穴位埋线配合中药代茶饮治疗糖调节受损的临床研究  

Clinical Study of Acupoint Thread-embedding Combined with Chinese Medication Tea-replacement for Impaired Glucose Regulation

作　　者：夏粉仙 李晶晶 徐百兴 谢罗军 XIA Fen-xian;LI Jing-jing;XU Bai-xing;XIE Luo-jun(Hangzhou Fuyang District Hospital of Chinese Medicine,Hangzhou 311400,China)

机构地区：[1]杭州市富阳区中医院,杭州311400

出　　处：《上海针灸杂志》2020年第11期1376-1379,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：杭州市卫生科技计划项目(2017B48)。

摘　　要：目的观察穴位埋线配合中药代茶饮治疗糖调节受损(IGR)的临床疗效。方法将200例IGR患者随机分为治疗组和对照组,每组100例。对照组采用单纯生活方式干预(包括糖尿病健康宣教、控制饮食、适当运动),治疗组在对照组基础上采用穴位埋线配合中药代茶饮治疗。观察两组治疗前后各项实验室指标[空腹血糖(FPG)、餐后2 h血糖(2 h PG)、糖化血红蛋白(HbA1c)]的变化情况,并比较治疗后正常糖耐量(NGT)的逆转率。结果两组治疗后各项实验室指标均显著下降,与同组治疗前比较,差异均具有统计学意义(P<0.05)。治疗组治疗后2 h PG水平与对照组比较,差异具有统计学意义(P<0.05)。治疗组治疗后NGT逆转率为61.4%,对照组为38.8%,两组比较差异具有统计学意义(P<0.05)。结论穴位埋线配合中药代茶饮是一种治疗IGR的有效方法,能提高患者NGT的逆转率。Objective To observe the clinical efficacy of acupoint thread-embedding plus Chinese medication tea-replacement in treating impaired glucose regulation(IGR).Method A total of 200 IGR patients were randomized into a treatment group and a control group,with 100 cases in each group.The control group was only given life habits intervention(including diabetes-related health education,diet control and proper exercise),while the treatment group was given additional acupoint thread-embedding and Chinese medication tea-replacement.The laboratory indicators[fasting plasma glucose(FPG),2h-postprandial glucose(2hPG)and glycated hemoglobin(HbA1c)]were observed before and after treatment in the two groups.The reversion rate of normal glucose tolerance(NGT)was also compared after treatment.Result The laboratory indicators declined significantly after treatment in the two groups(P<0.05).After treatment,the level of 2hPG in the treatment group was significantly different from that in the control group(P<0.05).The reversion rate of NGT after intervention was 61.4%in the treatment group versus 38.8%in the control group,and the between-group difference was statistically significant(P<0.05).Conclusion Acupoint thread-embedding plus Chinese medication tea-replacement is an effective approach for IGR;it can increase the reversion rate of NGT in the patients.

关 键 词：穴位疗法 埋线 糖调节受损 中药代茶饮 针药并用 

分 类 号：R246.1[医药卫生—针灸推拿学]