二甲双胍联合针刺疗法治疗2型糖尿病的效果.pdf

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1、·中医中药·中国当代医药2014年8月第21卷第22期二甲双胍联合针刺疗法治疗2型糖尿病的效果季奎张学慧吉林省教委机关门诊部，长春130021【摘要】目的观察口服二甲双胍联合针刺疗法治疗2型糖尿病的临床效果。方法回顾性分析吉林省教委机关门诊部收治的60例2型糖尿病患者的临床资料，将其分为治疗组和对照组，每组各30例。按中医辨证论治的原则，对照组给予中医针刺治疗，第1周每日治疗1次，1周后改为每周治疗3次，治疗4周为1个疗程，共治疗3个疗程；治疗组给予口服二甲双胍(每次O．5g，2次／d)配合针刺治疗，4周为1个疗程，共治疗3个疗程。比较两组的治疗效果。结果治疗组显效24例，有效5例，

2、无效1例，总有效率为96．7％；对照组显效l9例，有效6例，无效5例，总有效率为83．3％；治疗组的总有效率优于对照组，差异有统计学意义(P

3、iOut-patientDepartmentJilinProvinceEducationAuthorities，JilinProvince，Changchun130021，China【Abstract]0bjectiveToobservetheclinicaleffectofMetformincombinedwithacupuncturetherapyforpatientswithtype2diabetesmellitus．MethodsTheclinicaldateof60caseswithtype2diabetesmellitustreatedinout-patientde一。"

4、partmentdilinProvinceEducationAuthoritieswereanalyzedretrospectively．AUpatientsweredividedintothetreatment‘groupandthecontrolgroup，eachgrouphad30cases．AccordingtotheprincipleofTCMtreatmentbasedOfsyndromedifferentiation，patientsinthecontrolgroupweregiventraditionalChinesemedicineacupuncturetreat

5、ment，1timesadayinthefirstweek，thenafter1weektreatmentchangingfor3timesaweek，4weeksforacourse，andgiven3periodoftreatment．Patientsinthetreatmentgroupweregivenmetformin(0．5geachtime，2times／d)combinedwithacupunc-turetherapy，4weeksforacoupe，andgiven3periodoftreatment．Thetherapeuticeffectofthetwogrou

6、pswerecom—pared．ResultsInthetreatmentgroup，thetherapeuticeffectsof24caseswereexcellent，5caseswerevalid，1casewasinvalid，thetotaleffectiveratewas96．7％．Inthecontrolgroup，thetherapeuticeffectsof19caseswereexcellent，6caseswerevalid，5casewasinvalid，thetotaleffectiveratewas83．3％．Thetotaleffectiveratei

7、nthetreatmentgroupwasbetterthanthatinthecontrolgroup，withstatisticallysignificantdifference<0．05)．ConclusionComp~edwithtraditionalChinesemedicineacupuncturetreatment，theclinicaleffectofMetformincombinedwithacupuncturetherapyforpa-