中医辨证点穴法对2型糖尿病患者血糖和胰岛功能作用的临床研究

Clinical research of effect of syndrome-differentiated acupuncture on blood sugar and islands function in patients with type 2 diabetes

关键词:  中医辨证点穴法  2 型糖尿病  血糖  胰岛功能

Key words:  syndrome-differentiated acupuncture  type 2 diabetes  blood sugar  islands function

摘要:

[目的] 观察中医辨证点穴法对2型糖尿病患者血糖及胰岛功能的临床效果。[方法] 选择符合入选标准的160例2型糖尿病患者，按病程长短进行分层分为初发组、1~3 a组，3~5 a组，每层随机分为治疗组及对照组，对照组采用常规降糖治疗，治疗组在此基础上加用中医辨证点穴方法治疗，治疗2周后比较两组血糖、症状积分、HOMA指数、胰岛第1时相功能、胰岛第2时相功能。[结果] 治疗组总有效率优于对照组，P<0.05，在血糖控制、症状改善上均优于对照组（P<0.05），稳态评估模型（HOMA）指数、胰岛第1时相功能明显高于对照组（P<0.01或<0.05）具有统计学差异。[结论] 中医辨证点穴方法能有效改善2型糖尿病患者症状、有效控制血糖，对胰岛功能亦有一定恢复作用，有推广应用价值，需进一步深入研究。

Abstract:

[Objective] To observe the clinical effect of syndrome-differentiated acupuncture on blood sugar and islands function in patients with type 2 diabetes. [Methods] The 160 patients, met the inclusion criteria of type 2 diabetes, were enrolled. According to the length of the disease course they were divided into group with primary diabetes, group for 1~3 years, group for 3~5 years. The patients in each group were randomly divided into treatment group and control group again. The patients in control group were treated with routine sugar-lowering treatment. The treatment group was treated by syndrome-differentiated acupuncture in addition to the treatment mentioned above in control group. Two weeks later, the blood sugar, symptom integral score, HOMA index, the islands function in the first phase and in the second phase of two groups were compared. [Results] The total effective rate of treatment group was superior to the control group. (P<0.05) In the aspect of blood sugar control and symptom improvement, the treatment group was better than the control group. (P<0.05) In HOMA index and the islands function in the first phase the treatment group was significantly higher than the control group. (P<0.01 or P<0.05) with significant difference statistically. [Conclusion] The syndrome-differentiated acupuncture can effectively improve the symptoms of patients with type 2 diabetes mellitus, effectively control the blood glucose, has a certain role in the restoration islands function also. So the acupuncture method has some application values and is worth further studying.