薄氏腹针治疗肥胖型2型糖尿病临床观察  

BO's abdominal acupuncture for obese type-2 diabetes mellitus

作　　者：杨媛[1] 刘云霞[1] 

机构地区：[1]北京中医药大学东直门医院针灸科,北京100700

出　　处：《中国针灸》2015年第4期330-334,共5页Chinese Acupuncture & Moxibustion

基　　金：北京中医药大学校级研究生自主课题项目:2013-JYBZZ-XS-134

摘　　要：目的:观察薄氏腹针治疗肥胖型2型糖尿病(T2DM)的临床疗效。方法:60例肥胖型T2DM患者,随机分为腹针组及药物组,每组30例。药物组采用基础治疗配合口服常规降糖药物治疗,3周为一疗程;腹针组在药物组治疗的基础上,使用腹针疗法,取穴:引气归元(中脘、下脘、气海、关元)、腹四关(滑肉门、外陵)、天枢、大横、气穴等,每周治疗3次,3周为一疗程。观察两组患者治疗前后收缩压(SBP)、舒张压(DBP)、体质量、腰围(WC)、臀围、体质量指数(BMI),检测空腹血糖(FPG)、空腹胰岛素(FINS)、OGTT试验测定2h血糖(2hBG)及胰岛素、胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C),测定胰岛素抵抗指数HOMA-IR,观察不良事件有无发生。结果:腹针组治疗前后比较,患者的SBP、WC、体质量、BMI、FPG、OGTT2hBG、FINS、OGTT2h胰岛素、HOMA-IR、TC、LDL-C均明显降低(均P<0.05),药物组治疗后FPG、OGTT2h胰岛素、TG较治疗前升高(均P<0.05),两组在降低SBP、WC、FPG、OGTT2h胰岛素、HOMA-IR、TC、TG、LDL-C方面差异有统计学意义(均P<0.05);腹针组总有效率为93.3%(28/30),药物组总有效率为23.3%(7/30),两组比较差异有统计学意义(P<0.01)。结论:薄氏腹针治疗肥胖型2型糖尿病具有明显的临床疗效,降压、减重、降糖、改善胰岛素抵抗、降脂效果突出,无不良反应,值得临床推广应用。Objective To observe the clinical efficacy of BO＇s abdominal acupuncture for obese type-2 diabetes mellitus （T2DM）. Methods Sixty patients of obese T2DM were randomly divided into an acupuncture group and a medication group, 30 cases in each one. Patients in the medication group were treated with basic treatment combined with oral admi-nistration of regular antidiabetics, three weeks as one session. Patients in the acupuncture group, based on the medication group, were treated with abdominal acupuncture at Yinqiguiyuan EZhongwan （CV 12） .Xiawan （CV 10）,Qilaai （CV 6）.Guanguan （CV 4）], Fusiguan [Huaroumen （ST 24） .Wailing （TE 5）], Tianshu （ST 25）, Daheng （SP 15）, Qixue （KI 13）, etc. ; the treatment was given three times per week, 3 weeks as one session. The systolic blood pressure （SBP）, dia-stolic blood pressure （DBP）, body weight, waist circumference （WC）, hip circumference, body mass index （BMI） were observed before and after treatment in the two groups, and fasting plasma glucose （FPG）, fasting insulin （FINS）, 2-hours postprandial blood glucose by oral glucose tolerance test （OGTT） and insulin, total cholesterol （TC）, triglyceride （TG）, high-density lipoprotein cholesterol （HDL-C） and low-density lipoprotein cholesterol （LDL-C）, HOMA-IR of insulin resistance index were calculated and adverge events were recorded. Results Compared before the treatment, SBP, WC, body weight, BMI, FPG, OGTT2hBG, FINS, GTT2h insulin, HOMA-IR, TC and LDL-C in the acupuncture group were all significantly reduced （all P 〈0. 05）, while FPG, OGTT2H insulin and TG were increased in the medication group （all P〈0. 05）. The differences of reducing SBP, WC, FPG, OGTT2H insulin, HOMA-IR, TC, TG and LDL-C were statistically significant between the two groups （all P〈0. 05）. The total effective rate was 93.3% （28/30） in the acupuncture group, which was significantly superior to 23.3% （7/30） in the medication group （P〈0.01）. Concl

关 键 词：2型糖尿病 肥胖型 薄氏腹针 临床观察 

分 类 号：R245[医药卫生—针灸推拿学]