摘要
目的:探讨耳穴及生活方式对2型糖尿病前期人群的预防效果。方法:选取2017年5月至2018年3月在顺义区中医院接受体检的2型糖尿病前期人群92例进行观察,按照随机数表法分为对照组和观察组,每组46例,对照组给予常规干预,观察组在对照组的基础上给予耳穴压豆干预治疗。比较2组2型糖尿病前期人群干预前后的糖化血红蛋白(Hb A1c)、体质量指数(BMI)、空腹血糖(FPG)、餐后2 h血糖(P2 h PG)、收缩压(SBP)、舒张压(DBP)、总胆固醇(TC)、三酰甘油(TG)、高密度脂蛋白(HDL)及低密度脂蛋白(LDL)变化情况,以及干预1年后糖尿病转归情况。结果:与干预前比较,对照组仅FPG与P2 h PG较干预前均显著降低,观察组FPG、P2 h PG、TC、HDL及Hb A1c较干预前显著降低,而LDL显著升高,差异均有统计学意义(P <0. 05);干预后2组比较,观察组FPG、P2 h PG、TC、LDL及Hb A1c降低更显著,而LDL升高更显著,差异有统计学意义(P <0. 05);干预后观察组糖尿病转化率2. 17%(1/46),对照组糖尿病转化率13. 04%(6/46),差异有统计学意义(P <0. 05)。结论:耳穴压豆联合生活方式干预可更有效地改善2型糖尿病期人群的血糖及血脂水平,有效降低。
Objective: To study the prevention outcomes of auricular acupuncture and lifestyle in treating Type 2 Diabetes. Methods: A total of 92 patients with prediabetes type 2 during physical examination in Beijing Hospital of Traditional Chinese Medicine in Shunyi District from May 2017 to March 2018 were selected. According to the random number table method,patients were divided into the control group and the observation group,with 46 cases each. The control group was received routine intervention. Additionally the observation group was treated with auricular point pressure bean. The changes of Hb A1 c,BMI,FPG,P2 h PG,SBP,DBP,TC,TG,HDL,and LDL before and after intervention in type 2 diabetics were compared between the 2 groups. The outcomes were also contracted after 1 year of intervention. Results: Groups were compared before and after intervention. FPG and P2 h PG of the control group were significantly lower than before. FPG,P2 h PG,TC,HDL,and Hb A1 c of the observation group were significantly lower than before the intervention,while LDL was significantly higher. There was statistical difference in the groups( P <0. 05);After intervention FPG,P2 h PG,TC,LDL,and Hb A1 c decreased more significantly in the observation group,while LDL increased significantly( P < 0. 05);a total of 2. 17% patients of the observation group converted to diabetes mellitus after intervention( 1/46). The control group converted to diabetes at the rate of 13. 04%( 6/46). The differences between the groups were significant( P < 0. 05). Conclusion: Auricular acupuncture combined with lifestyle intervention can improve blood glucose and lipid levels in type 2 diabetics more effectively than routine intervention,and effectively reduce the conversion rate of diabetes.
作者
陈琳
张伯宇
Chen Lin;Zhang Boyu(Department of Infectious Diseases,Beijing Hospital of Traditional Chinese Medicine in Shunyi District,Beijing 101300,China)
出处
《世界中医药》
CAS
2019年第3期750-753,共4页
World Chinese Medicine
基金
北京市医院管理局课题(PZ2018009)
关键词
耳穴
生活方式
干预
2型糖尿病
前期人群
血糖
血脂
糖尿病转化率
Auricular acupressure
Lifestyle intervention
Prediabetes type 2
Blood glucose
Lipid levels
Diabetes conversion rate
Intervene
Significant
Improve
