[1]訾 璐,胡小军△,王 玉,等.针刺中脘穴联合自拟茶方对2型糖尿病患者血糖水平的影响*[J].陕西中医,2019,(10):1460-1463.
 ZI Lu,HU Xiaojun,WANG Yu,et al.Effect of zhong wan acupuncture combined with selfdesigned tea prescription on blood glucose level in patients with type 2 diabetes mellitus[J].,2019,(10):1460-1463.
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针刺中脘穴联合自拟茶方对2型糖尿病患者血糖水平的影响*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年10期
页码:
1460-1463
栏目:
针灸经络
出版日期:
2019-10-05

文章信息/Info

Title:
Effect of zhong wan acupuncture combined with selfdesigned tea prescription on blood glucose level in patients with type 2 diabetes mellitus
文章编号:
DOI:10.3969/j.issn.10007369.2019.10.043
作者:
訾 璐胡小军△王 玉袁奕清徐 艺周晶冰
武汉市普仁医院中医针灸科(武汉430081)
Author(s):
ZI LuHU XiaojunWANG Yuet al.
Department of Acupuncture and Moxibustion,Wuhan Puren Hospital( Wuhan 430081)
关键词:
2型糖尿病针刺中脘自拟茶方血糖水平胰岛素功能
Keywords:
Key words 〖HT5”SS〗Type 2 diabetesacupuncturezhong wanSelfdesigned tea recipeBlood glucose levelsInsulin function
分类号:
R587.1
文献标志码:
A
摘要:
摘 要 目的:研究针刺中脘穴联合自拟茶方对2型糖尿病(T2DM)患者血糖水平的影响。方法:纳入90例T2DM患者作为研究对象。通过随机抽签法将其等分成茶方组、针刺组以及联合组。其中茶方组予以自拟茶方治疗,针刺组实施中脘穴针刺治疗,联合组予以针刺联合自拟茶方治疗。比较三组治疗前后血糖指标水平,血脂指标水平,胰岛素功能变化情况,血清脂联素水平。结果:治疗后联合组FBG、2hPG、HbA1c水平均高于茶方组与针刺组(均P<0.05)。治疗后联合组TG、TC、LDLC水平均低于茶方组与针刺组(均P<0.05)。联合组HOMAIR水平均低于茶方组与针刺组;而HOMAβ水平均高于茶方组与针刺组(均P<0.05)。治疗后三组血清脂联素水平均高于治疗前,且 联合组血清脂联素水平均高于茶方组与针刺组(均P<0.05)。结论:针刺中脘穴联合自拟茶方可显著改善T2DM患者的血糖水平,提高胰岛素功能,改善血脂水平与脂联素水平,值得临床应用。
Abstract:
Abstract 〖HT5”SS〗Objective:To study and analyze the direct effect of acupuncture combined with selfprepared tea prescription on blood glucose level in patients with type 2 diabetes mellitus (T2DM).Methods:90 cases of T2DM were included as research objects. They were divided into tea prescription group,acupuncture group and combination group by random lottery. Among them,the tea prescription group received selfdesigned tea prescription treatment,the acupuncture group received acupuncture treatment,and the combination group received acupuncture combined with selfdesigned tea prescription treatment. Blood glucose,blood lipid,insulin function and serum adiponectin levels were compared before and after treatment.Results:After treatment,FBG,2hPG and HbA1c levels in the combined group were all higher than those in the tea prescription group and acupuncture group (all P<0.05). After treatment,TG,TC and LDLC levels in the combination group were lower than those in the tea prescription group and the acupuncture group (all P<0.05). The level of HOMAIR in the combination group was lower than that in the tea prescription group and acupuncture group. However,the level of HOMAβ was higher than that of tea square group and acupuncture group (both P<0.05). After treatment,serum adiponectin levels in the three groups were all higher than those before treatment,and the serum adiponectin levels in the combination group were all higher than those in the tea prescription group and the acupuncture group (P<0.05).Conclusion:acupuncture combined with selfdesigned tea can significantly improve blood glucose level,improve insulin function,improve blood lipid level and adiponectin level in T2DM patients. It is worthy of clinical application.

