平衡针联合生活方式干预对糖耐量降低患者的影响研究

Balance Acupuncture Combined with Life Style Intervention Has Effect on Patients with Impaired Glucose Tolerance

目的:探究平衡针联合生活方式干预对糖耐量降低(IGT)患者的影响。方法:将460例IGT患者按照随机对照法分为生活方式干预组和联合治疗组各230例。生活方式干预组给予生活方式干预,联合治疗组在生活方式干预的基础上,采用平衡针针刺降糖穴治疗。分别在治疗3月后、9月后、1年后检测空腹血糖(FBG)、餐后2h血糖(P2hBG)、高密度脂蛋白(HDL)以及体质量指数(BMI),并且随访6月、1年以及2年后糖尿病的发病率。结果:2组经过3月治疗后,2组P2hBG比较,差异有统计学意义(P <0.05)。其他指标比较,差异无统计学意义(P> 0.05)。干预9月后,2组FBG、P2hBG、BMI比较,差异有统计学意义(P <0.05)。2组HDL比较,差异无统计学意义(P> 0.05)。干预1年后,2组FBG、P2hBG、HDL及BMI比较,差异有统计学意义(P <0.05)。干预6月后生活方式干预组的糖尿病发病率为4.78%,联合治疗组的为2.61%,2组比较,差异无统计学意义(P> 0.05)。干预1年、2年后,生活方式干预组的糖尿病发病率分别为32.61%、59.13%,联合治疗组分别为21.30%、32.17%,2组比较,差异均有统计学意义(P <0.05)。结论:平衡针联合生活方式干预IGT,能有效预防、延缓糖尿病的发生。

Objective: To explore the effect of balance acupuncture combined with life style intervention on patients with impaired glucose tolerance(IGT). Methods: Divided 460 cases of patients with IGT into two groups randomly, namely the life style intervention group and the combined treatment group,230 cases in each group. The life style intervention group received life style intervention, while the combined treatment group additionally received balance acupuncture at the glucose-lowering acupoints. After treatment for 3 months, 9 months and 1 year,detected levels of fasting blood glucose(FBG), 2-hour postprandial blood glucose(P2 hBG), high density lipoprotein(HDL) and body mass index(BMI) respectively, and followed up the incidence of diabetes after treatment for 6 months, 1 year and 2 years. Results: After 3 months of treatment, comparing the level of P2 hBG in both groups, there was significant difference being found(P < 0.05);comparing other indexes in-between the two groups,there was no significant difference being found(P > 0.05). After 9 months of intervention, comparing the levels of FBG, P2 hBG and BMI in both groups, there was significant difference being found(P <0.05);comparing the level of HDL in-between the two groups, there was no significant difference being found(P > 0.05).After 1 year of intervention, comparing the levels of FBG, P2 hBG, HDL and BMI in both groups, there was significant difference being found(P < 0.05). After 6 months of intervention, the incidence of diabetes was 4.78% in the life style intervention group and 2.61% in the combined treatment group, difference being insignificant(P > 0.05). After 1 year of intervention, the incidence of diabetes was 32.61% in the life style intervention group and 21.30% in the combined treatment group;after 2 years of intervention, the incidence of diabetes was 59.13% in the life style intervention group and 32.17% in the combined treatment group, differences being significant found(P < 0.05). Conclusion: Balance acupuncture combined with life style intervention for IGT can effectively prevent and prolong the occurrence of diabetes.