健脾化痰活血法对糖耐量减低患者血糖和血脂水平的影响

目的观察健脾化痰活血法对糖耐量减低（IGT）患者血糖和血脂水平的影响及临床疗效。方法将140例IGT患者随机分为2组,对照组60例予常规饮食、运动干预,治疗组80例在对照组治疗基础上予健脾化痰活血法干预。2组均4周为1个疗程,3个疗程后统计临床疗效,检测2组空腹血糖（FPG）、2 h血糖（2 h PG）、胆固醇（TC）及甘油三酯（TG）变化情况。结果治疗组总有效率76.25%,对照组总有效率48.33%,2组总有效率比较差异有统计学意义（P〈0.05）,治疗组疗效优于对照组。治疗组干预后2 h PG、TC及TG与本组干预前比较均明显下降（P〈0.05）,且与对照组干预后比较差异均有统计学意义（P〈0.05）。对照组干预后2 h PG与本组干预前比较明显下降（P〈0.05）。结论健脾化痰活血法可明显改善IGT患者血糖和血脂水平,且疗效确切,无副作用。

Effect of the method of invigorating spleen to remove phlegm and promoting blood flow on the levels of blood sugar and blood lipid in patients with impaired glucose tolerance

Objective To investigate the effect of the method of invigorating spleen to remove phlegm and promoting blood flow on the levels of blood sugar and blood lipid in patients with impaired glucose tolerance（IGT）.Methods 140 cases of IGT were randomly divided into two groups.Control group（n=60） received conventional diet,exercise intervention.Treatment group received combination of the method of invigorating spleen to remove phlegm and promoting blood flow and conventional therapy.The course was four weeks in two groups.FPG,2 hPG,TC and TG were detected after two courses.Results The total effective rate in treatment group（76.25%） was higher than that in control group（48.33%,P0.05）.2 hPG,TC and TG after treatment were significantly decreased in comparison with those before treatment in treatment group（P0.05）.And there was difference between two groups on 2 hPG,TC and TG after treatment（P0.05）.Conclusion The method of invigorating spleen to remove phlegm and promoting blood flow can significantly improve the levels of blood sugar and blood lipid in IGT patients,has definite effect and no side effects.