Shenzhu Tiaopi granule combined with lifestyle intervention therapy for impaired glucose tolerance: A randomized controlled trial

被引:56
作者
Fang, Zhaohui [1 ,2 ]
Zhao, Jindong [1 ,2 ]
Shi, Guobing [1 ]
Shu, Yiqiong [1 ]
Ni, Yingqun [1 ]
Wang, Huan [1 ]
Ding, Lei [1 ]
Lu, Ruimin [1 ]
Li, Jiayun [1 ]
Zhu, Xiaojin [1 ]
Cheng, Senhua [3 ]
Zhang, Xinyi [1 ]
Liu, Yan [4 ]
Wang, Jun [5 ]
Luo, Yuan [1 ]
Fan, Qingyun [1 ]
Guo, Chenglin [1 ]
Jiang, Ting [1 ]
Wu, Qian [1 ]
Fan, Lihong [1 ]
Ling, Hanpeng [1 ]
Cui, Liqun [1 ]
Luo, Yun [1 ]
Yang, Hui [1 ]
Anderson, Robert M. [2 ,6 ]
机构
[1] Anhui Univ Chinese Med, Affiliated Hosp 1, Dept Endocrinol, Hefei 230031, Anhui, Peoples R China
[2] Anhui Acad Chinese Med, Inst Chinese Med Prevent & Therapy Diabet Mellitu, Hefei 230031, Anhui, Peoples R China
[3] Shangyu City Hosp Chinese Med, Dept Endocrinol, Shangyu 312300, Zhejiang, Peoples R China
[4] Anhui Univ Chinese Med, Dept Endocrinol, Affiliated Hosp 2, Hefei 230031, Anhui, Peoples R China
[5] Wuhu City Hosp Chinese Med, Dept Endocrinol, Wuhu 241000, Anhui, Peoples R China
[6] Univ Michigan, Sch Med, Dept Learning Hlth Sci, Ann Arbor, MI USA
关键词
Impaired glucose tolerance (IGT); Spleen deficiency and damp overabundance syndrome (SDDOS); Shenzhu Tiaopi granule (SZTP); Lifestyle; DIABETES PREVENTION; PREVALENCE; NIDDM; DIET; IGT;
D O I
10.1016/j.ctim.2014.08.004
中图分类号
R [医药、卫生];
学科分类号
100218 [急诊医学];
摘要
Objective: The purpose of the study was to evaluate the clinical effects of the Shenzhu Tiaopi granule (SZTP) combined with a lifestyle intervention in patients with impaired glucose tolerance (IGT), who also had a spleen deficiency and damp overabundance syndrome (SDDOS). Methods: After a one-month washout period, a total of 514 patients were randomly assigned to the control (lifestyle intervention) and experimental (SZTP plus lifestyle intervention) groups, with 257 patients in each group. Patients in the control group received the lifestyle intervention (diet and exercise) for 12 months, while the patients in the experimental group were treated with SZTP plus the lifestyle intervention for 12 months. The Traditional Chinese Medicinal (TCM) symptom scores were observed in each group before and after treatment; the conversion rates from IGT to diabetes mellitus (DM) were also measured. Results: Following 12 months of treatment, the conversion rate from IGT to DM in the experimental group was significantly lower than in the control group (8.52% vs. 15.28%, P < 0.05). A significantly higher number of patients with IGT reverted to normal blood glucose levels in the experimental group than in the control group (42.15% vs. 32.87%, P < 0.05). In addition, after following the treatment for 12 months, the TCM symptoms of patients in the experimental group were markedly alleviated, as compared to the control group (P < 0.01). Conclusion: The combination of SZTP and lifestyle intervention showed a reduction in the conversion from IGT to DM, and an increase in the conversion from IGT to normal blood glucose Levels. (C) 2014 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-SA license (http://creativecommons.org/licenses/by-nc-sa/3.0/).
引用
收藏
页码:842 / 850
页数:9
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