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[目的]观察参芪麦味地黄汤联合西药治疗2型糖尿病疗效。[方法]使用随机平行对照方法,将128例住院患者按抽签法随机分为两组。饮食及运动控制基础上,对照组64例盐酸二甲双胍片500 mg/次,3次/d;格列齐特片80mg/次,1次/d。治疗组64例参芪麦味地黄汤(太子参15g,黄芪20g,麦冬15g,五味子12g,熟地黄、山茱萸各10g,山药12g,丹皮、泽泻各10g,茯苓12g),口干、消谷善饥加天花粉30g,肉桂3g;畏寒神疲加巴戟天15g;舌质有明显瘀点瘀斑加水蛭10g,西药治疗同对照组。连续治疗7d为1疗程。观测空腹血糖和餐后2h血糖、不良反应。连续治疗6疗程,判定疗效。[结果]空腹血糖和餐后2h血糖两组均从第2周开始呈下降趋势,治疗组优于对照组(P<0.05)。[结论]参芪麦味地黄汤联合西药治疗糖尿病效果显著,安全可靠。
[Objective] To observe the therapeutic effect of Shenqi Maiweidihuang Decoction combined with western medicine on type 2 diabetes mellitus. [Methods] Using randomized parallel control method, 128 inpatients were randomly divided into two groups according to the random sampling method. Diet and exercise control, based on the control group, 64 metformin hydrochloride tablets 500 mg / time, 3 times / d; gliclazide 80 mg / time, 1 time / d. The treatment group, 64 cases of Shenqi Maiweidihuang Tang (Radix Pseudostellariae 15g, Radix Astragali 20g, Ophiopogon 15g, Schisandra 12g, Rehmannia, dogwood 10g, yam 12g, Dan Pi, Alisma 10g, Poria 12g) Gu Shan star plus TCS 30g, cinnamon 3g; chills Shenpi plus Morinda officinalis 15g; tongue petechiae obvious petechiae and leech 10g, Western medicine treatment with the control group. Continuous treatment 7d for a course of treatment. Observed fasting blood glucose and 2h postprandial blood glucose, adverse reactions. Continuous treatment of 6 courses to determine the efficacy. [Result] Both fasting blood glucose and postprandial 2h blood glucose decreased from the second week, and the treatment group was better than the control group (P <0.05). [Conclusion] Shenqi Maiweidihuang Decoction combined with western medicine has obvious effect on diabetes and is safe and reliable.