腹针治疗2型糖尿病前期合并超重/肥胖的临床观察  

Clinical Observation of Abdominal Acupuncture Treatment in Patients with Prediabetes and Concomitant Overweight/Obesity

作　　者：龚泽锋 汪志勇 何浩斌 GONG Ze-feng;WANG Zhi-yong;HE Hao-bin(Nansha District Traditional Chinese Medicine Hospital,Guangzhou,Guangdong 511462,China)

机构地区：[1]广州市南沙区中医医院,广东广州511462

出　　处：《内蒙古中医药》2024年第1期101-103,共3页Inner Mongolia Journal of Traditional Chinese Medicine

摘　　要：目的:评价腹针治疗2型糖尿病前期合并超重/肥胖症的疗效。方法:将106例2型糖尿病前期合并超重/肥胖患者随机分为腹针组和对照组,每组53例。两组均予常规治疗,腹针组在常规治疗的基础上联合使用腹针治疗,疗程为4周。对比两组治疗前后体质量、腰围、BMI、空腹血糖、胰岛素、血脂和胰岛素抵抗等指标,并记录不良反应。结果:治疗后,腹针组腰围、体质量、BMI、空腹血糖、OGTT2h血糖、空腹胰岛素、胰岛素抵抗指数、总胆固醇、甘油三酯、低密度脂蛋白均降低(P<0.05),高密度脂蛋白升高;治疗后,对照组体质量、空腹血糖、甘油三酯较前升高(P<0.05);治疗后,腹针组腰围、体质量、BMI、空腹血糖、OGTT2h血糖、空腹胰岛素、胰岛素抵抗指数、总胆固醇、甘油三酯、低密度脂蛋白均低于对照组,高密度脂蛋白高于对照组。结论:腹针在治疗2型糖尿病前期合并超重/肥胖症可以减轻体质量,降低血糖、血脂,改善胰岛素抵抗,无明显不良反应,值得在临床推广。Objective:To evaluate the efficacy of abdominal acupuncture treatment in patients with prediabetes and concomitant overweight/obesity.Methods:A total of 106 patients with prediabetes and concomitant overweight/obesity were randomly divided into an abdominal acupuncture group and a control group,with 53 patients in each group.Both groups received routine treatment,while the abdominal acupuncture group received additional abdominal acupuncture treatment for a duration of 4 weeks.Changes in weight,waist circumference,BMI,fasting blood glucose,insulin,blood lipids,and insulin resistance were compared between the two groups before and after treatment.Adverse reactions were also recorded.Results:After treatment,the abdominal acupuncture group showed significant reductions in waist circumference,weight,BMI,fasting blood glucose,2-hour postprandial blood glucose,fasting insulin,insulin resistance index,total cholesterol,triglycerides,and low-density lipoprotein(P<O.05),and an increase in high-density lipoprotein.In the control group,weight,fasting blood glucose,and triglycerides increased significantly after treatment(P<0.05).After treatment,the abdominal acupuncture group had lower waist circumference,weight,BMI,fasting blood glucose,2-hour postprandial blood glucose,fasting insulin,insulin resistance index,total cholesterol,triglycerides,and low-density lipoprotein compared to the control group,and higher levels of high-density lipoprotein.Conclusion:Abdominal acupuncture treatment in patients with prediabetes and concomitant overweight/obesity can lead to weight reduction,lower blood glucose and blood lipid levels,and improvement in insulin resistance,with no significant adverse reactions.It is worth promoting the application of abdominal acupuncture in clinical practice.

关 键 词：2型糖尿病前期 肥胖 腹针 临床观察 

分 类 号：R587.1[医药卫生—内分泌]