世界中医药
文章摘要
引用本文:聂可馨1,黄召谊2,徐丽君1,巩静2,董慧1,陆付耳1.基于磁共振氢谱探讨交泰丸改善2型糖尿病非酒精性脂肪肝的临床疗效[J].世界中医药,2021,(19):.  
基于磁共振氢谱探讨交泰丸改善2型糖尿病非酒精性脂肪肝的临床疗效
Clinical Effect of Jiaotai Pills in Treatment of Type 2 Diabetes Combined with Nonalcoholic Fatty Liver Disease Based on Magnetic Resonance Hydrogen Spectroscopy
投稿时间:2021-08-10  
DOI:10.3969/j.issn.1673-7202.2021.19.003
中文关键词:  交泰丸  2型糖尿病  非酒精性脂肪肝  磁共振氢谱
English Keywords:Jiaotai pill  Type 2 diabetes mellitus  Nonalcoholic fatty liver disease  Magnetic resonance hydrogen spectroscopy
基金项目:国家重点研发计划“中医药现代化研究”重点专项(2018YFC1704202)
作者单位
聂可馨1,黄召谊2,徐丽君1,巩静2,董慧1,陆付耳1 1 华中科技大学同济医学院附属同济医院中西医结合研究所武汉430030 2 华中科技大学同济医学院附属同济医院中西医结合科武汉430030 
摘要点击次数: 167
全文下载次数: 0
中文摘要:
      目的:采用磁共振氢谱观察交泰丸治疗2型糖尿病(T2DM)合并非酒精性脂肪肝的临床疗效。方法:选取2009年10月至2010年3月华中科技大学同济医学院附属同济医院收治的T2DM患者40例作为研究对象,按照随机数字表法分为对照组和观察组,每组20例,2组均给予西医基础治疗,观察组同时加用交泰丸口服治疗,比较2组患者治疗12周前后的一般情况、血糖水平、血脂水平、肝功能的改变,采用磁共振氢谱法比较2组肝脏脂肪含量的差异。结果:治疗前2组患者人口学资料及生化指标、肝脏三酰甘油(TG)含量差异均无统计学意义(均P<0.05);12周后,与治疗前比较,观察组腰围、腰臀比、空腹血糖、餐后2 h血糖、糖化血红蛋白、空腹胰岛素、血清胆固醇、低密度脂蛋白胆固醇、TG和肝脏TG含量均显著下降(均P<0.05),对照组除肝脏TG含量显著增高(P<0.05)外其他指标均未发生明显改变。结论:交泰丸可以改善T2DM合并非酒精性脂肪肝患者胰岛素抵抗,调节糖脂水平,改善肝脏脂肪沉积。
English Summary:
      To observe the clinical effect of Jiaotai pills on type 2 diabetes mellitus with nonalcoholic fatty liver disease by means of magnetic resonance hydrogen spectroscopy.Methods:There were 40 patients with type 2 diabetes,who were admitted to Tongji Hospital from October,2009 to March 2010,randomly divided into a Jiaotai pill treatment group and a control group.They both received basic treatment of western medicine,but the treatment group was offered Jiaotai pills.The general health status,blood glucose level,blood lipid level,liver function of the two groups were observed before and after 12 weeks oftreatment.Liver fat content of the two groups were also obtained with magnetic resonance hydrogen spectroscopy.Results:Before treatment,there was no significant difference in demographic data,biochemical indexes and liver triglyceride content between the two groups.Twelve weeks later,waist circumference(WC),waist to hip ratio(WHR),fasting plasma glucose(FPG),2 h postprandial blood glucose(2 h PBG),hemoglobin A1c(HbA1c),fasting insulin(FINS),total cholesterol(TC),(LDL-C),Triglyceride(TG) and hepatic triglyceride content(HTC) in Jiaotai pill group were significantly decreased(P<0.05),while in control group HTC was significantly increased(P<0.05).Conclusion:Jiaotai pill can improve insulin resistance,regulate glucose and lipid levels and improve liver fat deposition in type 2 diabetes patients with nonalcoholic fatty liver disease.
查看全文  查看/发表评论  下载PDF阅读器