五行药灸罐疗法联合揿针治疗2型糖尿病腹型肥胖临床研究  

Clinical Study on Five-Phase Medicinal Moxibustion Cupping Therapy Combined with Press-Needle for Abdominal Obesity in Type 2 Diabetes Mellitus

作　　者：汪燕波 范佳莹 江雁 薄静 WANG Yanbo;FAN Jiaying;JIANG Yan;BAO Jing(Endocrinology Department,Ningbo Hospital of Traditional Chinese Medicine,Ningbo Zhejiang 315000,China)

机构地区：[1]宁波市中医院内分泌科,浙江宁波315000

出　　处：《新中医》2025年第7期170-176,共7页New Chinese Medicine

基　　金：浙江省中医药科技计划项目(2024ZL872);宁波市医学重点学科建设项目资助(2022-Z03)。

摘　　要：目的:观察五行药灸罐疗法联合揿针治疗2型糖尿病腹型肥胖的疗效。方法:选取2023年9月—2024年3月宁波市中医院内分泌科门诊就诊的90例2型糖尿病腹型肥胖患者,按随机数字表法分为常规组、对照组、治疗组各30例。常规组行常规饮食运动治疗,对照组在常规组基础上加用五行药灸罐疗法,治疗组在对照组基础上加用揿针治疗。3组均治疗12周。比较3组治疗前、治疗12周、治疗结束后3个月时内脏脂肪面积(VFA)及超重肥胖生理指标[体质量指数(BMI)、腰围、腰臀比(WHR)]、糖代谢指标[空腹血糖(FBG)、餐后2 h血糖(P2hBG)、空腹胰岛素水平(FINS)]、胰岛素抵抗指数(HOMA-IR)、脂代谢指标[总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL)、高密度脂蛋白(HDL)]值的变化。结果:治疗12周,3组VFA、BMI、腰围、WHR均较治疗前下降,治疗组上述4项指标值均低于对照组及常规组,差异均有统计学意义(P<0.05);治疗结束后3个月,治疗组及对照组VFA、BMI、腰围、WHR低于治疗前,治疗组上述4项指标值均低于对照组及常规组,差异均有统计学意义(P<0.05)。治疗12周,3组FBG、P2hBG、FINS、HOMA-IR均较治疗前下降,治疗组上述4项指标值均低于对照组及常规组,差异均有统计学意义(P<0.05);治疗结束后3个月,治疗组FBG、P2hBG、HOMA-IR、FINS均低于对照组及常规组(P<0.05)。治疗12周,3组TC、TG、LDL水平均较治疗前下降,HDL水平均较治疗前上升,治疗组TC、TG、LDL水平均低于常规组及对照组,HDL水平高于常规组及对照组,差异均有统计学意义(P<0.05);治疗结束后3个月,治疗组TC、TG、LDL水平均低于常规组及对照组,HDL水平高于常规组及对照组,差异有统计学意义(P<0.05)。结论:五行药灸罐疗法联合揿针治疗可减少2型糖尿病腹型肥胖患者VFA,达到减脂塑形效果,改善糖脂代谢。Objective:To observe the curative effect of five-phase medicinal moxibustion cupping therapy combined with press-needle on abdominal obesity in type 2 diabetes mellitus.Methods:A total of 90 cases of patients with abdominal obesity in type 2 diabetes mellitus treated in the Endocrinology Department of Ningbo Hospital of Traditional Chinese Medicine from September 2023 to March 2024 were selected and randomly divided into the routine group,the control group and the treatment group,with 30 cases each,according to random number table method.The routine group received routine diet and exercise treatment,the control group received five-phase medicinal moxibustion cupping therapy in addition to the routine group,and the treatment group received acupuncture treatment in addition to the control group.All the three groups were treated for 12 weeks.Compared the changes in visceral fat area(VFA),physiological indicators of overweight and obesity[body mass index(BMI),waist circumference,waist to hip ratio(WHR)],glucose metabolism indicators[fasting blood glucose(FBG),2-hour postprandial blood glucose(P2hBG),and fasting insulin level(FINS)],insulin resistance index(HOMA-IR),and lipid metabolism indicators[total cholesterol(TC),triglycerides(TG),low-density lipoprotein(LDL),and high-density lipoprotein(HDL)]before treatment,after 12 weeks of treatment,and three months after treatment in the three groups.Results:After 12 weeks of treatment,the VFA,BMI,waist circumference and WHR in the three groups were decreased when compared with those before treatment,and the values of the above four indicators in the treatment group were lower than those in the control group and the routine group,differences being significant(P<0.05);three months after the end of treatment,the VFA,BMI,waist circumference and WHR in the treatment group and control group were lower than those before treatment,while the values of the above four indicators in the treatment group were lower than those in the control group and the routine group,differences being

关 键 词：2型糖尿病 腹型肥胖 五行药灸罐疗法 揿针 内脏脂肪 代谢 

分 类 号：R587.1[医药卫生—内分泌] R259[医药卫生—内科学]