本文關(guān)鍵詞：穴位埋線治療糖尿病前期的療效觀察及術(shù)后反應(yīng)　出處：《中國針灸》2017年06期 　論文類型：期刊論文

  更多相關(guān)文章： 糖尿病前期 穴位埋線 術(shù)后反應(yīng) 隨機(jī)對(duì)照試驗(yàn)

【摘要】：目的:觀察評(píng)價(jià)穴位埋線治療糖尿病前期的臨床療效和安全性。方法:將86例糖尿病前期患者隨機(jī)分為觀察組和對(duì)照組,每組43例。對(duì)照組進(jìn)行糖尿病健康教育。觀察組在對(duì)照組基礎(chǔ)上行穴位埋線,穴取雙側(cè)脾俞、胃脘下俞、肝俞、腎俞、足三里,每15天穴位埋線1次,共完成6次穴位埋線。從第2次治療開始,每次治療前記錄患者上次穴位埋線后的術(shù)后反應(yīng)類型及次數(shù)等,于治療結(jié)束15 d后記錄最后1次穴位埋線術(shù)后情況。于治療前后及治療結(jié)束6個(gè)月后對(duì)兩組膽固醇(total cholesterol,TC)、三酰甘油(triglyceride,TG)、空腹血糖(fasting plasma glucose,FPG)、餐后2 h血糖(2 hours postprandial blood glucose,2h PG)、糖化血紅蛋白(Hb A1c)、空腹胰島素水平(insulin,Ins)及中醫(yī)證候積分情況進(jìn)行記錄,并評(píng)價(jià)臨床療效。結(jié)果:治療后觀察組TC、TG、FPG、2h PG、Hb A1c均低于治療前(均P0.05),且均低于對(duì)照組(均P0.05),Ins較治療前變化幅度較小,且較對(duì)照組差異無統(tǒng)計(jì)學(xué)意義(均P0.05)。隨訪時(shí)兩組各項(xiàng)指標(biāo)較治療前差異均無統(tǒng)計(jì)學(xué)意義(均P0.05)。治療后觀察組中醫(yī)證候積分低于治療前,且低于對(duì)照組(均P0.05)。隨訪時(shí)觀察組中醫(yī)證候積分低于治療前,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。觀察組總有效率為76.7%(33/43),明顯優(yōu)于對(duì)照組的30.2%(13/43,P0.05);隨訪時(shí)觀察組總有效率下降到37.2%(16/43),對(duì)照組總有效率下降到25.6%(11/43,P0.05)。觀察組患者埋線術(shù)后共記錄18種術(shù)后反應(yīng),共出現(xiàn)168次,可分為5大類:飲食抑制現(xiàn)象相關(guān)的術(shù)后反應(yīng)75次(44.6%),情緒異常相關(guān)的術(shù)后反應(yīng)41次(24.4%),局部不適相關(guān)的術(shù)后反應(yīng)23次(13.7%),全身不適相關(guān)的術(shù)后反應(yīng)21次(12.5%),其他不適相關(guān)的術(shù)后反應(yīng)8次(4.8%);術(shù)后反應(yīng)高峰期在第2~3次穴位埋線術(shù)后。結(jié)論:3個(gè)月的穴位埋線治療能改善糖尿病前期患者部分指標(biāo),但需長期保持健康的生活習(xí)慣,穴位埋線后可出現(xiàn)多種術(shù)后反應(yīng)但不影響治療。
[Abstract]:Objective: to observe and evaluate the clinical efficacy and safety of acupoint catgut implantation in the treatment of prediabetes. Methods: 86 patients with prediabetes were randomly divided into observation group and control group. There were 43 cases in each group. The control group was given diabetes health education. The observation group was treated with acupoint catgut embedding on the basis of the control group. The observation group was treated with acupoint catgut embedding once every 15 days, and the acupoints were taken from both sides of the study group, including spleen Yu, Weiwan Xishu, Gan Yu, Shen Yu, Zusanli. A total of 6 times of catgut embedding were completed. From the second treatment, the postoperative reaction types and times were recorded before each treatment. After 15 days of treatment, the last acupoint catgut implantation operation was recorded. Total cholesterol cholesterol (TC) was observed before and after treatment and 6 months after the end of treatment. Triglyceride triglyceride (TGG), fasting plasma glucose (FPG). 2 hours postprandial blood glucose 2 h postprandial, HbA1c). Fasting insulin level and TCM syndromes score were recorded and the clinical efficacy was evaluated. Results: the observation group was treated with TCU TGG FPG 2 h PG. HbA1c was lower than that before treatment (P0.05A) and lower than that of control group (P0.05A1c). The change of HbA1c was smaller than that before treatment. There was no significant difference compared with the control group (all P 0.05). There was no significant difference between the two groups at follow-up compared with before treatment (all P 0.05). After treatment, the score of TCM syndrome in observation group was lower than that before treatment. And it was lower than the control group (all P 0.05). The score of TCM syndromes in the observation group was lower than that before treatment, the difference was statistically significant (P 0.05). The total effective rate of the observation group was 76.7g / 33 / 43. The ratio of 30.2% to 43% in the control group was significantly higher than that in the control group (P 0.05). At follow-up, the total effective rate in the observation group decreased to 37.2% 16 / 43 and the total effective rate in the control group decreased to 25.6% 11 / 43. In the observation group, 18 kinds of postoperative reactions were recorded, 168 times, which can be divided into 5 categories: 75 times of postoperative reactions related to dietary inhibition. The postoperative responses related to emotional abnormality were 41 times (24. 4 times), 23 times of local discomfort related to postoperative reactions (13. 7 times), and 21 times of postoperative reactions related to general discomfort (12. 5 times). Other unwell related postoperative reactions were 4.8 times; The peak period of postoperative response was after the 2nd third point catgut implantation. Conclusion: the three-month catgut implantation therapy can improve some indexes of prediabetic patients, but it needs to maintain healthy living habits for a long time. A variety of postoperative reactions may occur after catgut implantation at acupoints without affecting treatment.
【作者單位】： 句容市人民醫(yī)院針灸科;江蘇省第二中醫(yī)院針灸科;
【基金】：鎮(zhèn)江市科技支撐項(xiàng)目:SH 2014106
【分類號(hào)】：R246.1
【正文快照】： 糖尿病前期是介于糖尿病和正常血糖之間的一1.2納入標(biāo)準(zhǔn)種狀態(tài),被認(rèn)為是糖尿病的必經(jīng)階段。由于沒有明顯(1)口服葡萄糖耐量試驗(yàn)(oral glucose tolerance的臨床癥狀,只有通過血糖檢測發(fā)現(xiàn)機(jī)體糖調(diào)節(jié)受損test,OGTT)空腹血糖(fasting plasma glucose,FPG)(impaired glucose regul

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本文編號(hào)：1439018