针刺配合常规疗法治疗代谢综合征疗效观察

Effect of aupuncture with conventional therapy on metabolic syndrome

目的:通过辨脾论治指导针灸治疗代谢综合征,观察其临床疗效,并探讨其部分作用机理。方法:采用前瞻性、随机、对照的方法,将74例代谢综合征患者分成两组,对照组38例以常规治疗为基础,配合运动疗法及饮食控制;治疗组36例在对照组治疗基础上给予针灸治疗,疗程14日。观察治疗前后患者体重、腰围、血压、血糖、血脂方面的变化。结果:在治疗后,两组体重、腰围、收缩压、舒张压、空腹血糖、餐后2 h血糖、胆固醇、甘油三酯下降程度均有统计学意义(P<0.05);两组治疗前后FBG、PBG、DBP、TC、TG组间比较有统计学意义(P<0.05),两组体重、腰围、SBP组间比较无统计学意义(P﹥0.05)。针刺治疗组疗效优于对照组(P<0.05)。结论:针刺干预治疗代谢综合征疗效较显著,安全性好。

Objective： Treating the metabolic syndrome with acupuncture by spleen differentiation to observe clinical effect,and explore some action mechanism. Methods： With the prospective,randomized,controlled research methods,according to the random number tables,74 patients with metabolic syndrome were divided into two groups. 38 cases in the control group were treated based on the conventional therapy and combined with exercise therapy and diet control. 36 cases in the treatment group were given the acupuncture treatment on the basis of control group,and observed clinically for 14 days. The following changes were observed before and after treatment in patients： body weight,waist circumference,blood pressure,blood glucose,blood lipid. Results： Compared two groups after treatments,the declined degrees of body weight,waist circumference,contraction pressure,diastolic pressure,fasting blood glucose,postprandial 2h blood glucose,cholesterol as well as triglyceride had statistics significance（ P〈0. 05）; Compared two groups before and after treatment,FBG、PBG、DBP、TC、TG had statistics significance（ P〈0. 05）,the declines of body weight,circumference waist and SBP did not had statistics significance（ P〉0. 05）. The acupuncture treatment group had better effects than the control group（ P〈0. 05）. Conclusion： The treatment of acupuncture for clinical metabolic syndrome has significant curative effect and an good security.