参考文献/References:

[1] Jia D,Li ZW,Zhou X,et al.A novel berberinemetformin hybrid compound exerts therapeutic effects on obese type 2 diabetic rats[J].Clin Exp Pharmacol Physiol,2019,46(6):533544.
[2] Tandon T,Dubey AK,Srivastava S,et al.A pharmacoeconomic analysis to compare costeffectiveness of metforminplus teneligliptin with metformin plus glimepiride in patients of type2 diabetes mellitus[J].J Family Med Prim Care,2019,8(3):955959.
[3] 张红敏,吴锦林,张兴渝,等.利拉鲁肽联合二甲双胍对2型糖尿病合并肥胖患者胰岛 β 细胞功能以及内脏脂肪水平的影响[J].中华细胞与干细胞杂志:电子版,2019,9(3):144148.
[4] 刘 臣,孙 志.孙志教授“泻胃补脾法”针刺治疗2型糖尿病经验浅析[J].浙江中医药大学学报,2017,41(4):336338.
[5] 中华医学会糖尿病学分会.中国2型糖尿病防治指南(基层版)[J].中华全科医师杂志,2013,12(8):675696.
[6] 金惠英,金京国.健脾滋阴消渴方治疗2型糖尿病气阴两虚证临床疗效及对胰岛素敏感性和胰岛β细胞功能的影响[J].中国中医药信息杂志,2019,26(7):3539.
[7] Ningrum VD,Istikharah R,Firmansyah R,et al.Allele frequency of SLC22A1 Met420del metformin main transporter encoding gene among Javaneseindonesian population[J].Open Access Maced J Med Sci,2019,7(3):378383.
[8] Moeez S,Khalid Z,Jalil F,et al.Effects of SLC22A2 (rs201919874) and SLC47A2 (rs138244461) genetic variants on metformin pharmacokinetics in pakistani T2DM patients[J].J Pak Med Assoc,2019,69(2):155163.
[9] Lentferink YE,Knibbe CAJ,Vandervorst MMJ,et al.Efficacy of metformin treatment with respect to weight reduction in children and adults with obesity:A systematic review[J].Drugs,2018,78(18):18871901.
[10] 周 玉,刘国涛,卢增珍,等.桃仁对糖尿病大血管纤维化大鼠 蛋白激酶B信号通路的影响[J].中国中西医结合外科杂志,2019,25(1):6167.
[11] 区洪炎,罗导航,刘 娟,等.不同胰岛素强化治疗时间和模式对2型糖尿病患者胰岛β细胞功能影响的研究[J].中国糖尿病杂志,2019,27(5):326330.
[12] 王秋锋,金春华.初诊断2型糖尿病患者短期胰岛素泵强化治疗后不同治疗方案对胰岛功能的影响[J].中国慢性病预防与控制,2019,27(5):377380.
[13] 王一茗,张新昕,束彦页,等.穴位埋线对缺血再灌注损伤高脂血症合并2型糖尿病大鼠心肌保护作用的机制研究[J].中国全科医学,2017,20(30):37763780.
[14] 程金莲,肖爽,宣雅波,等.“贺氏三通法”治疗2型糖尿病周围神经病变的随机对照研究[J].安徽中医药大学学报,2018,37(6):4649.
[15] 李雪青,王金艳,孙 薇,等.针刺肾俞五十七穴防治糖尿病胰岛素抵抗的临床研究[J].中医药学报,2018,46(1):9093.
[16] 郭海叶,陶 钧.针刺联合滋阴活血通络方对非增殖期2型糖尿病视网膜病变患者细胞因子VEGF、IGF1的作用[J].中医药信息,2019,36(3):4245.
[17] 李 岩,刘春龙,邱昌龙,等.参黄降糖汤对气阴两虚型2型糖尿病患者的相关代谢指标及炎症指标的影响[J].中医药通报,2019,18(3):4244.
[18] 潘雪君,张 明,文素利,等.中医药茶对老年2型糖尿病患者的保健效果[J].西部中医药,2017,30(1):99102.
[19] 尹日凤,李宇清,王亚军,等.金花茶叶提取物对糖尿病小鼠肝脏糖代谢的调节作用[J].中药材,2017,40(12):29562959.
[20] 虎子颖,张会峰,秦灵芝,等.有氧运动对2型糖尿病患者认知功能及其相关危险因素的影响[J].中华物理医学与康复杂志,2019,41(1):6467.

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备注/Memo

备注/Memo:
*湖北省自然科学基金资助项目(ZY2019F037)
更新日期/Last Update: 2019-10-23