生脉散合丹参饮加减治疗糖尿病性心肌病疗效及对心肌纤维化程度的影响
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R587.2;R542.2

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Curative Effect of Modified Shengmai Powder Combined with Danshen Yin for Diabetic Cardiomyopathy and Its Effect on Myocardial Fibrosis
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    摘要:

    目的:观察生脉散合丹参饮加减治疗气阴两虚夹瘀型糖尿病性心肌病的疗效及对心肌纤维化程度的影响。方法:将112 例气阴两虚夹瘀型糖尿病性心肌病患者按随机数字表法分为观察组与对照组各56 例。对照组给予常规西药治疗,观察组在对照组基础上给予生脉散合丹参饮加减治疗。比较2 组中医证候疗效及药物耐受情况,并比较2 组治疗前后空腹血糖(FBG)、餐后2 h 血糖(P2hBG)、总胆固醇(TC)、甘油三酯(TG)、左室舒张末期内径(LVEDD)、左房内径(LAD)、左室射血分数(LVEF)、超敏C-反应蛋白(hs-CRP)、脂蛋白相关磷脂酶A2 (Lp-PLA2)、血小板α-膜颗粒蛋白(GPM-140)、透明质酸(HA)、层粘连蛋白(LN)、Ⅲ型前胶原N 端肽(PⅢNP) 变化情况。结果:观察组总有效率87.50%,高于对照组71.43%(P<0.05)。与同组治疗前比较,治疗后2 组FBG、P2hBG、TG、TC、LAD、LVEDD、hs-CRP、Lp-PLA2、GPM-140、PⅢNP、LN、HA 均降低(P<0.05),LVEF 升高(P<0.05);与对照组治疗后比较,观察组治疗后FBG、P2hBG、TG、TC、LAD、LVEDD、hs-CRP、Lp-PLA2、GPM-140、PⅢNP、LN、HA 均较低(P<0.05),LVEF 较高(P<0.05)。结论:生脉散合丹参饮加减治疗气阴两虚夹瘀型糖尿病性心肌病有降糖调脂作用,还可降低炎症因子水平及血小板活性,改善患者心功能,阻止心肌纤维化进程,疗效显著,且药物耐受性好。

    Abstract:

    Abstract: Objective: To observe the curative effect of modified Shengmai powder combined with Danshen yin for diabetic cardiomyopathy of deficiency of qi and yin with stasis type and its effect on myocardial fibrosis. Methods:A total of 112 cases of patients with diabetic cardiomyopathy of deficiency of qi and yin with stasis type were divided into the observation group and the control group according to the random number table method,with 56 cases in each group. The control group was treated with routine western medicine,and the observation group was additionally treated with modified Shengmai powder combined with Danshen yin based on the treatment of the control group. The changes in fasting blood glucose(FBG), postprandial 2 h blood glucose(P2hBG), total cholesterol(TC), triglyceride(TG), left ventricular end diastolic diameter(LVEDD), left atrial diameter(LAD), left ventricular ejection fraction(LVEF), high- sensitivity C- reactive protein (hs- CRP) , lipoprotein- associated phospholipase A2(Lp- PLA2) , platelet alpha- granule membrane protein(GPM- 140) , hyaluronic acid(HA),laminin(LN) and N-terminal procollagen Ⅲ propeptide(PⅢNP) before and after treatment as well as the curative effect of Chinese medicine syndromes and the drug resistance in the two groups were compared. Results:The total effective rate was 87.50% in the observation group, higher than that of 71.43% in the control group(P<0.05). After treatment, FBG, P2hBG, TG, TC, LAD, LVEDD, hs- CRP, Lp- PLA2, GPM- 140, P ⅢNP, LN and HA in the two groups were decreased when compared with those before treatment(P<0.05), and LVEF was increased(P<0.05); the FBG,P2hBG,TG,TC,LAD,LVEDD,hs- CRP,Lp- PLA2,GPM- 140,PⅢNP,LN and HA in the observation group were lower than those in the control group(P<0.05), and LVEF was higher(P<0.05). Conclusion: Modified Shengmai powder combined with Danshen yin for diabetic cardiomyopathy of deficiency of qi and yin with stasis type can lower blood glucose and regulate liquid,reduce levels of inflammatory factors and platelet activity,improve heart function,and prevent process of myocardial fibrosis,with a significant curative effect and good drug resistance.

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沈亚云,盛兰兰.生脉散合丹参饮加减治疗糖尿病性心肌病疗效及对心肌纤维化程度的影响[J].新中医,2022,54(5):62-66

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  • 在线发布日期: 2022-03-10
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