时辰运动疗法配合经穴推拿对糖尿病患者阳虚本质的影响

Effect of chrono exercise therapy and meridian-acupoint massage on essence of yang deficiency of diabetic patients

目的:观察时辰运动疗法配合经穴推拿对糖尿病患者阳虚本质的影响。方法:采用随机对照法,将90例患者分为辰时运动组、酉时运动组与对照组各30例,对照组予口服格列齐特缓释片治疗,辰时运动组增加早晨7~9时八段锦锻炼配合经穴推拿治疗,酉时运动组增加17~19时八段锦锻炼配合经穴推拿治疗。疗程均为3个月。观察各组患者空腹血浆血糖值(FPG)及餐后2小时血糖值(2hPG),空腹血浆胰岛素(FINS)水平,糖化血红蛋白(HbAIC),C肽,胰岛素β细胞功能指数(HOMA-β),胰岛素抵抗指数(HOMA-IR)的变化及中医临床症状。结果:与治疗前比较,治疗后各组的FPG、FINS、2hPG、HOMA-IR、HbAIC水平均降低,C肽、HOMA-β水平均升高,差异有统计学意义(P<0.01);辰时运动组、酉时运动组治疗前后自身中医症状积分比较,差异有统计学意义(P<0.01),对照组治疗前后自身中医症状积分比较亦有统计学差异(P<0.05)。治疗后辰时运动组、酉时运动组中医症状前后积分的差值与对照组比较,均有统计学差异(P<0.01);且辰时运动组与酉时运动组中医症状前后积分的差值比较,有统计学差异(P<0.05)。结论:时辰运动疗法配合经穴推拿改善糖尿病患者阳虚本质安全有效,优于单纯使用西药降糖治疗,尤其辰时运动疗法配合经穴推拿疗效更佳。

Objective:To observe the effect of chrono exercise therapy and meridian-acupoint massage on essence of yang deficiency of diabetic patients.Methods:90 cases of patients were randomly divided into Chenshi exercise group Youshi exercise group and control group,30 cases in each group.The control group was treated with oral Gliclazide Sustained Release Tablets,Chenshi exercise group was treated plus by Baduanjin exercise during the period of 7~9 a.m and meridian-acupoint massage,and Youshi exercise group was treated plus by Baduanjin exercise during the period of 5~7 p.m.and meridian-acupoint massage.The treatment course was 3 months.The values of fasting plasma glucose(FPG)and 2-hour postprandial plasma glucose(2hPG),the level of fasting plasma insulin(fins)and the changes of glycosylated hemoglobin(HBAIC),C-peptide,insulinβcell function index(HOMA-β),insulin resistance index(HOMA-IR)and TCM clinical symptoms before and after treatment were observed in patients of each group.Results:Compared with before treatment,the levels of FPG,FINS,2hPG,HOMA-IR and HbAIC were reduced in each group after treatment,while the levels of C-peptide and HOMA-βrose,and the difference was statistically significant(P﹤0.01).Compared self TCM symptom scores of Chenshi exercise group and Youshi exercise group before and after treatment,the difference was statistically significant(P﹤0.01);compared self TCM symptom score of control group before and after treatment,the difference was also statistically significant(P﹤0.05).After treatment,in Chenshi exercise group and Youshi exercise group,the difference of TCM symptom score before and after treatment was compared with in control group,there was statistical difference(P﹤0.01);and between Chenshi exercise group and Youshi exercise group,the compared difference of TCM symptom score before and after treatment was statistically significant(P﹤0.05).Conclusion:Chrono exercise therapy combined with meridian-acupoint massage is safe and effective in improving the essence of yang deficiency of diabetic patients,and better than simple western medicine in hypoglycemic treatment;especially,the clinical effect of chrono exercise therapy and meridian-acupoint massage is better.