CAJ | 학술논문

目的:探讨糖尿病神经病变的较佳治疗方法.方法:将患者随机分成针刺组30例、对照组26例.对照组服用格列齐特80 mg/d控制血糖,口服腺苷辅酶B12片0.75 mg,以改善神经系统营养;针刺组在此基础上,针刺双侧胰俞穴,两组疗程均为3周,观察两组疗效及空腹血糖、空腹尿糖、血脂的变化.结果:针刺组总有效率为93.3%,对照组为67.3%.针刺组空腹血糖G、空腹尿糖GLU、胆固醇(TC)、甘油三脂(TG)明显下降,高密度脂蛋白(HDL)显著上升,与对照组比较差异亦有显著性意义(均P＜0.05).结论:针刺加药物能较好地改善早、中期糖尿病患者脂肪代谢紊乱,具有降低和稳定血糖以及改善神经功能的作用.
목적:탐토당뇨병신경병변적교가치료방법.방법:장환자수궤분성침자조30례、대조조26례.대조조복용격렬제특80 mg/d공제혈당,구복선감보매B12편0.75 mg,이개선신경계통영양;침자조재차기출상,침자쌍측이유혈,량조료정균위3주,관찰량조료효급공복혈당、공복뇨당、혈지적변화.결과:침자조총유효솔위93.3%,대조조위67.3%.침자조공복혈당G、공복뇨당GLU、담고순(TC)、감유삼지(TG)명현하강,고밀도지단백(HDL)현저상승,여대조조비교차이역유현저성의의(균P＜0.05).결론:침자가약물능교호지개선조、중기당뇨병환자지방대사문란,구유강저화은정혈당이급개선신경공능적작용.
Objective To search for a good therapeutic method for treating diabetic neuropathy. Methods Patients were randomly divided into an acupuncture group (n=30) and a control group (n=26). In the control group, gliclazide, at the dose of 80 mg/d, for lowering blood sugar, and adenosine coenzyme B12, at the dose of 0.75 mg, for improving nutrition of nerves were orally administered. In the acupuncture group, acupuncture at bilateral Yishu point was added. Three weeks of treatments were given for both groups. Therapeutic effects and changes in fasting blood sugar, fasting glucose in urine and blood fat were observed. Results The total effective rate was 93.3% and 67.3% in the acupuncture and control group, respectively. Fasting blood sugar, fasting glucose in urine, total cholesterol and triglyceride were obviously lowered, and high density lipoprotein markedly elevated in the acupuncture group with significant differences, compared with those in the control group (P<0.05). Conclusion Acupuncture combined with medicine can improve disorder of fat metabolism in diabetic patients at the early and intermediate stages and depress and stabilize blood glucose to improve neural functions.