“运腹通经”推拿法治疗2型糖尿病（气阴两虚型）血脂代谢异常的临床研究

发布时间：2017-12-30 17:39

本文关键词：“运腹通经”推拿法治疗2型糖尿病（气阴两虚型）血脂代谢异常的临床研究　出处：《长春中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:通过运用“运腹通经”推拿法对2型糖尿病血脂代谢异常的患者血脂指标的干预和调治,来充分证实“运腹通经”推拿法对2型糖尿病血脂代谢异常可行性及有效性,为祖国传统医学治疗2型糖尿病血脂异常提供新的科学依据和科学绿色的治疗方法,以减轻糖尿病患者的痛苦和生活负担。并以祖国传统医学为根基,在临床中不断探索推拿手法平阴阳、调脏腑、通经络的作用机制,积极的探索和总结该套手法的实际意义。方法:选择60例符合2型糖尿病血脂代谢异常且中医证型属气阴两虚证的患者,病例均来源于长春中医药大学附属医院内分泌疗区和附属经开医院脏腑病推拿疗区。采用随机数字表法分为对照组和治疗组。两组患者均给予糖尿病常规基础用药治疗以控制血糖。对照组(患者30例),在常规治疗2型糖尿病基础上加用辛伐他汀片(广州南新制药有限公司生产,批准文号:国药准字H20010750)。服法:每天10mg,晚间顿服。治疗组(患者30例),在常规治疗2型糖尿病基础上,加用“运腹通经”推拿法日一次治疗。结果:经临床观察,治疗组在临床症状上有明显改善,实验室检查方面血清总胆固醇、高密度脂蛋白、低密度脂蛋白、甘油三脂都有较明显的改善,无论在临床症状方面还是实验室检查方面,都证实治疗组明显优于对照组(P0.05)。说明“运腹通经”推拿法在改善临床症状和实验室指标方面均疗效显著,同时又使降糖保持在一个稳态。结论:单纯降脂药物和“运腹通经”推拿法在治疗2型糖尿病血脂代谢异常方面,均有一定疗效,但“运腹通经”推拿法在改善临床症状和实验室检查指标方面,治疗组有较为明显的优势,说明该手法改善2型糖尿病血脂代谢紊乱方面行之有效,适宜临床的应用和推广。
[Abstract]:Objective: through the use of "abdomen pressure massage on blood lipid metabolism in type 2 diabetic abnormal blood lipids in patients with intervention and treatment, to fully confirm the feasibility and effectiveness of abnormal lipid metabolism in type 2 diabetic abdomen massage, abnormal pressure and provide a scientific basis for scientific green new treatment methods for traditional Chinese medical treatment of blood lipids in type 2 diabetes mellitus, diabetic patients to relieve the pain and burden of life. And the traditional Chinese medicine as the foundation, constantly explore in clinical manipulation level of yin and Yang, regulating mechanism of viscera, meridian, product of practical significance to explore and summarize the pole technique. Methods: 60 patients with blood lipid type 2 diabetes metabolic abnormalities and TCM syndrome type is Qi Yin deficiency syndrome two patients, patients were from hospitals of viscera massage therapy in the Affiliated Hospital of Changchun University of Traditional Chinese Medicine and affiliated by endocrine therapy. They were randomly divided into treatment group and control group. Two groups of patients were given conventional treatment of diabetes based medication to control blood glucose. The control group (30 patients), in addition to the routine treatment of type 2 diabetes with Simvastatin Tablets (Guangzhou Nanxin Pharmaceutical Co. Ltd., approval number: Zhunzi H20010750). Dosage: 10mg per day, evening meal. The treatment group (30 patients), in addition to the routine treatment of type 2 diabetes mellitus, with "abdomen pressure massage once a day treatment. Results: the clinical observation, the treatment group had significant improvement in clinical symptoms, laboratory examination of serum total cholesterol. High density lipoprotein, low density lipoprotein, glycerin three greases have significantly improved, both in clinical symptoms or laboratory tests have confirmed that the treatment group than the control group (P0.05). The abdomen pressure massage in improving the clinical The symptoms and laboratory indexes have significant effect, while the sugar remain in a steady state. Conclusion: simple lipid-lowering drugs and abdomen pressure massage in the treatment of type 2 diabetes abnormal lipid metabolism, have a certain effect, but the abdomen pressure massage in improving the clinical symptoms and laboratory indexes. The treatment group has obvious advantages, the technique to improve type 2 diabetes dyslipidemia in terms of effective, suitable for clinical application and promotion.

【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R244.1

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