温脾肾暖肝胃方药对2型糖尿病胰岛素抵抗及低度炎症反应的影响

目的观察温脾肾暖肝胃方药对2型糖尿病(T2DM)胰岛素抵抗(IR)及低度炎症反应的影响。方法将80例T2DM患者随机分为治疗组和对照组。两组均采取糖尿病教育、合理饮食并常规应用西药降血糖,治疗组加用温脾肾暖肝胃方药。每日1剂,水煎分2次服,1个月为1个疗程,共观察2个疗程。测定两组治疗前后空腹血糖(FBG)、餐后2h血糖(P2hBG)、胰岛素(FINS)、C反应蛋白(CRP)含量,计算胰岛素敏感指数(ISI)。结果治疗后两组FBG、P2hBG均明显下降,与治疗前比较,有显著性差异(P<0.01);其中P2hBG治疗组较对照组下降明显,差异有显著性(P<0.05)。治疗后治疗组FINS、CRP含量显著下降、ISI明显升高(P<0.05或P<0.01),且优于对照组(P<0.05),对照组上述指标治疗前后比较差异无显著性。结论温脾肾暖肝胃方药可以明显降低T2DM患者的血糖,显著改善T2DM患者的IR和低度炎症反应。

Effect of Wenpishen Nuanganwei Recipes on Insulin Resistance and Low Rank Inflammation in Patients with Type 2 Diabetes Mellitus

Objective To observe the effect of Wenpishen Nuanganwei Recipes(WPSNGWR)on insulin resistance(IR)and low rank inflammation in patients with type 2 diabetes mellitus(T2DM).Method 80 patients with T2DM were selected and randomly divided into the treatment group(n=40)and the control group(n=40).Patients attended to the education courses for diabetes and were treated with hypoglycemic agent in routine and reasonable diet.To those patients in the treatment group,WPSNGWR decoction was given additionally with one dose taken twice per day,a treatment course for a month,totally for 2 courses.Parameters as fasting blood glucose(FBG),postprandial 2 hours blood glucose(P2HBG),fasting insulin(FINS),C-reactive protein(CRP)before and after treatment were measured,and insulin sensitive index(ISI)was calculated.Results After 2 months of treatment,the serum level of FBG and P2HBG lowered in both groups(P < 0.01).In the treatment group,serum levels of P2HBG obviously decreased when compared with that in the control group(P < 0.05).In the treatment group,FINS and CRP significantly lowered,and ISI obviously increased,the effect was better than that in the control group(P < 0.05 or P < 0.01),the control group had no significant differences on above indexes before and after treatment.Conclusion WPSNGWR can depress the blood glucose,improve insulin resistance and relieve low rank inflammation reaction in patients with T2DM.