艾灸联合中医饮食指导干预气虚痰浊型糖尿病临床研究

Clinical Study on Moxibustion Combined with Dietary Guidance of Chinese Medicine for Diabetes Mellitus of Qi Deficiency and Phlegm Turbidity Type

目的:观察艾灸联合中医饮食指导对气虚痰浊型糖尿病(DM)患者血糖、血脂及生活质量的影响。方法:将140例气虚痰浊型DM患者随机分为对照组和治疗组各70例。对照组给予降糖、降脂、降压等对症治疗,治疗组在对照组基础给予艾灸和中医饮食指导,2组均连续干预20周。观察患者治疗前后血糖、血脂、气虚痰浊证评分及糖尿病患者生存质量特异性量表(DSQL)评分的变化。结果:治疗后,2组空腹血糖(FBG)、餐后2 h血糖(P2hBG)及糖化血红蛋白(HbA1c)水平均较治疗前降低(P <0.01),治疗组FBG、P2hBG及HbA1c水平均低于对照组(P <0.01)。治疗后,2组总胆固醇(TC)、甘油三酯(TG)及低密度脂蛋白胆固醇(LDL-C)水平均较治疗前下降(P <0.01),高密度脂蛋白胆固醇(HDL-C)水平均较治疗前升高(P <0.01);治疗组TC、TG及LDL-C水平均低于对照组(P <0.01),HDL-C水平高于对照组(P <0.01)。治疗后,2组气虚痰浊证评分及DSQL评分均较治疗前下降(P <0.01),治疗组气虚痰浊证评分及DSQL评分均低于对照组(P <0.01)。结论:艾灸联合中医饮食指导干预气虚痰浊型DM,可以提高血糖的控制效果,调节脂代谢,减轻患者的临床症状,改善生活质量。

Objective:To observe the effect of moxibustion combined with dietary guidance of Chinese medicine on blood glucose,blood lipid and quality of life in patients with diabetes mellitus(DM)of qi deficiency and phlegm turbidity type.Methods:A total of 140 cases DM patients of qi deficiency and phlegm turbidity type were randomly divided into the control group and the treatment group,70 cases in each group.The control group was given symptomatic treatments such as lowering blood glucose,blood lipid and blood pressure,and the treatment group was additionally given moxibustion and dietary guidance of Chinese medicine based on the treatment of the control group.Both groups were continually intervened for 20 weeks.The changes of the scores of blood glucose,blood lipid,qi deficiency and phlegm turbidity syndrome and Diabetes Specificity Quality of Life Scale(DSQL)before and after treatment were observed.Results:After treatment,the levels of fasting blood glucose(FBG),postprandial 2-hour blood glucose(P2 hBG)and hemoglobin A1 c(HbA1 c)in the two groups were decreased when compared with those before treatment(P<0.01),and the above levels in the treatment group were lower than those in the control group(P<0.01).After treatment,the levels of total cholesterol(TC),triglyceride(TG)and low-density lipoprotein cholesterol(LDL-C)in the two groups were decreased when compared with those before treatment(P<0.01),while the levels of high-density lipoprotein cholesterol(HDL-C)were increased when compared with those before treatment(P<0.01);the levels of TC,TG and LDL-C in the treatment group were lower than those in the control group(P<0.01),while the level of HDL-C was higher than that in the co ntrol group(P<0.01).After treatment,the scores of qi deficiency and phlegm turbidity syndrome and DSQL in the two groups were decreased when compared with those before treatment(P<0.01),and the above scores in the treatment group were lower than those in the control group(P<0.01).Conclusion:The intervention of moxibustion combined with d ietary guidance of Chinese medicine in treating DM patients of qi deficiency and phlegm turbidity type can improve the control effect of blood glucose,regulate lipid metabolism,alleviate clinical symptoms and improve quality of life.