Volume 19 Issue 4
Apr.  2021
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GU Jian, LIN Li-ying, HU Yan. Clinical observation on 72 cases of type 2 diabetes mellitus complicated with gouty arthritis treated by integrated traditional Chinese and Western medicine[J]. Chinese Journal of General Practice, 2021, 19(4): 656-659. doi: 10.16766/j.cnki.issn.1674-4152.001886
Citation: GU Jian, LIN Li-ying, HU Yan. Clinical observation on 72 cases of type 2 diabetes mellitus complicated with gouty arthritis treated by integrated traditional Chinese and Western medicine[J]. Chinese Journal of General Practice, 2021, 19(4): 656-659. doi: 10.16766/j.cnki.issn.1674-4152.001886
shu

Clinical observation on 72 cases of type 2 diabetes mellitus complicated with gouty arthritis treated by integrated traditional Chinese and Western medicine

doi: 10.16766/j.cnki.issn.1674-4152.001886

  • Department of Endocrinology, Quzhou Hospital of Traditional Chinese Medicine, Quzhou, Zhejiang 324000, China

Funds:

 2019ZYC-A176

  • Received Date: 2020-11-11
    Available Online: 2022-02-16
    Abstract
  •   Objective  This study aimed to compare the clinical effect of conventional Western medicine or combination of Chinese and Western medicine in the treatment of type II diabetes mellitus complicated with gouty arthritis.  Methods  A total of 72 diabetic patients who were diagnosed with gouty arthritis from January 2018 to December 2019 were selected and randomly divided into the observation group and control group, with 36 cases in each group. The control group was given conventional Western medicine (oral indomethacin enteric coated tablets), and the observation group was given conventional Western medicine combined with Qingli Xiaotong Chinese medicine. The indexes of glucose and lipid metabolism [fasting blood glucose (FBG), 2 h postprandial blood glucose (2hPG), glycosylated haemoglobin (HbA1c%), serum total cholesterol (TC), triglyceride (TG), high-density lipoprotein cholesterol (HDL-C) and low-density lipoprotein cholesterol (LDL-C)] and inflammatory indexes of erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), joint pain score and uric acid (UA) level were observed before and after treatment.  Results  After treatment, FBG, 2hPG, HbA1c, TC, TG, HDL-C, LDL-C and the inflammatory indexes, such as ESR, CRP, joint swelling, pain score and UA, were significantly improved in the observation group than in the control group (all P < 0.05).  Conclusion  The combination of traditional Chinese and Western medicine has better curative effect on diabetic patients with gouty arthritis. It can relieve pain symptoms, reduce inflammatory indexes and uric acid levels and help to control blood glucose and blood lipid levels.

     

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