旋覆代赭汤治疗脾胃虚弱型糖尿病胃轻瘫量-效关系临床研究 |
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引用本文: | 贾锐馨,李国永,董瑞臣,李足果,崔军,吕秀芹.旋覆代赭汤治疗脾胃虚弱型糖尿病胃轻瘫量-效关系临床研究[J].浙江中医药大学学报,2012,36(4):375-376. |
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作者姓名: | 贾锐馨 李国永 董瑞臣 李足果 崔军 吕秀芹 |
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作者单位: | 1. 赵县中医院,河北,赵县051530 2. 白求恩国际和平医院 3. 河北省人民医院 |
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基金项目: | 河北省中医药管理局中医药类科研课题(2011138) |
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摘 要: | 目的]研究旋覆代赭汤在治疗糖尿病胃轻瘫(Diabetic gastroparesis,DGP)患者时,促胃肠动力作用的量-效关系。方法]将108例2010年2月至2012年1月我院门诊和住院脾胃虚弱型患者随机分为治疗组和对照组各54例。治疗组在基础治疗基础上,加服大剂量(1两为15.625g)旋覆代赭汤;对照组在基础治疗基础上,加服剂量(1两为3g)的旋覆代赭汤。两组用药均1剂/d,连用4周后判断疗效。免疫组化法观察治疗前后血浆中胃动素(MOT)、血管活性肠肽(VIP)、胃泌素(GAS)的分布变化。结果]治疗组血浆中MOT的含量显著升高(P0.01)、VIP的表达明显减少(P0.01)、血浆GAS表达显著降低(P0.01)。结论]旋覆代赭汤的促胃肠动力作用可能与血浆中MOT的含量显著升高和VIP与GAS的表达降低有密切的量-效关系。
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关 键 词: | 糖尿病胃轻瘫 脾胃虚弱型 旋覆代赭汤 量-效 |
Different Dosages of Xuanfu-Daizhe Decoction Treat Diabetic Gastroparesis of Deficient Spleen and Stomach |
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Institution: | Jia Ruixin,Li Guoyong,Dong Ruicheng,et al Hebei Zhao County TCM Hospital(051530) |
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Abstract: | Objective] To study the quantity-efficacy relation of promoting gastric-intestinal dynamics in Xuanfu-Daizhe Decoction treating Diabetic Gastroparesis(DGP) of deficient spleen and stomach.Method] Randomly divide the said patients into treatment and control groups,54 cases in each.The treatment group was added with large dosage of Xuanfu-Daizhe Decoction on the basis of basic therapy;the other group added with small dosage of the decoction.Judge their effects;observe their MOT,VIP and GAS changes before and after treatment with IHCA.Result] In treatment group,MOT was much raised,VIP reduced a lot,as well as GAS.Conclusion] The function of promoting gastric dynamics of the decoction may be closely related with obviously raising MOT and reducing VIP and GAS in plasma,with marked quantity-efficacy relationship. |
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Keywords: | DGP deficient spleen and stomach Xuanfu-Daizhe Decoction quantity-efficacy |
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