透穴埋线干预糖尿病前期的临床观察

发布时间：2018-06-16 23:53

本文选题：透穴埋线 + 糖尿病前期　；参考：《河南中医药大学》2016年硕士论文

【摘要】：目的通过观察透穴埋线干预糖尿病前期的临床疗效,对透穴埋线的作用机制进行深入探讨,为糖尿病前期的患者提供一种可行的治疗方案。方法将入选的66例糖尿病前期患者随机分为两组:治疗组和对照组各33例,治疗组采取透穴埋线配合个人基础生活方式干预,对照组采用单纯个人基础生活方式干预。治疗组取穴:胰俞、肺俞、脾俞、肾俞、天枢、膻中、足三里,三阴交;每月治疗一次,共治疗3个月;观察患者治疗中医临床症状及证候积分、血糖、糖化血红蛋白等指标变化,客观分析并评价透穴埋线干预糖尿病前期的疗效。结果1、干预后治疗组总有效率68%,对照组总有效率39%,P0.01,两组总疗效具有显著性差异,具有统计学意义。2、干预后两组患者的中医临床症状及症候积分均较前降低;干预后,两组之间中医临床症状及症候积分对比(P0.05),差异具有统计学意义。3、干预后治疗组FPG及2h PG较干预前均有下降(P0.05)差异具有统计学意义;干预后对照组FPG及2h PG较前变化不明显(P0.05),差异无统计学意义。干预后两组之间FPG及2h PG对比(P0.05),差异有统计学意义。4、干预后治疗组的Hb A1C较干预前有所下降(P0.05),差异有统计学意义;干预后对照组Hb A1C较干预前下降不明显,差异无统计学意义(P0.05);干预后两组之间Hb A1C比较差异不明显,无统计学意义(P0.05)。结论1、个人基础生活方式干预糖尿病前期,由于其不可持续性,干预效果较差,联合透穴埋线作用,效果明显。2、本研究表明透穴埋线干预糖尿病前期有效且安全方便,为临床干预糖尿病前期的干预提供了新的、简便而有效的干预方案。
[Abstract]:Objective to observe the clinical effect of catgut embedding through acupoint penetration in pre-diabetic patients, and to explore the mechanism of catgut penetration in order to provide a feasible treatment scheme for pre-diabetic patients. Methods 66 prediabetic patients were randomly divided into two groups: treatment group (n = 33) and control group (n = 33). The treatment group was treated with catgut penetration combined with individual basic lifestyle intervention, while the control group was treated with simple individual basic lifestyle intervention. In the treatment group, acupoints were collected: Yesu, Fesu, spleen Yu, Shenshu, Tianshu, Tanzhong, Zusanli, Sanyinjiao; treatment once a month for a total of 3 months; observe the clinical symptoms and syndromes of the patients treated with traditional Chinese medicine; The changes of glycosylated hemoglobin and other indexes were analyzed and evaluated objectively. Results 1. After intervention, the total effective rate of the treatment group was 68 and that of the control group was 390.The total curative effect of the two groups was significantly different (P < 0.05). The clinical symptoms and symptom scores of the two groups were lower than those of the former, and after the intervention, the clinical symptoms and symptom scores of the two groups were lower than those of the former. The difference between the two groups was statistically significant (P 0.05). The FPG and 2h PG in the treatment group were lower than those before the intervention (P 0.05). There was no significant difference in FPG and 2h PG between the control group and the control group (P 0.05). After intervention, the difference of FPG and 2h PG between the two groups was statistically significant, the HbA1C in the treatment group was lower than that before the intervention, the difference was statistically significant, and the control group had no significant decrease in HB A1C after intervention. There was no significant difference in HbA1C between the two groups after intervention, and there was no significant difference in HbA1C between the two groups. Conclusion 1. The intervention of individual basic lifestyle in the early stage of diabetes mellitus is effective and safe and convenient because of its unsustainability and poor effect, combined with catgut embedding through the acupoint, the effect of which is obvious (.2.) this study shows that the therapy of catgut penetration therapy is effective and safe in the early stage of diabetes mellitus. It provides a new, simple and effective intervention scheme for clinical intervention of prediabetes.
【学位授予单位】：河南中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.1

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