津力达颗粒改善2型糖尿病胰岛素抵抗和血管并发症的临床研究
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Jin Li Da Granules; Type 2 diabetes; Early diabetic nephropathy; Insulin resistance; Carotid intima-media thickness


Clinical Study of Jin Li Da Granules Efficacy in Insulin Resistance and Vascular Complications of Type 2 Diabetes
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    摘要:

    目的:观察津力达颗粒对气阴两虚型2型糖尿病胰岛素抵抗的临床疗效,及其对血糖、血脂、尿微量白蛋白、颈动脉内中膜厚度及临床症状的影响。方法:选取2013年3月至12月在本院治疗辨证为气阴两虚型Ⅲ期糖尿病肾病患者66例,随机分为2组,对照组32例应用二甲双胍治疗,治疗组34例应用二甲双胍联合津力达颗粒治疗。治疗12周后,比较2组患者临床症状、胰岛素抵抗、血糖、血脂、尿微量白蛋白和颈动脉内中膜厚度等指标的疗效情况。结果:治疗组治疗后,胰岛素抵抗指数、三酰甘油、尿微量白蛋白的降低程度优于对照组,2组比较差异有统计学意义(P<0.05);治疗组治疗后症状改善有效率为88.24%,高于对照组的65.63%,比较差异有统计学意义(P<0.05);治疗组治疗后颈动脉内中膜厚度水平较治疗前下降,比较有统计学意义(P<0.05);2组治疗后空腹血糖和糖化血红蛋白比较,差异无统计学意义。结论:津力达颗粒可以降低气阴两虚型2型糖尿病患者的血糖,调节脂代谢,改善胰岛素抵抗,显著降低患者尿微量白蛋白和颈动脉内中膜厚度。

    Abstract:

    To study the Jin Li Da Granules clinical efficacy on insulin resistance of type 2 diabetes with deficiency of both qi and yin syndrome, as well as its influence on blood glucose, blood lipid, urinary micro-albumin, carotid intima-media thickness and syndrome of deficiency of both qi and yin.Methods:Type 2 diabetes in phrase 3 patients with deficiency of qi and yin syndrome in our hospital from March to December in 2013 of 66 cases were randomly divided into two groups, 32 patients in the control group was given metformin, the other 34 patients in observation group was given Jin Li Da Granules as well as metformin. After 12 weeks treatment, the syndrome of the patients, insulin resistance condition, blood glucose, blood lipid, urinary micro-albumin and carotid intima-media thickness and other factors were compared.Results:HOMA-IR, triglyceride and urinary micro-albumin excretion rate in observation group was lower than the control group with significant differences (P<0.05); observation groups efficient rate of improving symptoms was 88.24%, higher than control groups 65.63%, the difference is statistically significant(P<0.05); observation groups carotid intima-media thickness level declined after the treatment with significant difference; the difference of fasting plasma glucose and HbA1C after treatment was not statistically significant(P>0.05).Conclusion:Jin Li Da Granules can reduce the level of blood glucose and triglyceride of type 2 diabetes patients with deficiency of both qi and yin patients as well as insulin resistance and urinary micro-albumin and carotid intima-media thickness.

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李婷,柳洁.津力达颗粒改善2型糖尿病胰岛素抵抗和血管并发症的临床研究[J].世界中医药,2015,10(12).

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  • 在线发布日期: 2015-12-31
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