有效率分别是,治疗组86.67%,对照组63.33%。提示针刺与中药联合治疗DGP在临床上有着显著疗效。结论:针刺联合健脾疏肝方治疗糖尿病胃轻瘫(肝郁脾虚证)效果确切,无明显不良反应。说明针药联合疗法可以有效缩短患者胃排空时间、明显缓解患者临床症状,值得深入研究及推广使用。
[Abstract]:Objective: to evaluate the clinical efficacy and safety of acupuncture combined with Jianpi Shugan recipe in the treatment of diabetic gastroparesis (liver stagnation and spleen deficiency syndrome). It provides a feasible basis for the clinical application of acupuncture combined with traditional Chinese medicine in the treatment of diabetic gastroparesis. Methods: 60 patients who met the diagnostic criteria of diabetic gastroparesis were selected and randomly divided into control group (n = 30) and treatment group (n = 30). On the basis of the basic hypoglycemic therapy, the treatment group was treated with acupuncture combined with traditional Chinese medicine orally, while the control group was treated with domperidone tablets for a course of 4 weeks. The clinical symptoms of traditional Chinese medicine (TCM) were monitored before and after treatment, and the improvement of physical and chemical examination were recorded, recorded and evaluated. Results: after one course of treatment, the gastric emptying rate and clinical symptoms of the two groups were improved compared with those before treatment (P0.05). In the treatment group, the gastric emptying rate and clinical symptoms were more significant (P0.01). The total clinical effective rates were 86.67 in the treatment group and 63.33 in the control group. The results suggest that acupuncture combined with traditional Chinese medicine is effective in the treatment of DGP. Conclusion: acupuncture combined with Jianpi Shugan recipe is effective in the treatment of diabetic gastroparesis (liver stagnation and spleen deficiency syndrome) without obvious adverse reactions. It shows that combined acupuncture and medicine therapy can effectively shorten the time of gastric emptying and relieve the clinical symptoms of the patients, which is worthy of further study and popularization.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259

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