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目的:观察安胃加减汤对糖尿病并发肠道植物神经病变患者肠胃激素水平临床疗效.方法:选取2016年2月～2017年2月,我院内分泌科收治的糖尿病并发肠道植物神经病变患者57例,采用安胃加减汤治疗法.治疗前后检测患者的胃肠激素水平、血糖水平,对患者的临床症状进行评分并评估治疗效果.结果:治疗后患者的MOT和GAS水平较治疗前显著上升(P＜0.05),SS、VIP和LEP水平有明显降低(P＜0.05);FPG、2hPG和Hba1C水平显著降低;大便泄泻、腹胀腹痛、肠呜、脘腹痞满、食欲不振、倦怠乏力、畏寒肢冷以及临床症状总评分均显著下降(P＜0.05);痊愈患者15例,临床显效37例,总有效率91.23％,疗效显著.结论:安胃加减汤对糖尿病并发肠道植物神经病变患者肠胃激素水平临床疗效显著,在临床上可推广使用.“,”Objective:To explore the clinical effect of Anwei Decoction on gastrointestinal hormone levels in patients with diabetes mellitus complicated with intestinal autonomic neuropathy.Methods:From February 2016to February 2017,57patients with diabetes mellitus complicated with intestinal autonomic neuropathy were enrolled in the department of gastroenterology and gastroenterology.The levels of gastrointestinal hormones and blood glucose were measured before and after treatment,and the clinical symptoms were evaluated and the therapeutic effect was evaluated.Results:After treatment,the levels of MOT and GAS in patients were significantly higher than those before treatment (P＜0.05),SS,VIP and LEP levels were significantly decreased (P＜0.05).FPG,2hPG and Hba1C levels were significantly decreased.Pneumonia diarrhea,abdominal distension and abdominal pain,bowel,abdominal fullness,loss of appetite,fatigue,fatigue and a total score of clinical symptoms were significantly decreased (P＜0.05).15cases,clinically effective in 37cases,the total effective rate was 91.23％,the effect was significant.Conclusion:Modified Anwei Decoction is effective for the treatment of gastrointestinal hormones in patients with diabetes mellitus complicated with intestinal autonomic neuropathy.It can be widely used clinically.