二甲双胍联合针刺疗法治疗2型糖尿病的效果

Metformin combined with acupuncture therapy for patients with type 2diabetes mellitus

目的观察口服二甲双胍联合针刺疗法治疗2型糖尿病的临床效果。方法回顾性分析吉林省教委机关门诊部收治的60例2型糖尿病患者的临床资料,将其分为治疗组和对照组,每组各30例。按中医辨证论治的原则,对照组给予中医针刺治疗,第1周每日治疗1次,1周后改为每周治疗3次,治疗4周为1个疗程,共治疗3个疗程;治疗组给予口服二甲双胍(每次0.5 g,2次/d)配合针刺治疗,4周为1个疗程,共治疗3个疗程。比较两组的治疗效果。结果治疗组显效24例,有效5例,无效1例,总有效率为96.7%;对照组显效19例,有效6例,无效5例,总有效率为83.3%;治疗组的总有效率优于对照组,差异有统计学意义(P<0.05)。结论与中医针刺治疗相比,二甲双胍联合针刺疗法治疗2型糖尿病的临床效果较优,可考虑临床推广应用。

Objective To observe the clinical effect of Metformin combined with acupuncture therapy for patients with type 2 diabetes mellitus. Methods The clinical date of 60 cases with type 2 diabetes mellitus treated in out-patient de-partment,Jilin Province Education Authorities were analyzed retrospectively.All patients were divided into the treatment group and the control group,each group had 30 cases.According to the principle of TCM treatment based on syndrome differentiation,patients in the control group were given traditional Chinese medicine acupuncture treatment,1 times a day in the first week,then after 1 week treatment changing for 3 times a week,4 weeks for a course,and given 3 period of treatment.Patients in the treatment group were given metformin （0.5 g each time,2 times/d） combined with acupunc-ture therapy,4 weeks for a course,and given 3 period of treatment.The therapeutic effect of the two groups were com-pared. Results In the treatment group,the therapeutic effects of 24 cases were excellent,5 cases were valid,1 case was invalid,the total effective rate was 96.7%.In the control group,the therapeutic effects of 19 cases were excellent,6 cases were valid,5 case was invalid,the total effective rate was 83.3%.The total effective rate in the treatment group was better than that in the control group,with statistically significant difference （P〈0.05）. Conclusion Compared with traditional Chinese medicine acupuncture treatment,the clinical effect of Metformin combined with acupuncture therapy for pa-tients with type 2 diabetes mellitus.It is worthy of clinical application.