隔药饼灸干预糖调节受损临床研究  

Clinical research on cake-separated moxibustion for impaired glucose regulation

作　　者：王丽[1] 蔡圣朝[1] 秦晓凤[1] 袁卫华[1] 贺成功[1] 曹云燕[2] 

机构地区：[1]安徽中医药大学第二附属医院,合肥230061 [2]安徽中医药大学

出　　处：《中国针灸》2013年第12期1081-1084,共4页Chinese Acupuncture & Moxibustion

摘　　要：目的:观察隔药饼灸干预糖调节受损的临床疗效,探讨其作用机制。方法:将60例患者随机分成单纯生活方式干预组(对照组)和隔药饼灸联合生活方式干预组(观察组),每组30例。对照组采用生活方式干预;观察组在生活方式干预基础上,采用隔药饼灸脾俞、胃俞和胰俞。观察两组治疗前后空腹血糖(FPG)、口服糖耐量试验2小时血糖(OGTT2hPG)、空腹胰岛素(FINS)、胰岛素抵抗指数(HOMA-IR)、血脂水平、体质量指数(BMI)及腰围(WC)。结果:两组患者治疗后FPG及OGTT2hPG均较治疗前明显降低(均P<0.05),两组间差值比较,FPG[(0.41±0.42)mmol/L vs(0.05±0.08)mmol/L]及OGTT2hPG[(0.85±0.53)mmol/L vs(0.17±0.19)mmol/L]差异均有统计学意义(均P<0.05)。对照组治疗前后FINS、HOMA-IR、血脂、BMI及WC未见明显变化(均P>0.05);观察组治疗后FINS、HOMA-IR、甘油三酯、总胆固醇、低密度脂蛋白、BMI及WC均较治疗前明显降低(均P<0.05),两组间上述指标差值比较存在统计学差异(均P<0.05)。结论:隔药饼灸联合生活方式干预可明显控制血糖水平,改善胰岛素抵抗及血脂水平,降低体质量指数及腰围。Objective To observe clinical curative effect of cake-separated moxibustion on impaired glucose re- gulation （IGR） and explore its action mechanism. Methods Sixty cases were randomly divided into a simple lifes- tyle intervention group （control group） and a cake-separated moxibustion combined with lifestyle intervention group （observation group）, 30 cases in each one. The control group was treated with lifestyle intervention. Based on lifestyle intervention, cake-separated moxibustion at Pishu （BL 20）, Weishu （BL 21） and Yishu （EX-B 3） was applied to the observation group. Fast plasma glucose （FPG）, two hours plasma glucose after oral glucose tolerance test （OGTT2hPG）, fasting insulin （FINS）, homa insulin resistance index （HOMA-IR）, blood lipid, body mass index （BMI） and waist circumference （WC） were observed in the two groups before and after treat- ment. Results After treatment, the OGTT2hPG and FPG were both decreased significantly （both P〈0.05） in the two groups, compared between the two groups, the differences of FPG [（0.41±0.42）mmol/L vs （0.05± 0.08）mmol/L] and OGTT2hPG [（0.85±0.53）mmol/L vs （0.17±0.19）mmol/L] were both statistically signifi- cant. There were no significant changes in FINS, HOMA-IR, blood lipid, BMI and WC in the control group be- fore and after treatment （all P〉0.05）, but FINS, HOMA-IR levels, triglycerides （TG）, total cholest-erol （TC）, low density lipoprotein （LDL-C）, BMI and WC in the observation group were decreased obviously after treatment （all P〈0.05）, which had statistical differences between the two groups （all P〈0.05）. Conclusion The cake-separated moxibustion combined with lifestyle intervention can obviously control blood glucose levels, improve insulin resistance and blood lipid levels, decrease BMI and WC.

关 键 词：糖调节受损 艾灸疗法 隔药饼灸 

分 类 号：R245.8[医药卫生—针灸推拿学]