發(fā)布時間：2018-05-24 00:14

  本文選題：高尿酸血癥 + 糖耐量減低��； 參考：《山東中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:觀察以健脾化痰祛濕法為治則組成的化痰祛濕方對高尿酸血癥合并糖耐量減低的臨床療效并進行初步評價。方法:采用隨機、平行對照的臨床試驗研究方法,將符合研究要求高尿酸血癥合并糖耐量減低患者60例隨機分為治療組(30例)和對照組(30例),兩組均采用常規(guī)高尿酸血癥基礎(chǔ)治療,治療組加用化痰祛濕方,對照組加用溴苯馬隆,觀察治療前后的實驗室檢查指標(biāo)、體征和臨床癥狀的變化。結(jié)果:1.治療組綜合療效總有效率為87.2%,對照組為73.9%,兩組之間比較有差異性(P0.05)。2.治療組中醫(yī)癥狀改善總有效率為87.96%,對照組為72.57%,兩組之間比較有差異性(P0.05)。3.化痰祛濕方在降低血尿酸、尿尿酸、血糖等方面均表現(xiàn)出較好的治療效果,治療前后可見顯著差異(P0.05),但組間比較(P0.05)無差異性。4.化痰祛濕方在緩解疼痛、改善血脂、降低血糖方面均表現(xiàn)出較好的治療效果,組間比較有差異性(P0.05)。結(jié)論:化痰祛濕方對高尿酸血癥合并糖耐量減低患者血脂、2h血糖、血尿酸、尿尿酸、糖基化血紅蛋白有明顯改善作用,并可明顯改善高尿酸血癥合并糖耐量減低患者中醫(yī)臨床癥狀,提高生活質(zhì)量,驗證了采用化痰祛濕方治療高尿酸血癥合并糖耐量減低的可行性,為中醫(yī)藥防治高尿酸血癥合并糖耐量減低提供了一種的新的思路與方法。
[Abstract]:Objective: To observe the clinical effect and preliminary evaluation of the prescription of "invigorating the spleen and eliminating phlegm and removing dampness" as a cure for hyperuricemia with impaired glucose tolerance. Methods: a randomized, parallel controlled clinical trial was used to divide 60 patients with hyperuricemia and impaired glucose tolerance into a treatment group (30 And the control group (30 cases), the two groups were treated with routine hyperuricemia, the treatment group was added with the recipe for eliminating phlegm and dampness, and the control group was added with bromate Malone. The laboratory examination indexes, signs and clinical symptoms were observed before and after the treatment. Results: the total effective effective rate of the 1. treatment group was 87.2%, the control group was 73.9%, and the two groups were worse than the other groups. The total effective rate of TCM symptom improvement in P0.05.2. treatment group was 87.96%, and the control group was 72.57%. The difference between the two groups was different (P0.05).3. phlegm and dampness and dampness prescription in reducing blood uric acid, urinic acid, blood sugar and so on, showed good therapeutic effect. There was significant difference before and after treatment (P0.05), but there was no difference of.4. phlegm between groups (P0.05). The prescription of dispelling dampness, improving blood lipid and lowering blood sugar showed good therapeutic effect, and there was a difference between the groups (P0.05). Conclusion: the prescription of eliminating phlegm and removing dampness has obvious improvement on hyperuricemia, 2h blood sugar, uric acid, uricuric acid and glycosylated hemoglobin, and it can obviously improve the high uric acid blood. The clinical symptoms and quality of life of patients with impaired glucose tolerance were improved, and the feasibility of treating hyperuricemia with impaired glucose tolerance was verified by using the prescription of eliminating phlegm and removing dampness. It provided a new idea and method for the prevention and control of hyperuricemia with impaired glucose tolerance in traditional Chinese medicine.
【學(xué)位授予單位】：山東中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R259

【相似文獻】

相關(guān)期刊論文 前10條

1 吳志香;;糖耐量減低的干預(yù)治療[J];中國實用鄉(xiāng)村醫(yī)生雜志;2006年12期

2 王慧;林紅軍;;頸動脈內(nèi)中膜厚度與糖耐量減低的相關(guān)性研究[J];南京醫(yī)科大學(xué)學(xué)報(自然科學(xué)版);2011年03期

3 沈權(quán)民;;警惕糖耐量減低[J];養(yǎng)生月刊;2013年05期

4 陳剛;健脾逆癉湯治療糖耐量減低48例[J];四川中醫(yī);2001年11期

5 蔣麗珍,張木勛;糖耐量減低的干預(yù)治療[J];中國實用內(nèi)科雜志;2001年05期

6 賈建厚 ,喬青寧 ,王安純 ,張淑榮 ,李允 ,王梅芳 ,沙寧 ,鄒曉春 ,施秉銀;糖耐量減低的臨床分析研究[J];遼寧實用糖尿病雜志;2001年03期

7 李靜云;糖耐量減低人群的干預(yù)治療[J];護理研究;2001年03期

8 胡鳳楠;什么疾病和狀態(tài)會發(fā)生糖耐量減低[J];實用鄉(xiāng)村醫(yī)生雜志;2002年06期

9 張明義,孫峰,杜衛(wèi)京;糖耐量減低的老年患者腦干聽覺誘發(fā)電位的改變[J];中華老年醫(yī)學(xué)雜志;2003年01期

10 陳學(xué)梅,林恒;關(guān)注糖耐量減低 農(nóng)村更重要[J];中國實用鄉(xiāng)村醫(yī)生雜志;2004年08期

相關(guān)會議論文 前10條

1 朱華;周勁峰;沈俊婭;;糖耐量減低患者糖化血紅蛋白的變化及其意義[A];2006年浙江省檢驗醫(yī)學(xué)學(xué)術(shù)年會論文匯編[C];2006年

2 徐積兄;劉建英;李雯霞;朱凌燕;昌玉蘭;;糖耐量減低者體內(nèi)存在高水平的氧化應(yīng)激[A];江西省首屆中西醫(yī)結(jié)合內(nèi)分泌專業(yè)學(xué)術(shù)交流會論文資料匯編[C];2010年

3 穆s，

本文編號：1926939