目的 探討消渴丸聯(lián)合六味地黃丸治療氣陰兩虛2型糖尿病的臨床療效。方法 選擇2013年5月-2015年5月在志丹縣人民醫(yī)院進行診治的氣陰兩虛2型糖尿病患者100例,隨機分為觀察組與對照組,每組各50例。對照組采用消渴丸治療,觀察組在對照組基礎上加用六味地黃丸治療,比較兩組的治療效果。結果 觀察組的總有效率為84.00%,明顯高于對照組68.00%(P<0.05);兩組患者治療后的空腹血糖和餐后2 h血糖水平均明顯低于治療前(P<0.05),治療后觀察組的餐后2 h血糖水平明顯低于對照組(P<0.05);觀察組的氣短懶言、惓息乏力、盜汗、自汗、口渴喜飲、五心煩熱及便秘癥狀的治療有效率明顯高于對照組(P<0.05)。結論 六味地黃丸聯(lián)合消渴丸治療氣陰兩虛2型糖尿病療效顯著,值得臨床應用推廣。

Objective To investigate the clinical effect of Xiaoke Pill combined with Liuwei Dihuang Pill in treating type 2 diabetes mellitus with Qi and Yin deficiency. Methods Totally 100 cases of patients with type 2 diabetes mellitus with Qi and Yin deficiency who were treated in Zhidan People's Hospital from May 2013 to May 2015 were selected and randomly divided into two groups, 50 cases in each group. The patients in observation group were treated with Xiaoke Pill combined with Liuwei Dihuang Pill, the patients in control group were treated with Xiaoke Pill, and the therapeutic effects of two groups were compared. Results The total effective rate in the observation group was 84.00%, significantly higher than that of 68.00% in the control group (P<0.05). Fasting blood glucose and postprandial 2 h blood glucose levels in the two groups were all significantly decreased after treatment (P<0.05), the postplandial 2 h blood glucose level in the observation group was significantly lower than that in the control group (P<0.05). The effective rate of clinical syndrome such as deficiency of Qi and disinclination to talk, tired and debihtation, night sweating, sweating, hydrodipsia and desire for drinks, large food intake with rapid hungering, dysphoria with feverish sensation in chest, palms and soles, constipated in observation group were significantly higher than control group (P<0.05). Conclusion The clinical effect of Xiaoke Pill combined with Liuwei Dihuang Pill in treating type 2 diabetes mellitus with Qi and Yin deficiency is significant effective and is worth promotion.