穴位按摩对2型糖尿病患者血糖的影响  

Study on the effect of acupoint massage on blood glucose in type 2diabetic patients

作　　者：王翠玲[1] 晋运玲[1] Wang Culling;JinYunling(Clinic of lnternal Medicine,the Second Hospital of Shandong University,Jinan 250033,China)

机构地区：[1]山东大学第二医院内科门诊,济南250033

出　　处：《中国实用护理杂志》2018年第35期2721-2726,共6页Chinese Journal of Practical Nursing

摘　　要：目的探讨穴位按摩对2型糖尿病患者血糖的影响。方法选取2型糖尿病患者67例,利用随机数字表法将患者分为试验组34例和对照组33例,试验组给予五组穴位按摩和糖尿病"五驾马车"管理(控制饮食、适量运动、选用降血糖与调脂药物、糖尿病知识宣传教育、血糖监测),对照组仅给予糖尿病"五驾马车"管理。观察2个月,比较2组患者糖代谢生化指标的变化。结果干预2个月后,试验组的空腹血糖(FBG)、餐后2h血糖(2hBG)、糖化血红蛋白(HbA1c)由原来的(10.12±4.15)mmol/L、(15.32±5.65)mmol/L、(9.36±2.78)%分别降低到(6.04±1.75)mmol/L、(8.42±3.01)mmol/L、(6.35±0.78)%,组内比较差异有统计学意义(t=5.28、6.28、6.08,均P<0.01);干预2个月后,对照组的FBG、2hBG、HbA1c由原来的(11.23±6.02)mmol/L、(16.31±6.23)mmol/L、(9.67±2.59)%分别降低到(7.12±1.21)mmol/L、(9.58±2.68)mmol/L、(7.47±1.96)%,组内比较差异有统计学意义(t=3.90、5.79、3.95,均P<0.01);干预2个月后试验组的FBG、2hBG、HbA1c与对照组组间比较差异有统计学意义(t=2.96、1.69、3.09,均P<0.05);试验组干预1周后FBG、2hBG组内比较差异无统计学意义(P>0.05)。结论对2型糖尿病患者配合基础干预进行穴位按摩,能有效巩固降糖效果,值得临床借鉴和推广。Objective To investigate the effect of acupoint massage on blood glucose in type 2 diabetic patients.Methods A total of 67patients with type 2diabetes mellitus patients,using the random number table method were divided into experimental group of 34cases and 33cases in the control group by random number table method.The experimental group was given five groups of acupoint massage and "five carriages"management to diabetes patients (control diet,exercise,blood sugar and lipid lowering drugs,diabetes knowledge propaganda and education,blood glucose monitoring).The control group was administered only the "five carriages"of diabetes.The two groups were observed for 2months, and were compared the changes of biochemical indexes of glucose metabolism.Results After 2months, the experimental group's fasting plasma glucose (FBG),2hours postprandial blood glucose (2hBG),and glycated hemoglobin (HbA1c)decreased from the original (10.12±4.15)mmol/L,(15.32±5.65)mmol/L,and (9.36±2.78)%to (6.04±1.75)mmol/L,(8.42±3.01)mmol/L,(6.35±0.78)%,respectively,there were statistically significant differences within the group (t =5.28,6.28,6.08respectively,all P <0.01).After 2 months,the FBG;2hBG',and HbAlc in the eontrol group decreased from (21.23±6.02)mmol/L,(16.31± 6.23)mmol/L,and (9.67±2.59)%to (7.12±1.21)mmol/L,(9.58±2.68)mmol/L,and (7.47±1.96)%, respectively,and the differences within the group were statistieally significant (t =3.90,5.79,and 3.95, respectively,all P <0.01).After 2months,there was a significant difference between the FBG,2hBG,and HbA1c groups in the experimental group and the control group (t=2.96,1.69,3.09,P<0.05).There was no significant difference in the FBG and 2 hBG groups after 1week of intervention in the experimental group (P>0.05).Conclusions To acupoint massage with basic intervention for type 2diabetes patients can effectively consolidate the hypoglyeemic effect,which is worthy of clinical reference and promotion.

关 键 词：糖尿病 2型 穴位按摩 基础干预 临床疗效 

分 类 号：R248.1[医药卫生—中医临床基础]