运用传统康复技术治疗2型糖尿病疗效观察

Clinical observation on treating type 2 diabetes mellitus by traditional rehabilitation technique

目的:观察运用传统康复技术手法推拿配合穴位注射治疗2型糖尿病的疗效。方法:将72例门诊2型糖尿病患者随机分为治疗组(推拿+穴位注射)和对照组(药物治疗)。治疗组36例采用手法推拿配合维生素B12穴位注射治疗,隔日1次,10次为一个疗程,疗程间休息5天,共治2个疗程;对照组口服二甲双胍片药物治疗,每次0.5g,每日2次,连服45天。观察两组治疗前后临床疗效、空腹血糖(FBG)、餐后2h血糖(2hPG)、糖化血红蛋白(HbAlc)、糖化血清蛋白(GSP)及停治2周后血糖变化情况。结果:治疗组总有效率显著优于对照组(P <0.05);两组FBG较治疗前均明显下降(P <0.05),但两组之间比较无显著性差异(P> 0.05);治疗后两组2hPG及HbAlc均降低(P <0.05),治疗组优于对照组(P <0.05);GSP与治疗前比较,治疗组下降明显(P <0.05),对照组无明显变化,两组治疗后比较差异显著(P <0.05);两组停治2周后FBG比较有显著性差异(P <0.01),治疗组明显低于对照组。结论:运用传统康复技术手法推拿配合穴位注射治疗2型糖尿病疗效确切,远期疗效明显优于药物治疗。

Objective:To observe the efficacy of traditional rehabilitation technique on type 2 diabetes mellitus.Methods:76 patients were randomly divided into the treatment group and control group.36 cases in the treatment group were given manipulation massage and vitamin B 12 acupoint injection.The control group was treated with metformin tablets.The clinical efficacy,FBG,2hPG,HbAlc,GSP and changes of blood sugar in 2 weeks were observed.Results:The total efficiency in the treatment group was better than the control group(P<0.05).FBG in two groups were significantly decreased after treatment(P<0.05),with no significant difference in groups(P>0.05).2hPG and HbAlc in two groups were significantly decreased after treatment,and those in the treatment group were better than the control group(P<0.05).GSP in the treatment group was significantly decreased after treatment,and that in the control group did not show significant difference,with a significant difference in two groups(P<0.05).FBG in two weeks shows significant differences in two groups(P<0.01),and that in the treatment group was significant lower than the control group.Conclusion:Traditional rehabilitation technique shows a exact effect.