The Spleen And Stomach, Pi Elimination Method Of Inverse Treatment Of Diabetic Gastroparesis Clinical Research

Diabetic gastroparesis DGP (diabetes) is the common gastrointestinal chronic complications, the main reason is because diabetes not get good control and high dynamic obstacles, caused the muscle contraction force is reduced, gastric peristalsis abate, gastric antrum tension-free and emptying delay and duration, clinical helicobacter shrinkage is mainly for nausea, early enough, after the meal, abdominal distension, vomiting, abdominal pain and weight wait for a symptom, main characteristic is a stomach distention and gastric peristalsis slow and emptying delay. Today's rate of diabetes and its complications, already in tumor and cardio-cerebrovascular disease in later. Diabetes, heart, brain, kidney and severe complications of eye, modern research and more. But in recent years, the study of diabetes complications are rather than gastrointestinal DGP, the incidence of approximately 30%～50%, not only affects the quality of life of patients with diabetes, and the influence of diabetes, effective control of blood sugar, unpredictable fluctuations in accelerating the deterioration. Therefore, the effective treatment for DGP has important significance.ObjectiveUsing the method of clinical observation, proof of the spleen and stomach Pi elimination method of inverse medicine therapy for diabetic gastroparesis's effectiveness and safety, and discusses the motilium and relative advantage of DingLin talcid, provides the basis for clinical practice.MethodsUsing the forward-looking survey of research methods, in accordance with the diabetic patients with diabetic gastroparesis diagnostic criteria, select from June 2009 to March 2010 in Guangzhou University of Traditional Chinese Medicine hospital treatment of patients with diabetic gastroparesis, Based on inclusion and exclusion criteria to choose the 60 cases of qualified patients.60 cases of diabetic gastroparesis patients were raodomly divided into treatment group of 30 patients,30 cases of the control group. Both groups to maintain the original diet control and hypoglycemic agents or insulin injections control blood sugar. The treatment group in the spleen and stomach, Pi elimination medicine treatment, the control group to motilium 10 mg, three times a day, three-week course of treatment. Established a database, applicational software SPSS16.0 to the statistic the relevance of the data analysis and get a summary of the relevance between treatment group and control group.ResultsBoth groups can improve patients with diabetic gastroparesis stomach full bilge, the common approach department unwell, a change in diet, gas, nausea, defecate abnormal symptoms such as to improve the treatment group is the most obvious, the treatment group and control group 83.04% laseris 61.36% is efficient. By statistical processing, only the stomach with improvement and expansion has no obvious difference, the treatment group (P>0.05), and more significantly lower treatment in treatment group (P<0.05). For patients with diabetic gastroparesis comprehensive effect of disease, and the total effective rate of treatment group and control group total effectiveness is 86.67% 63.33%, Comprehensive effect in treatment group than in control group. The two groups before treatment had no difference (P>0.05), comparable. Treatment group and control group can be effectively reduced fasting plasma glucose and 2-hr plasma glucose, two groups before treatment compared with after treatment, the treatment group than controls blood sugar control (P<0.05). In treatment group and control group, CHOL and TG, HDL-L, LDL-L before treatment no significant difference (P>0.05), comparable. After treatment, LDL-L in HDL-L compared with control group, (* P>0.05) no difference, In the control group CHOL and TG after treatment with treatment group compared, (P<0.05) train.ConclusionCombine traditional Chinese and western medicine therapy for diabetic gastroparesis in controlling blood sugar and blood fat, improve gastroparesis symptoms than Timon, quinoline and diabetic gastroparesis's role. In the treatment of diabetic gastroparesis have obvious improvement, the results show that the spleen and stomach, Pi elimination method of inverse medicine in patients with diabetic gastroparesis improve symptoms has obvious advantages.