穴位埋线配合饮食运动干预对单纯性肥胖患者糖代谢相关指标的影响

发布时间：2018-05-02 09:53

本文选题：单纯性肥胖 + 穴位埋线　；参考：《中华中医药杂志》2017年11期

【摘要】：目的:观察穴位埋线配合饮食运动干预对单纯性肥胖患者空腹血糖(F P G)、胰高血糖素(Glucagon)、C-肽(C-P)的影响,进一步探讨其作用机制。方法:单纯性肥胖患者随机分为对照组、埋线组。对照组采用饮食+运动干预疗法;埋线组在对照组的基础上采用穴位埋线疗法。2个疗程后进行临床疗效评价并比较治疗前后肥胖相关指标[体质量、体质指数(BMI)、脂肪率(F%)、FPG、Glucagon及C-P]水平变化。结果:两组间临床疗效比较,埋线组优于对照组(P0.01)。与对照组比较,埋线组对体质量、BMI、F%改善更显著(P0.01,P0.05)。埋线组治疗后FPG、空腹C-P水平均较治疗前降低(P0.05,P0.01),而空腹Glucagon水平与治疗前相比,无统计学差异。对照组对肥胖患者的糖代谢相关实验室指标无明显影响。结论:单纯饮食运动控制并不能明显调节机体内分泌状态,而穴位埋线配合饮食运动干预能够良性调节胰岛内分泌功能。
[Abstract]:Objective: to observe the effects of acupoint catgut embedding combined with diet and exercise intervention on fasting blood glucose (FPG) and glucagon (Glucagonopeptide C-P) in simple obese patients, and to explore its mechanism. Methods: patients with simple obesity were randomly divided into control group and catgut embedding group. The control group was treated with diet and exercise intervention therapy, the control group was treated with acupoint catgut embedding therapy on the basis of the control group, the clinical curative effect was evaluated after two courses of treatment and the relative indexes of obesity were compared before and after treatment. Body mass index (BMI), fat rate (FG), and the levels of Glucagon and C-P in FPGN. Results: the clinical efficacy of the two groups was better than that of the control group (P 0.01). Compared with the control group, the improvement of BMIF% was more significant in the catgut embedding group than that in the control group. In the catgut embedding group, the fasting C-P level was lower than that before treatment, but the fasting Glucagon level was not significantly different from that before treatment. The control group had no significant effect on the related laboratory indexes of glucose metabolism in obese patients. Conclusion: simple diet exercise control can not obviously regulate the endocrine state of the body, but acupoint catgut embedding combined with dietary exercise intervention can regulate the endocrine function of pancreatic islets.
【作者单位】：湖北中医药大学临床医学院针灸治未病湖北省协同创新中心;湖北省中医院针灸科;湖北省中医药研究院;
【基金】：湖北省自然科学基金项目(No.2012FFB01601) 国家中医药管理局2015中医药行业专项科研项目(No.201507003)~~
【分类号】：R246.1

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