电针结合耳穴干预单纯性肥胖伴糖调节受损临床研究  

Clinical research on combined electroacupuncture and ear point for simple obesity with impaired glucose regulation

作　　者：项琼瑶[1] 李国安[2] 沈小珩[1] 洪洁[1] 

机构地区：[1]上海交通大学医学院附属瑞金医院,上海200025 [2]上海中医药大学附属曙光医院,上海201203

出　　处：《上海中医药杂志》2013年第5期31-33,共3页Shanghai Journal of Traditional Chinese Medicine

摘　　要：目的观察电针结合耳穴对单纯性肥胖伴糖调节受损(IGR)的影响。方法将64例单纯性肥胖伴IGR患者随机分为针刺治疗组和二甲双胍药物组,分别给予相应的治疗,疗程3个月。观察两组治疗前后体重指数(BMI)、空腹血糖(FPG)、餐后2小时血糖(2hPG)、空腹胰岛素(FINS)及胰岛素抵抗指数(HOMA-IR)的变化情况。结果治疗后两组BMI、FPG、2hPG、FINS和HOMA-IR均较治疗前明显降低(P<0.01),且两组BMI、FPG和2hPG治疗前后差值有显著性差异(P<0.05,P<0.01)。结论电针结合耳穴可减轻单纯性肥胖伴糖调节受损患者体重,改善糖代谢和胰岛素抵抗。Objective To observe the clinical efficacy of combined electroacupuncture and ear point in treating simple obesity with impaired glucose regulation （IGR）. Methods Sixty-four cases were randomized into acupuncture treatment group and Metformin group. Corresponding treatment was applied for each group, with the course of 3 months. The BMI, FPG, 2hPG, FINS, HOMA-IR were detected. Results After treatment, the BMI, FPG, 2hPG, FINS, HOMA-IR were decreased markedly in both of the groups （P 〈 0.01 ）, and there were significant differences in BMI, FPG, 2hPG in both of the groups between before and after treatment （P 〈 0.05,P 〈 0.01 ）. Conclusion Combined electroacupuncture and ear point can lose weight and in patients with simple obesity accompany with impaired glucose regulation, as well as improve glycometabolism and insulin resistance.

关 键 词：电针疗法 耳穴 单纯性肥胖 糖调节受损 

分 类 号：R246[医药卫生—针灸推拿学]