首页|三黄汤配合针刺治疗糖尿病合并肥胖患者的疗效分析

三黄汤配合针刺治疗糖尿病合并肥胖患者的疗效分析

Analysis on the Curative Effect of Sanhuang Decoction Combined with Acupuncture in the Treatment of Diabetes Mellitus Complicated with Obe-sity

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目的 探讨三黄汤结合针刺疗法治疗糖尿病合并肥胖患者的疗效.方法 回顾性选取2023年1-12月张店区中医院收治的80例糖尿病伴肥胖患者的临床资料,按治疗方式不同分成两组,每组40例,对照组行针刺治疗,观察组采用三黄汤配合针刺治疗.比较两组体重、体重指数、腰围指标、血糖及血脂指标(空腹血糖、餐后2 h血糖、甘油三酯、总胆固醇、高密度脂蛋白胆固醇)、氧化应激指标(超氧化物歧化酶、丙二醛、谷胱甘肽过氧化物酶).结果 治疗2个月后,两组患者各项肥胖指标水平均降低,观察组体重、体重指数、腰围水平均低于对照组,差异有统计学意义(P均<0.05).治疗2个月后,观察组高密度脂蛋白胆固醇水平高于对照组,其他血糖及血脂指标水平均低于对照组,差异有统计学意义(P均<0.05).治疗2个月后,观察组超氧化物歧化酶、谷胱甘肽过氧化物酶均高于对照组,丙二醛低于对照组,差异有统计学意义(P均<0.05).结论 糖尿病伴肥胖患者采用三黄汤联合针刺可明显降低其血糖血脂水平,还可明显减轻体重、降低氧化应激引起的组织损伤的作用.
Objective To explore the curative effect of Sanhuang Decoction combined with acupuncture therapy in the treatment of diabetic patients with obesity.Methods The clinical data of 80 patients with diabetes mellitus and obe-sity admitted to Zhangdian District Hospital of Traditional Chinese Medicine from January to December 2023 were ret-rospectively selected and divided into two groups according to different treatment methods,with 40 cases in each group.The control group was treated with acupuncture,and the observation group was treated with Sanhuang Decoc-tion combined with acupuncture.The body weight,body mass index,waist circumference index,blood glucose and blood lipid indexes(fasting plasma glucose,2-hour postprandial plasma glucose,triglyceride,total cholesterol,high-density lipoprotein cholesterol),oxidative stress indexes(superoxide dismutase,malondialdehyde,glutathione peroxi-dase)were compared between the two groups.Results After 2 months of treatment,the levels of obesity indexes in the two groups decreased,and the levels of body weight,body mass index and waist circumference in the observation group were lower than those in the control group,the differences were statistically significant(all P<0.05).After 2 months of treatment,the level of high-density lipoprotein cholesterol in the observation group was higher than that in the control group,and the levels of other blood glucose and blood lipid indexes were lower than those in the control group,the differences were statistically significant(all P<0.05).After 2 months of treatment,the superoxide dismutase and glutathione peroxidase in the observation group were higher than those in the control group,and the malondialde-hyde was lower than that in the control group,the differences were statistically significant(all P<0.05).Conclusion Sanhuang Decoction combined with acupuncture can obviously reduce the level of blood glucose and lipid,reduce the body weight and the tissue damage caused by oxidative stress.

Sanhuang DecoctionAcupunctureDiabetes mellitusObesity

王俊凯

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淄博市张店区中医院,山东 淄博 255000

三黄汤 针刺 糖尿病 肥胖

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(11)