穴位埋线治疗糖尿病前期的疗效观察及术后反应

发布时间：2018-01-18 02:19

本文关键词：穴位埋线治疗糖尿病前期的疗效观察及术后反应　出处：《中国针灸》2017年06期 　论文类型：期刊论文

【摘要】：目的:观察评价穴位埋线治疗糖尿病前期的临床疗效和安全性。方法:将86例糖尿病前期患者随机分为观察组和对照组,每组43例。对照组进行糖尿病健康教育。观察组在对照组基础上行穴位埋线,穴取双侧脾俞、胃脘下俞、肝俞、肾俞、足三里,每15天穴位埋线1次,共完成6次穴位埋线。从第2次治疗开始,每次治疗前记录患者上次穴位埋线后的术后反应类型及次数等,于治疗结束15 d后记录最后1次穴位埋线术后情况。于治疗前后及治疗结束6个月后对两组胆固醇(total cholesterol,TC)、三酰甘油(triglyceride,TG)、空腹血糖(fasting plasma glucose,FPG)、餐后2 h血糖(2 hours postprandial blood glucose,2h PG)、糖化血红蛋白(Hb A1c)、空腹胰岛素水平(insulin,Ins)及中医证候积分情况进行记录,并评价临床疗效。结果:治疗后观察组TC、TG、FPG、2h PG、Hb A1c均低于治疗前(均P0.05),且均低于对照组(均P0.05),Ins较治疗前变化幅度较小,且较对照组差异无统计学意义(均P0.05)。随访时两组各项指标较治疗前差异均无统计学意义(均P0.05)。治疗后观察组中医证候积分低于治疗前,且低于对照组(均P0.05)。随访时观察组中医证候积分低于治疗前,差异有统计学意义(P0.05)。观察组总有效率为76.7%(33/43),明显优于对照组的30.2%(13/43,P0.05);随访时观察组总有效率下降到37.2%(16/43),对照组总有效率下降到25.6%(11/43,P0.05)。观察组患者埋线术后共记录18种术后反应,共出现168次,可分为5大类:饮食抑制现象相关的术后反应75次(44.6%),情绪异常相关的术后反应41次(24.4%),局部不适相关的术后反应23次(13.7%),全身不适相关的术后反应21次(12.5%),其他不适相关的术后反应8次(4.8%);术后反应高峰期在第2~3次穴位埋线术后。结论:3个月的穴位埋线治疗能改善糖尿病前期患者部分指标,但需长期保持健康的生活习惯,穴位埋线后可出现多种术后反应但不影响治疗。
[Abstract]:Objective: to observe and evaluate the clinical efficacy and safety of acupoint catgut implantation in the treatment of prediabetes. Methods: 86 patients with prediabetes were randomly divided into observation group and control group. There were 43 cases in each group. The control group was given diabetes health education. The observation group was treated with acupoint catgut embedding on the basis of the control group. The observation group was treated with acupoint catgut embedding once every 15 days, and the acupoints were taken from both sides of the study group, including spleen Yu, Weiwan Xishu, Gan Yu, Shen Yu, Zusanli. A total of 6 times of catgut embedding were completed. From the second treatment, the postoperative reaction types and times were recorded before each treatment. After 15 days of treatment, the last acupoint catgut implantation operation was recorded. Total cholesterol cholesterol (TC) was observed before and after treatment and 6 months after the end of treatment. Triglyceride triglyceride (TGG), fasting plasma glucose (FPG). 2 hours postprandial blood glucose 2 h postprandial, HbA1c). Fasting insulin level and TCM syndromes score were recorded and the clinical efficacy was evaluated. Results: the observation group was treated with TCU TGG FPG 2 h PG. HbA1c was lower than that before treatment (P0.05A) and lower than that of control group (P0.05A1c). The change of HbA1c was smaller than that before treatment. There was no significant difference compared with the control group (all P 0.05). There was no significant difference between the two groups at follow-up compared with before treatment (all P 0.05). After treatment, the score of TCM syndrome in observation group was lower than that before treatment. And it was lower than the control group (all P 0.05). The score of TCM syndromes in the observation group was lower than that before treatment, the difference was statistically significant (P 0.05). The total effective rate of the observation group was 76.7g / 33 / 43. The ratio of 30.2% to 43% in the control group was significantly higher than that in the control group (P 0.05). At follow-up, the total effective rate in the observation group decreased to 37.2% 16 / 43 and the total effective rate in the control group decreased to 25.6% 11 / 43. In the observation group, 18 kinds of postoperative reactions were recorded, 168 times, which can be divided into 5 categories: 75 times of postoperative reactions related to dietary inhibition. The postoperative responses related to emotional abnormality were 41 times (24. 4 times), 23 times of local discomfort related to postoperative reactions (13. 7 times), and 21 times of postoperative reactions related to general discomfort (12. 5 times). Other unwell related postoperative reactions were 4.8 times; The peak period of postoperative response was after the 2nd third point catgut implantation. Conclusion: the three-month catgut implantation therapy can improve some indexes of prediabetic patients, but it needs to maintain healthy living habits for a long time. A variety of postoperative reactions may occur after catgut implantation at acupoints without affecting treatment.
【作者单位】：句容市人民医院针灸科;江苏省第二中医院针灸科;
【基金】：镇江市科技支撑项目:SH 2014106
【分类号】：R246.1
【正文快照】： 糖尿病前期是介于糖尿病和正常血糖之间的一1.2纳入标准种状态,被认为是糖尿病的必经阶段。由于没有明显(1)口服葡萄糖耐量试验(oral glucose tolerance的临床症状,只有通过血糖检测发现机体糖调节受损test,OGTT)空腹血糖(fasting plasma glucose,FPG)(impaired glucose regul

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