改良型面碗灸联合常规疗法治疗脾虚痰湿型超重或肥胖2型糖尿病患者临床研究  

Clinical Study on Modified Moxibustion with Bowl Made of Flour Combined with Routine Treatment for Overweight or Obesity of Spleen Deficiency and Phlegm-Damp Type in Patients with Type 2 Diabetes Mellitus

作　　者：张琰 王红霞 席玉红 曹海英 ZHANG Yan;WANG Hongxia;XI Yuhong;CAO Haiying

机构地区：[1]河南省中医院(河南中医药大学第二附属医院),河南郑州450002

出　　处：《新中医》2023年第10期171-175,共5页New Chinese Medicine

基　　金：河南省中医药科学研究专项课题(20-21ZY2215)。

摘　　要：目的:观察改良型面碗灸联合常规疗法治疗脾虚痰湿型超重或肥胖2型糖尿病患者的效果。方法:选取90例脾虚痰湿型超重或肥胖2型糖尿病患者,采用随机数字表法分为对照组、常规艾灸组、改良型面碗灸组各30例。3组均予控制血糖、健康教育等常规疗法治疗,常规艾灸组加予艾灸治疗,改良型面碗灸组应用改良型面碗灸神阙穴治疗。3组均治疗4周。治疗前后检测3组患者的肥胖指标[体质量指数(BMI)、腰围]、糖脂代谢指标[空腹血糖(FBG)、糖化血红蛋白(HbA1c)、甘油三酯(TG)、总胆固醇(TC)],评定症状评分以及糖尿病患者生存质量特异性量表(DSQL)评分。结果:治疗后,3组肥胖指标值、糖脂代谢指标值、症状积分及DSQL的生理功能评分、心理/精神评分、社会关系评分、治疗效果评分、总分均较治疗前降低,差异均有统计学意义(P<0.05)。3组各项指标、评分值比较,差异均有统计学意义(P<0.05)。改良型面碗灸组各项指标、评分值均低于对照组及常规艾灸组,差异均有统计学意义(P<0.05)。常规艾灸组各项指标、评分值均低于对照组,差异均有统计学意义(P<0.05)。结论:在常规疗法基础上加用改良型面碗灸治疗超重或肥胖的2型糖尿病患者可有效调节血糖水平,改善糖脂代谢,缓解临床症状,提高生活质量,且治疗过程中舒适度较好,患者较易接受。Objective:To observe the effect of modified moxibustion with bowl made of flour combined with routine treatment for overweight or obesity of spleen deficiency and phlegm-damp type in patients with type 2 diabetes mellitus(T2DM).Methods:A total of 90 cases of T2DM patients with overweight or obesity of spleen deficiency and phlegm-damp type were selected and divided into the control group,the routine moxibustion group,and the modified moxibustion with bowl made of flour according to the random number table method,with 30 cases in each group.The three groups were given routine treatment including controlling blood glucose and health education;the routine moxibustion group was additionally treated with moxibustion,and the modified moxibustion with bowl made of flour group was treated with modified moxibustion with bowl made of flour at the Shenque point(CV8).The three groups were treated for 4 weeks.Before and after treatment,the indexes of obesity including body mass index(BMI)and waist circumference,and the indexes of glycolipid metabolism including fasting blood glucose(FBG),hemoglobin A1c(HbA1c),triglyceride(TG)and total cholesterol(TC)were detected in the three groups,and the symptom scores and Diabetes Specificity Quality of Life Scale(DSQL)scores were evaluated.Results:After treatment,the indexes of obesity and glycolipid metabolism,symptom scores,and scores of physiological function,psychology/spirit,social relations,and curative effect in DSQL,and total scores of DSQL in the three groups were decreased when compared with those before treatment,differences being significant(P<0.05).There were significant differences being found in the comparison of the indexes and scores in the three groups(P<0.05).The indexes and scores in the modified moxibustion with bowl made of flour group were lower than those in the control group and the routine moxibustion group,differences being significant(P<0.05).The indexes and scores in the routine moxibustion group were lower than those in the control group,differences being si

关 键 词：2型糖尿病 脾虚痰湿型 肥胖 改良型面碗灸 糖脂代谢 生活质量 

分 类 号：R587.1[医药卫生—内分泌] R246.1[医药卫生—内科学]