中西医结合治疗糖尿病性胃轻瘫的临床观察

摘要

Objective To observe the clinical efficacy of a combination of traditional Chinese and Western medicine in the treatment of diabetic gastroparesis. Methods 80 patients with diabetic gastroparesis admitted to our hospital from March2017 to March 2018 were selected as subjects in this study. They were divided into control group (n=40) and observation group (n=40). The control group was treated with traditional Western medicine and treated with mosapride tablets. The observation group was treated with integrated Chinese and Western medicine treatment based on Banxia Xiexin Decoction.The treatment effect and treatment process were observed as well as the occurrence of adverse reactions. Results The total effective rate of the observation group (95.0％) was higher than that of the control group (72.5％), and the difference was statistically significant (P＜0.05). The clinical symptoms of abdominal pain, nausea and vomiting, anorexia and early satiety disappearance time in the observation group was significantly shorter than the control group, and the difference was statistically significant (P＜0.05). The gastric emptying time in the observation group was lower than that in the control group, and the difference was statistically significant (P＜0.05); the observation group and the control group of the incidence of adverse reactions did not differ statistically (P＞0.05). Conclusion The combination of traditional Chinese and western medicine has a good therapeutic effect on patients with diabetic gastroparesis. It can effectively alleviate various clinical symptoms and shorten the gastric emptying time of patients. It has high clinical application value.%目的 观察在治疗糖尿病性胃轻瘫时使用中西医结合的治疗方案产生的临床疗效.方法 在该院2017年3月-2018年3月收治的糖尿病性胃轻瘫患者中选取80例作为该次研究的观察对象,分为对照组(n=40)和观察组(n=40).其中对照组采取传统西医治疗方案,予以莫沙必利片进行治疗;观察组采取中西医结合的治疗方案,在对照组治疗基础之上加以半夏泻心汤进行治疗;观察治疗效果及治疗过程中不良反应发生情况.结果 观察组治疗总有效率(95.0％)高于对照组(72.5％),差异有统计学意义(P＜0.05);观察组治疗后脘腹疼痛、恶心呕吐、厌食早饱等临床症状消失时间均明显短于对照组,差异有统计学意义(P＜0.05);观察组治疗后胃排空时间低于对照组,差异有统计学意义(P＜0.05);观察组与对照组不良反应发生率差异无统计学意义(P＞0.05).结论 采用中西医结合的治疗方案对于治疗糖尿病性胃轻瘫患者具有良好的治疗效果,能够有效缓解患者各项临床症状,可缩短患者胃排空时间,具有较高的临床应用价值.