马允亮（上海市长宁区周家桥社区卫生服务中心 上海 200051）

中药足浴辅治糖耐量减低45例效果观察

马允亮
（上海市长宁区周家桥社区卫生服务中心 上海 200051）

摘 要目的：观察中药足浴对糖耐量减低患者的血糖控制及临床症状的影响。方法：糖耐量减低者90例，随机分为干预组和对照组各45例；比较干预前后两组患者血糖控制效果及临床症状积分。结果：干预后两组患者餐后2 hPG和临床症状好转率差异存在统计学意义，两组中医临床症状积分比较差异无统计学意义，但好转人数明显多于对照组。结论：初步研究表明，中药足浴配合健康教育辅治糖耐量减低有积极意义，长期效果有待观察。

关键词糖耐量减低 中药足浴 健康教育 餐后2 hPG

Observation of the effect of the auxiliary treatment of the Chinese medicine foot bath on forty-five cases with the impaired glucose tolerance

MA Yunliang
(Zhoujiaqiao Community Health Service Center of Changning District, Shanghai 200051, China)

ABSTRACTObjective: To observe the Chinese medicine foot bath to control the blood glucose of the patients with the impaired glucose tolerance and the impact on their clinical symptoms. Methods: Ninety cases with the impaired glucose tolerance were randomly divided into an intervention group and a control group. Their effect of the glycemic control and clinical symptom scores were compared before and after the intervention. Results: After the intervention, there was the difference in the statistical significance of the level of the patients’ 2 hPG after a meal and the improvement rate of the clinical symptoms. There was no difference in the statistical significance of the clinical symptom scores of Chinese medicine, but the number of the improved patients was more in the intervention group than that in the control group. Conclusion: The preliminary study shows that the Chinese medicine foot bath combined with the health education in auxiliary treatment of the impaired glucose tolerance has an active significance, but its long-term effect remains to be further observed.

KEY WORDSimpaired glucose tolerance; Chinese medicine foot bath; health education; 2Hpg after a meal

糖耐量减低(IGT)者是2型糖尿病的潜在危险人群，IGT作为2型糖尿病的前期，早期干预治疗尤为重要，这也是目前糖尿病研究的一个热点。我们试用中药足浴辅治社区2型糖耐量减低者，效果如下。

1 对象与方法

1.1 研究对象

通过社区宣传、动员，登记到足够的愿意参加者。采用1999年WHO糖尿病专家咨询委员会公布的诊断标准，筛选出符合入选标准的糖耐量减低患者90例，随机分为干预组和对照组各45例。

1.2 干预方法

两组患者进行每月糖耐量减低健康知识讲座，为期3个月。干预组增加中药足浴辅助治疗。足浴方组成：黄芪30 g、白术10 g、防已10 g、木瓜10 g、肉桂8 g、茯苓10 g、猪苓10 g、泽兰10 g、泽泻15 g、葛根15 g。用药方法：将加工完成的足浴药物放入器皿中，加入适量烧沸开水冲泡，比例为每小包250 ml开水，待水温冷却到45 ℃时，嘱患者将双足浸入水中，适应后不断加入热水，使患者出汗；……