| 赵波涛,周爱明,陈军玲,等.太极六合穴位埋线治疗脾虚痰湿型糖尿病前期患者的疗效观察[J].浙江中医药大学学报,2020,44(10):1004-1008. |
| 太极六合穴位埋线治疗脾虚痰湿型糖尿病前期患者的疗效观察 |
| Observation on the Therapeutic Effect of Taiji Liuhe Acupoint Catgut Embedding in the Treatment of Pre-diabetes |
| DOI：10-16466/j.issn1005-5509-2020-10-017 |
| 中文关键词: 糖尿病前期 脾虚痰湿型 太极六合针法 后天八卦 穴位埋线治疗 疗效观察 |
| 英文关键词: pre-diabetes spleen deficiency and phlegm dampness type Taiji Liuhe acupoint acquired eight trigrams acupoint catgut embedding therapy curative effect observation |
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| 中文摘要: |
| [目的]观察太极六合穴位埋线治疗脾虚痰湿型糖尿病前期患者的疗效，探索治疗脾虚痰湿型糖尿病前期的方法和思路。[方法]选取2017年1月1日至2019年12月31日于天台县中医院确诊为脾虚痰湿型糖尿病前期的患者共80例，采用随机数字表法将患者分为对照组(40例)和治疗组(40例)，对照组采用指导生活方式干预，治疗组在对照组的基础上采用太极六合选穴方法进行穴位埋线，每15d埋线一次，4次为1个疗程，共治疗2个疗程。分别检测两组患者治疗前、治疗1、2个疗程后，以及疗程结束12个月后空腹血糖及餐后2h血糖，并比较临床疗效。列举验案一则作为佐证。[结果]对照组脱落2例，治疗组脱落4例。治疗1个疗程后，两组患者空腹血糖及餐后2h血糖改善均不明显，差异无统计学意义(P＞0-05)；治疗2个疗程后，两组空腹血糖及餐后2h血糖均较治疗前下降，治疗组优于对照组，差异均具有统计学意义(P＜0-05)，且治疗组已恢复正常水平；疗程结束12个月后，治疗组空腹血糖及餐后2h血糖降低优于对照组，差异具有统计学意义(P＜0-05)，且治疗组保持正常水平。治疗1、2个疗程，以及疗程结束12个月后，治疗组有效率明显高于对照组，差异具有统计学意义(P＜0-05)。所举验案中患者诊断为糖尿病前期脾虚痰湿型，予太极六合穴位埋线治疗后，空腹血糖和餐后2h血糖恢复正常水平；随访12个月后，空腹血糖和餐后2h血糖仍维持正常水平。[结论]太极六合穴位埋线治疗能够明显改善脾虚痰湿型糖尿病前期患者的糖代谢，是逆转糖尿病前期病变的一种有效治疗方法。 |
| 英文摘要: |
| [Objective]To observe the therapeutic effect of Taiji Liuhe acupoint catgut embedding in the treatment of pre-diabetes of spleen deficiency and phlegm dampness type， and to explore the methods and ideas of treating pre-diabetes of spleen deficiency and phlegm dampness type. [Methods]From January 1， 2017 to December 31， 2019， a total of 80 patients with pre-diabetes of spleen deficiency and phlegm dampness type diagnosed in Tiantai Hospital of Traditional Chinese Medicine were selected. The patients were divided into control group(40 cases) and treatment group(40 cases) by the method of random number table. Patients in control group were intervened by guiding life style. On the basis of control group， patients in treatment group was treated by acupoint embedding with Taiji Liuhe acupoint selection method， embeded once every 15 days， 4 times for a course of treatment， all patients underwent a total of 2 courses of treatment. Fasting blood glucose and two hours postprandial blood glucose were measured respectively before treatment， after treatment for one， two courses， and 12 months after treatment. One typical case was presented. [Results]There were two cases in control group and 4 cases in treatment group shed. After one course of treatment， the improvement of fasting blood glucose and two hours postprandial blood glucose in the two groups was not significant(P＞0-05); after two courses of treatment， the fasting blood glucose and two hours postprandial blood glucose in the two groups were lower than those before treatment， and treatment group was better than control group， the difference was statistically significant(P＜0-05)， and the fasting blood glucose and two hours postprandial blood glucose of treatment group had returned to normal level; 12 months after the end of treatment， the fasting blood glucose and two hours postprandial blood glucose of treatment group was still at normal level， and treatment group was better than control group， the difference was statistically significant(P＜0-05). After one and two courses of treatment， 12 months after the end of the course， the effective rate of treatment group was significantly higher than that of control group， the difference was statistically significant(P＜0-05). The case was a typical pre-diabetes of spleen deficiency and phlegm dampness type. After two courses of catgut embedding at Taiji Liuhe acupoint， fasting blood glucose and two hours postprandial blood glucose returned to normal level. After 12 months follow-up， fasting blood glucose and two hours postprandial blood glucose remained normal. [Conclusion]Taiji Liuhe acupoint catgut embedding has obvious effect on improving glucose metabolism in pre-diabetes of spleen deficiency and phlegm dampness type， and it is an effective method to reverse the development of pre-diabetes to diabetes. |
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