目的 观察小陷胸汤对糖尿病前期痰湿蕴热质的影响.方法 按随机数字表法将120例糖尿病前期痰湿蕴热体质者分为治疗组和对照组各60例.2组均给予一般性的生活方式干预,在此基础上,治疗组给予小陷胸汤干预治疗,对照组给予阿卡波糖干预治疗.观察2组干预前后FBG、PBG、痰湿蕴热体质的变化情况.结果 干预后2组FBG、PBG、痰湿蕴热质评分显著改善,与干预前比较差异均有统计学意义(P<0.01);且治疗组的改善作用更好,干预后2组间比较差异有统计学意义(P<0.01).结论 小陷胸汤能有效地降低患者血糖的同时纠正糖尿病前期痰湿蕴热偏颇的体质,达到逆转和阻止疾病发展的作用.%Objective To observe the effect of Xiaoxianxiong decoction on prediabetes patients with phlegm-dampness and heat accumulation constitution. Methods According to the random number table method, 120 cases of prediabetic Patients were divided into the treatment group and control group, 60 cases in each group. The two groups were given general lifestyle intervention, on this basis, the treatment group was given the treatment of Xiaoxianxiong decoction, and the control group was treated with acarbose. Fasting plasma glucose (FBG), 2 h postprandial blood glucose (PBG), phlegm-dampness and heat accumulation constitution score were observed before and after intervention. Results FBG, PBG, phlegm-dampness and heat accumulation constitution score were significantly improved in the two groups after treatment, and the difference was statistically significant (P<0.01). The improvement of the treatment group was better than that of the control group, the difference between the two groups was statistically significant (P<0.01). Conclusion Xiaoxianxiong decoction is effective in decreasing blood glucose level, and correcting the constitution of phlegm-dampness and heat accumulation in prediabetic patients, which will possibly benefit to preventing the development of prediabetes.
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