| 复元醒脑汤对糖尿病并发急性脑梗塞胰岛素抵抗的干预作用 |
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| 引用本文： | 方邦江,周爽,陈宝瑾,黄金阳,季学清,耿赟,陈浩,钱越洲,张丽朵,田雨,张英兰,郭全,杨婕.复元醒脑汤对糖尿病并发急性脑梗塞胰岛素抵抗的干预作用[J].上海中医药杂志,2009,43(5). |
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| 作者姓名： | 方邦江 周爽 陈宝瑾 黄金阳 季学清 耿赟 陈浩 钱越洲 张丽朵 田雨 张英兰 郭全 杨婕 |
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| 作者单位： | 方邦江,陈宝瑾,黄金阳,季学清,耿赟,陈浩,钱越洲,张丽朵,田雨,张英兰,郭全,杨婕,FANG Bang-jiang,CHEN Bao-jin,HUANG Jin-yang,JI Xue-qing,ENG Yun,HEN Hao,QIAN Yue-zhou,ZHANG Li-duo,TIAN Yu,ZHANG Ying-lan,GUO Quan,YANG Jie(上海中医药大学附属龙华医院急诊科,上海,200032);周爽,ZHOU Shuang(第二军医大学中医系,上海,200433)
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| 基金项目： | 国家科技支撑计划，上海市公共卫生建设新三年行动计划项目 |
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| 摘 要： | 目的 观察复元醒脑汤治疗2型糖尿病并发急性脑梗塞的临床疗效及对患者胰岛素抵抗的影响.方法 将112例糖尿病并发急性脑梗塞患者随机分为治疗组和对照组(各56例),对照组采用西医常规治疗,治疗组在西医常规治疗的基础上口服复元醒脑汤;两组均以15 d为1个疗程,观察两组总有效率及空腹血糖(FPG)、空腹血清胰岛素(FINS)、胰岛素敏感指数(ISI)的变化情况.结果 治疗组和对照组总有效率分别为92.86%、76.78%,组间疗效比较,差异有统计学意义(P<0.05);两组FPG、FINS、ISI治疗前后自身比较,差异均有统计学意义(P<0.05);组间治疗后比较,ISI差异有统计学意义(P<0.05).结论 复元醒脑汤明显提高2型糖尿病并发急性脑梗塞的临床疗效,并能显著改善胰岛素抵抗.
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| 关 键 词： | 糖尿病 脑梗塞 复元醒脑汤 胰岛素抵抗 |
Clinical Research on Intervention of "Fuyuan Xingnao Decoction" for Insulin Resistance in Diabetes Complicated with Acute Cerebral Infarction |
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| FANG Bang-jiang ZHOU Shuang CHEN Bao-jin HUANG Jin-yang JI Xue-qing GENG YunCHEN Hao QIAN Yue-zhou ZHANG Li-duo TIAN Yu ZHANG Ying-lan GUO Quan YANG Jie.Clinical Research on Intervention of "Fuyuan Xingnao Decoction" for Insulin Resistance in Diabetes Complicated with Acute Cerebral Infarction[J].Shanghai Journal of Traditional Chinese Medicine,2009,43(5). |
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| Authors: | FANG Bang-jiang ZHOU Shuang CHEN Bao-jin HUANG Jin-yang JI Xue-qing GENG YunCHEN Hao QIAN Yue-zhou ZHANG Li-duo TIAN Yu ZHANG Ying-lan GUO Quan YANG Jie |
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| Institution: | FANG Bang-jiang1 ZHOU Shuang2 CHEN Bao-jin1 HUANG Jin-yang1 JI Xue-qing1 GENG Yun1CHEN Hao1 QIAN Yue-zhou1 ZHANG Li-duo1 TIAN Yu1 ZHANG Ying-lan1 GUO Quan1 YANG Jie11.Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine2.The Second Military Medical University |
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| Abstract: | Objective To observe the clinical efficacy of "Fuyuan Xingnao Decoction" in treating type 2 diabetes complicated with acute cerebral infarction and its effect on insulin resistance.Methods One hundred and twelve subjects were randomly divided into treatment group(n=56) and control group(n=56).The patients in control group were treated with conventional western medicines,while those in treatment group were treated with conventional western medicines and "Fuyuan Xingnao Decoction" for 15 days.The total effect... |
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| Keywords: | Diabetes cerebral infarction "Fuyuan Xingnao Decoction" insulin resistance |
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