穴位埋线疗法对单纯性肥胖患者胰岛素抵抗的影响

发布时间：2018-06-11 18:02

本文选题：单纯性肥胖 + 穴位埋线　；参考：《中华中医药杂志》2017年08期

【摘要】：目的:观察穴位埋线对单纯性肥胖患者胰岛素抵抗的影响。方法:120例单纯性肥胖患者随机分为对照组、电针组、埋线组。对照组采用饮食+运动干预疗法;电针组在对照组的基础上取穴针刺,并选取腹部穴位加用两组电针;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空腹血糖(FBG)、空腹胰岛素(FINS)、稳态模型胰岛素抵抗指数(HOMA-IR)、胰岛素抗体(INS-Ab)水平。结果:埋线组和电针组治疗后FINS、HOMA-IR指标较治疗前降低(P0.01);埋线组治疗后FBG水平较治疗前降低(P0.05)。治疗后电针组与埋线组总有效率均高于对照组(P0.05);埋线组治疗后FINS、HOMA-IR指标较电针组降低(P0.05),且两组均低于对照组(P0.01);3组INS-Ab治疗前后均为阴性。结论:穴位埋线对于单纯性肥胖患者糖代谢状态的改善较电针有优势,可能机制是通过受体及受体后途径来提高胰岛素敏感性及利用率。
[Abstract]:Objective: to observe the effect of catgut embedding at acupoints on insulin resistance in simple obesity patients. Methods 120 patients with simple obesity were randomly divided into control group, electroacupuncture group and catgut embedding group. The control group was treated with diet and exercise intervention, the electroacupuncture group was treated with acupuncture on the basis of the control group, and the abdominal acupoints were added with two groups of electroacupuncture. The treatment group was treated with catgut embedding therapy at acupoint on the basis of the control group. After two courses of treatment, the clinical efficacy was evaluated and the levels of FBGG, FINSN, HOMA-IRN, insulin antibody were compared before and after treatment. Results: the index of FINSHOMA-IR in the embedding group and electroacupuncture group was lower than that before treatment, and the level of FBG in the catgut embedding group was lower than that before treatment. After treatment, the total effective rate of electroacupuncture group and embedding group was higher than that of control group (P 0.05), and the index of FINSX HOMA-IR was lower than that of electroacupuncture group (P 0.05), and both groups were lower than that of control group (P 0.01) before and after treatment. Conclusion: the improvement of glucose metabolism in patients with simple obesity by catgut embedding at acupoint is superior to that of electroacupuncture. The mechanism may be to increase insulin sensitivity and utilization rate through receptor and postreceptor pathway.
【作者单位】：湖北中医药大学/针灸治未病湖北省协同创新中心;湖北省中医院针灸科;
【基金】：湖北省自然科学基金项目(No.2012FFB01601)~~
【分类号】：R246.1

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