针灸治疗肥胖2型糖尿病35例

Acupuncture and Moxibustion Therapy For Obese Patients with Type 2 Diabetes:A Report of 35 Cases

目的:探讨针灸对肥胖2型糖尿病(type 2 diabetes mellitus,T2DM)患者体质量的影响。方法:收集35例肥胖T2DM患者,采用针灸疗法,辨证选穴,比较针灸前后患者的空腹血糖(fast-ing blood glucose,FBS)、空腹胰岛素(fasting insulin,FINS)、胰岛素敏感指数(insulin sensitivityindex,ISI)、稳态模型评估胰岛素抵抗(homeostasis model assessment-insulin resistance,Homa-IR)、体质量、体质指数(body mass index,BMI)、肥胖度和体脂百分率。结果:治疗后患者的FBS、FINS、Homa-IR显著降低,ISI显著增加,总有效率为71%;体质量、BMI、肥胖度和体脂百分率也显著降低。结论:针灸对2型糖尿病早中期具有较显著的降糖效果,可以明显改善患者的胰岛素抵抗状态,对肥胖T2DM患者具有减肥作用。

Objective： To study the effect of acupuncture and moxibustion therapy on body mass in obese patients with type 2 diabetes mellitus （T2DM）. Methods： Thirty-five outpatients with obese T2DM were treated by acupuncture and moxibustion at selected acupoints according to traditional Chinese medicine syndrome. Serum levels of fasting blood sugar （FBS） and fasting insulin （FINS） were measured to calculate insulin sensitivity index （ISI） and homeostasis model assessment-insulin resistance （Homa-IR）, and the body mass, height and skinfold thickness were measured to calculate BMI, obesity degree and body fat percentage before and after treatment. Results： Three treatment courses later, serum levels of FBS and FINS, Homa-IR were decreased significantly, while ISI were markedly increased. The total effective.rate reached 71%. The body mass, BMI, obesity degree and body fat percentage were decreased significantly. Conclusion： Acupuncture and moxibustion therapy possesses of marked hypoglycemic and slimming effects in treating obese T2DM, and it can ameliorate insulin resistance.