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[目的]观察降糖汤联合罗格列酮钠治疗糖尿病疗效。[方法]使用随机平行对照方法,将68例住院患者按随机数字表法分为两组。对照组34例罗格列酮钠,4mg/次,1次/d。治疗组34例降糖汤(黄芪、生地、山药、玄参各20g,苍术18g,枸杞、赤芍各8g;血糖含量不降加知母、山萸肉各8g;尿糖不降加五味子8g,天花粉20g;合并高血压加夏枯草18g,白蒺藜12g;合并高血脂加生山楂12g。泽泻8g;能食善饥加熟地18g,黄连4g;口渴多饮加生石膏30g,麦冬8g;合并腿疼加桑寄生30g,川断8g;心悸失眠加牡蛎、生龙骨各18g;尿频加桑螵蛸、益智仁各12g),1剂/d,水煎300mL,早晚口服。西药治疗同对照组。连续治疗30d为1疗程。观测临床症状、血糖、不良反应。治疗1疗程,判定疗效。[结果]治疗组显效17例,有效14例,无效3例,总有效率91.18%。对照组显效13例,有效15例,无效6例,总有效率82.35%。治疗组疗效优于对照组(P<0.05)。[结论]降糖汤联合罗格列酮钠片治疗糖尿病效果显著,值得推广。
[Objective] To observe the therapeutic effect of Jiangtang Decoction combined with rosiglitazone sodium in the treatment of diabetes. [Methods] Using randomized parallel method, 68 inpatients were divided into two groups according to random number table. Control group, 34 cases of rosiglitazone sodium, 4mg / time, 1 / d. The treatment group, 34 cases of Jiangtang Decoction (Astragalus, habitat, yam, Scrophulariaceae each 20g, herb 18g, wolfberry, red peony 8g; blood sugar content is not reduced Anemarrhena, cornus 8g; , TCS 20g; combined with high blood pressure plus Prunella 18g, Tribulus terrestris 12g; combined with hyperlipidemia hawthorn 12g. Alisma 8g; to eat good food and cooked 18g, Coptis 4g; thirsty drink plus gypsum 30g, Ophiopogon 8g ; Combined leg pain Gassan parasitic 30g, Chuan off 8g; palpitations insomnia plus oysters, raw keel 18g; frequent urination Gesang 螵 蛸, Yi Zhiren each 12g), 1 / d, decoction 300mL, sooner or later oral. Western medicine treatment with the control group. Continuous treatment of 30d for a course of treatment. Observed clinical symptoms, blood sugar, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Result] The treatment group was markedly effective in 17 cases, effective in 14 cases, ineffective in 3 cases, the total effective rate was 91.18%. The control group markedly effective in 13 cases, effective in 15 cases, 6 cases, the total effective rate was 82.35%. The treatment group was better than the control group (P <0.05). [Conclusion] Jiangtang Decoction combined with rosiglitazone sodium tablets has obvious effect in treating diabetes and is worth promoting.