平衡针灸治疗成人肥胖型糖耐量减低的临床观察

Clinical Observation of Impaired Glucose Tolerance with Adult Obesity by using Balance Acupuncture Treatment

目的:探讨平衡针干预成人肥胖型糖耐量减低(IGT)的疗效。方法:选取成人肥胖型糖耐量减低患者320例,采用随机、双盲法将患者分为治疗组和对照组,每组各160例患者。对照组采用控制饮食与运动干预治疗方法,治疗组则需要在控制饮食与运动干预治疗的基础上采用平衡针针刺降糖穴、降脂穴治疗,治疗6个月后观察两组治疗前后空腹血糖(FBG)、餐后2 h血糖(PBG)、甘油三脂(TG)、身体质量指数(BMI)、腰围、总胆固醇(CHO)、甘油三脂(TG)、低密度脂蛋白胆固醇(LDL-C)、高密度脂蛋白胆固醇(HDL-C)的水平。以及治疗后糖尿病(DM)发生率和IGT逆转率。结果:治疗组转为DM者为6.2%,对照组为30.6%;治疗组IGT转为糖耐量正常(NGT)为46.9%,对照组为15.6%,两组比较差异有统计学意义(均P<0.05);治疗后,两组患者的PBG、FBG、TG、BMI、腰围均显著降低,差异有统计学意义(P<0.05)。与治疗后对照组比较,治疗组FBG、PBG、TG、BMI、LDL-C、CHO、腹围水平均显著降低,差异有统计学意义(P<0.05)。结论:平衡针可以改善血糖、血脂,能减轻体重,治疗腹型肥胖,对成人肥胖型糖耐量减低的干预有助于逆转为正常糖耐量,降低糖尿病的发病率。

Objective： To investigate the efficacy of Balance Acupuncture treatment on the impaired glucose tolerance （IGT） of obese adult. Methods： 320 IGT patients with adult obesity were included. The patients were assigned into two groups （treatment group and control group）, by using randomized double-blind methods. There were 160 patients in each group. The control group was treated with diet control and exercise intervention method. On the basis of intervention program in the control group, the treatment group was also treated with Balance Acupuncture on hypoglycemic and lipid-lowering points. Compared the levels of fasting blood glucose （FBG）, 2 h postprandial blood glucose （PBG）, triglyceride （TG）, body mass index （BMI）, waist circumference, total cholesterol （CHO）, triglyceride （TG）, low density lipoprotein cholesterol （LDL-C） and high density lipoprotein cholesterol （HDL-C） between the two groups after six months of treatment. And compared the treatment of diabetes （DM） incidence and IGT reversal rate too. Results： The rate of converting to DM was 6.2% in treatment group, but 30.6% in control group, and the difference was statistically significant （P 〈0.05）. In the treatment group, 46.9% of patients had their IGT reversed to normal glucose tolerance （NGT）, but only 15.6% did so in control group, and difference was statistically significant （P 〈0.05）. The FBG, PBG, TG, BMI and waist of the two groups reduced significantly after treatment, with statistically significant difference （all P〈0 05）. Compared with the control group after treatment, the FBG, PBG, TG, BMI, LDL-C, CHO and waist of the treatment groups reduced significantly after treatment, and the difference was also statistically significant （all P〈0.05）. Conclusion： Treatment by Balance Acupuncture can improve blood sugar and blood lipids levels, reduce weight, treat abdominal obesity, and can contribute to reverse the glucose tolerance to normal and reduce the incidence of diabetes.