荷竹瓜蒌茶从痰瘀论治代谢综合征的临床疗效及治疗机制

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目的:观察荷竹瓜萎茶从痰瘀论的角度治疗代谢综合征的临床效果,探讨治疗机制.方法:将收治的代谢综合症且属于痰浊血瘀的患者(80例),分为治疗组(40例)和对照组(40例).治疗组在对照组进行健康教育,以控制饮食及生活习惯为主,观察组加用荷竹瓜萎茶包,治疗时间为8周,并随访(1个月).结果:在BMI上,治疗组治疗前的参数和治疗后的参数较对照组有统计学意义;而腰围、SBP及DBP治疗组和对照组的差异无统计学意义.两组在治疗前和治疗后FPG、2hPG上,对比差异有统计学意义;在2hPG上,治疗组比对照组的效果更佳;在INS上,治疗组和对照组在治疗前后的对比上差异不大;在2hINS上,治疗前后治疗组有差异,有统计学意义,而对照组在治疗前后差异无统计学意义.治疗前后,在TG、TC、LDL上,治疗组和对照组的对比差异有统计学意义;而在HDL上,治疗前后两组对比无统计学意义.治疗前后,在TG、TC、LDL上,治疗组和对照组的对比差异有统计学意义;而在HDL上,治疗前后两组对比无统计学意义.治疗前后,治疗组和对照组在游离脂肪酸(FFA)、肿瘤坏死因子(TNF)上,变化情况如下表所示,治疗组和对照组的FFA、TNF在治疗前后,对比差异有显著的统计学意义;而治疗组的对比差异更为明显.从总有效率出发,治疗组的效果好于对照组,对比差异有统计学意义.结论:从痰瘀论的角度出发,荷竹瓜蒌茶治疗MS的临床效果较好,操作简单,易于推广.“,”Objective:To study the clinical effect of bearing Hezhu Gualou Tea from phlegm and blood stasis theory in the treatment of metabolic syndrome,and to explore the mechanism of treatment.Methods:To treat the metabolic syndrome and belong to phlegm and blood stasis patients (80 cases),divided into treatment group (40 cases) and controlled group (40 cases).The controlled group was taken health education to control diet and lifestyle habits,the treatment group was given Hezhu Gualou Tea on the basis of the controlled group,the treatment time was 8 weeks,and follow-up (1 months).Results:The treatment group before and after treatment in BMI compared with the controlled group had statistical significance.There was no significant difference between the treatment group and the controlled group in terms of waist circumference,SBP and DBP.The two groups before treatment and after treatment,2hPG,FPG,the difference was statistically significant.On 2hPG,the treatment group was better than the controlled group.On INS,the treatment group and the controlled group had no significant difference in the contrast before and after treatment.On 2hINS,the treatment group was statistically significant difference before and after treatment,while the controlled group was not statistically significant difference between the two groups.In TG,TC,LDL,the treatment group and the controlled group before and after treatment,the difference was statistically significant.On HDL,there was no statistical significance between the two groups before and after treatment.The treatment group and the controlled group FFA,TNF before and after treatment,the difference was statistically significant.And the contrast of the treatment group was more obvious.The treatment group and the controlled group in the total efficiency,the effect of the treatment group was better than the controlled group,the difference was statistically significant.Conclusion:Using Hezhu Gualou Tea in the treatment of patients with metabolic syndrome from phlegm and blood stasis,has good clinical effect,it's simple for operation,and easy to popularize.
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