| ObjectiveBased on community general practice and guided by traditional Chinese medicine theory,this study explored the clinical efficacy of non-drug comprehensive intervention of traditional Chinese medicine in the community with type 2 diabetes combined with hyperlipidemia,so as to find a new way to treat type 2 diabetes combined with hyperlipidemia,and provide more clinical basis for the promotion of comprehensive treatment of traditional Chinese medicine in the community.MethodsA total of 125 patients from community healthcare centers affiliated to Shenzhen Hospital of Traditional Chinese Medicine who were diagnosed as type 2 diabetes mellitus complicated with hyperlipidemia and whose syndrome type was phlegm-dampness syndrome were included in this study.A total of 125 patients were randomly divided into control group(63 cases)and intervention group(62 cases)by random number table method.Control group treated by routine western medicine,the intervention group on the basis of western medicine treatment of traditional Chinese medicine(TCM)increase comprehensive non-pharmaceutical interventions,such as dietary guidance,ear beans,etc.,for a period of eight weeks,observe the two groups in body mass index,blood sugar,blood fat and TCM symptom score index changes,evaluate the efficacy and safety of TCM nondrug comprehensive intervention,and record adverse reactions.Result1.A total of 120 patients completed this study,60 in the control group and 60 in the intervention group.All patients in the two groups had no adverse reactions during the 8 weeks of treatment.2.Before treatment,there was no significant difference in body mass index(BMI)between the two groups(P>0.05),which was comparable.After treatment,BMI of both the intervention group and the control group decreased compared with before treatment,with tatistical difference(P<0.01),indicating that BMI of both groups could be improved.After treatment,the BMI level of the intervention group was lower than that of the control group,and there were statistical differences between the two groups(P<0.01),indicating that the efficacy of the intervention group was better than that of the control group.3.Before treatment,there were no significant differences in fasting blood glucose,postprandial 2h blood glucose and glycated hemoglobin(HbA1c)between the two groups(P>0.05).Compared with the control group,the levels of FPG and P2hPG in the intervention group and the control group were lower than before,with statistical differences(P<0.01).After treatment,the levels of FPG and P2hPG in the intervention group were lower than those in the control group,and there were statistically significant differences between the two groups(P<0.01),indicating that the efficacy of the intervention group was better than that of the control group.After treatment,there was no statistical difference in HbA 1 c index between the intervention group and the control group(P>0.05),indicating that the efficacy of the two groups was similar.4.Before treatment,there was no significant difference in blood lipid indexes(total cholesterol,triglyceride,low density lipoprotein cholesterol,high density lipoprotein cholesterol)between the two groups(P>0.05),indicating comparability.Comparison of TC,TG and LDL-C levels between the two groups before and after treatment showed that the levels of TC,TG and LDL-C were decreased compared with before treatment,while the levels of HDL-C were increased compared with before treatment,with statistical differences(P<0.01),indicating that both groups could improve lipid indexes.After treatment,the levels of TC,TG and LDL-C in the intervention group were lower than those in the control group,while the levels of HDL-C were higher than those in the control group,and there were statistical differences between groups and differences(P<0.05).It shows that the efficacy of the intervention group is better than the control group.5.Before treatment,there was no significant difference in TCM syndrome scores between the two groups(P>0.05),which was comparable.After treatment,the TCM syndrome score in the intervention group was significantly lower than that in the control group(P<0.01),and the total effective rate in the intervention group was higher than that in the control group(P<0.01),with statistical difference(P<0.01).Conclusion1.Non-drug comprehensive treatment of traditional Chinese medicine is safe and effective,has strong feasibility and promotion,and is suitable for community promotion,which contributes to the inheritance and development of traditional Chinese medicine concept in the community.2.Traditional Chinese medicine combined with western medicine can effectively reduce the levels of fasting blood glucose,postprandial 2h blood glucose,total cholesterol,triglyceride,low density lipoprotein cholesterol,and increase the level of high density lipoprotein cholesterol in patients with type 2 diabetes mellitus and hyperlipidemia.3.Non-drug comprehensive treatment of traditional Chinese medicine combined with western medicine failed to effectively reduce the level of HbA1c.Considering that the treatment period was too short,longer period of intervention and observation were needed to evaluate the efficacy of HbAlc indicators.4.Traditional Chinese medicine combined with western medicine can effectively reduce the TCM syndrome scores of patients with phlegm-dampness syndrome of diabetes and improve the TCM clinical symptoms. |
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