The Clinical Study Of Standing Stake Excerise Combined With Tangxi Decoction Treatment Of Type 2 Diabetes Accompanied By Emotional Disorder(Liver Meridian Muggy Syndrome Type)

Purpose: To analyze the effect of this treatment method on the relevant indicators of the study object through the intervention study of the traditional practice method and the instructor’s experience prescription Tangxi decoction on the type 2 diabetes mellitus of the liver-heat depression syndrome,with a view to objectively evaluate its efficacy,which is type 2.The treatment of diabetic mood disorder provides an effective and feasible clinical treatment plan of simple exercise combined with traditional Chinese medicine.Method: A total of 70 patients with type 2 diabetes mellitus with emotional disorder and TCM dialectic syndrome of hepatic meridian heat syndrome who were admitted to the Department of Endocrinology,Qingdao Haici Hospital were collected and randomly divided into two groups(the treatment group and the control group),35 cases each.On the basis of basic hypoglycemic interventions and health education on diabetic mood disorders,the treatment group was given oral administration of Tangxi decoction and instructed him to perform standing exercises,2 times a day,5-10 minutes each day;the control group was given Tangxi decoction alone oral.Both groups were treated for 12 weeks.Before and after treatment:Metabolic indicators: fasting blood glucose(FPG),2 hour postprandial blood glucose(2h PPG),fasting insulin(FINS),glycated hemoglobin (HbA1c),high density lipoprotein (HDL-C),low density lipoprotein (LDL-C),total cholesterol (TC),triglyceride (TG);calculation of insulin resistance index (HOMA-IR);statistics of diabetes-specific quality of life scale (DSQL)scores,TCM syndrome scores,Hamilton anxiety Scale (HAMA) score,Hamilton Depression Scale (HAMD) score.Finally,statistical analysis of the data obtained,objective evaluation.Result: In this trial,70 cases were enrolled,and 35 cases in each of the treatment group and control group.The treatment group and control group were lost to follow-up 3 cases and 6 cases,respectively,the final effective case was 61 cases.The test results are as follows:1.Baseline data: There is no statistically significant difference between the treatment group and the control group(P>0.05),which is comparable.Baseline data includes: general information(gender,age,smoking history,drinking history,BMI);various observation items before treatment;scale points(HAMD,HAMA,DSQL,liver meridian muggy syndrome type points).2.Clinical efficacy: After treatment,the two groups of patients had significantly lower indicators than before treatment: 2h PPG,FPG,HOMA-IR,HbA1c,HAMD score,HAMA score,and liver meridian heat syndrome score,the difference was statistically significant (P<0.01).After treatment,FINS decreased in both groups,but the difference was not statistically significant (P>0.05),and there was no statistically significant difference between the groups (P>0.05).The DSQL score,LDL-C,TC,and TG of the treatment group were lower than before treatment,and the difference was statistically significant (P<0.01);although HDL-C was higher than before treatment,the difference was not statistically significant (P>0.05).In the control group,TG decreased compared with before,the difference was statistically significant (P<0.05);DSQL score decreased,but the difference was not statistically significant(P>0.05);TC increased before,but the difference was not statistically significant (P > 0.05);LDL-C and HDL-C had no statistical significance(P>0.05).Comparison between the groups showed that the treatment group was significantly better than the control group in lowering TC,TG,DSQL score,HAMD score,HAMA score,and lowering liver meridian syndrome score,the difference was statistically significant(P<0.01).During the test,no adverse reactions occurred in both groups.The total effective rate of the HAMD treatment group was 84.38%;the total effective rate of the control group was 68.97%.According to Ridit analysis,(P> 0.05),the difference between the two groups was not statistically significant.The therapeutic effect of the two groups is equivalent.The total effective rate of the HAMA treatment group was 87.50%;the total effective rate of the control group was 79.31%.According to Ridit analysis,(P>0.05),the difference between the two groups was not statistically significant.The total effective rate in the T2 DM treatment group was 84.38%;the total effective rate in the control group was 75.86%.According to Ridit analysis,(P> 0.05),the difference between the two groups was not statistically significant.The therapeutic effect of the two groups is equivalent.The total effective rate of the treatment group of the Chinese medicine symptom score table was 93.75%;the total effective rate of the control group was 82.76%.According to Ridit analysis,(P>0.05),the difference between the two groups was not statistically significant.The therapeutic effect of the two groups is equivalent.Conclusion:Tangxi Decoction is an effective prescription for the treatment of hepatic meridian T2 DM combined with emotional disorders,and Standing stake excerise is an effective treatment for the treatment of liver meridian T2 DM combined with emotional disorders;both can improve patient compliance and help patients with diabetes control,but Standing stake excerise combined with Tangxi Decoction is superior to single serving Tangxi Decoction in reducing TG and TC,reducing the degree of emotional disorders,improving the quality of life of patients,and improving the symptoms of traditional Chinese medicine.