2型糖尿病胃輕癱脾胃虧虛證患者實施中藥治療的效果分析

楊曉南 楊桃

[摘要] 目的 分析2型糖尿病胃輕癱脾胃虧虛證實施中藥治療的臨床療效。方法 研究對象選擇該院2018年1—12月收治的68例2型糖尿病胃輕癱脾胃虧虛證患者，將其劃分為觀察組和對照組，每組34例。對照組選擇常規基礎治療結合莫沙必利片口服治療，觀察組則采用基礎治療配合中藥湯劑治療。比較兩組患者治療后的臨床癥狀改善情況來判定療效。結果 該次研究結果表明，觀察組的臨床療效達到了94.1%，而對照組的臨床療效只有79.4%，數據差異有統計學意義（P<0.05）。結論 2型糖尿病胃輕癱脾胃虧虛證患者實施中藥治療能夠保障患者胃動力恢復正常，且在不影響血糖水平的前提下有效改善臨床癥狀。

[關鍵詞] 2型糖尿病;胃輕癱脾胃虧虛證;中藥治療;效果分析

[中圖分類號] R587.2? ? ? ? ? [文獻標識碼] A? ? ? ? ? [文章編號] 1672-4062（2020）01（b）-0086-02

[Abstract] Objective To analyze the clinical efficacy of traditional Chinese medicine treatment for type 2 diabetes mellitus with stomach phlegm and spleen and stomach deficiency syndrome. Methods A total of 68 patients with type 2 diabetes mellitus with spleen and stomach deficiency syndrome who were admitted to the hospital from January to December 2018 were enrolled. The patients were divided into observation group and control group， 34 cases in each group. The control group was treated with conventional basic therapy combined with mosapride tablets orally， and the observation group was treated with basic therapy combined with traditional Chinese medicine decoction. The clinical symptoms of the two groups of patients were compared to determine the efficacy. Results The results of this study showed that the clinical efficacy of the observation group reached 94.1%， while the clinical efficacy of the control group was only 79.4%， and the difference were statistically significant（P<0.05）. Conclusion The implementation of traditional Chinese medicine in patients with type 2 diabetes mellitus， stomach spleen and spleen and stomach deficiency syndrome can ensure the normalization of gastric motility and improve clinical symptoms without affecting blood glucose levels.

[Key words] Type 2 diabetes; Gastroparesis spleen and stomach deficiency syndrome; Traditional Chinese medicine treatment; Effect analysis

糖尿病胃輕癱即糖尿病患者在無機械梗阻的情況下出現的胃延遲排空情況，同時患者伴有惡心、腹脹、食欲減退等癥狀。隨著近年來糖尿病患者數量不斷增加的趨勢，該疾病也成為了臨床研究的重點，多為糖尿病的慢性并發癥。考慮到患者血糖控制難度大，同時伴有營養不良、電解質紊亂等現象，需要從患者的治療與預后入手，選擇一些療效顯著，不良反應小的治療方案，該次以該院于2018年1—12月間收治的68例2型糖尿病胃輕癱胃方虛證患者為對象展開研究，現報道如下。

1? 資料與方法

1.1? 一般資料

研究對象選擇該院收治的68例2型糖尿病胃輕癱脾胃虧虛證患者，將其劃分為觀察組和對照組，每組34例。觀察組中男性22例，女性12例;年齡39～74歲，平均年齡（54.4±2.3）歲。對照組中男性24例，女性10例;年齡40～74歲，平均年齡（54.2±2.1）歲。

納入標準：患者病程時間均在5年以上，出現了典型的胃排空延遲癥狀，且經過胃鏡檢查后確診。……