CAJ | 학술논문

目的：观察针灸治疗糖尿病合并肥胖患者临床疗效。方法：根据就诊先后顺序将患者随机分成两组，每组33例。对照组在给予饮食运动干预的基础上给予盐酸二甲双胍片（格华止）0．5 g，2次/d。治疗组在对照组方法基础上与针灸联合治疗，疗程为2个月。观察空腹血糖、空腹胰岛素、胰岛素敏感指数（ ISI）、体重指数、腰围变化。结果：治疗组治疗前后比较，体质量（ kg ）、体质指数（ kg/m2）、腰围（ cm）、空腹血糖（ mmol/l）、空腹胰岛素（ uIU/L）均明显下降，胰岛素敏感指数明显增加，差异显著。治疗组与对照组比较，体质量（kg）、体质指数（kg/m2）、腰围（cm）、空腹胰岛素（uIU/L）均明显下降，胰岛素敏感指数明显增加，差异有统计学意义。结论：糖尿病合并肥胖患者针灸治疗可以明显降低体重、改善胰岛素抵抗。
목적：관찰침구치료당뇨병합병비반환자림상료효。방법：근거취진선후순서장환자수궤분성량조，매조33례。대조조재급여음식운동간예적기출상급여염산이갑쌍고편（격화지）0．5 g，2차/d。치료조재대조조방법기출상여침구연합치료，료정위2개월。관찰공복혈당、공복이도소、이도소민감지수（ ISI）、체중지수、요위변화。결과：치료조치료전후비교，체질량（ kg ）、체질지수（ kg/m2）、요위（ cm）、공복혈당（ mmol/l）、공복이도소（ uIU/L）균명현하강，이도소민감지수명현증가，차이현저。치료조여대조조비교，체질량（kg）、체질지수（kg/m2）、요위（cm）、공복이도소（uIU/L）균명현하강，이도소민감지수명현증가，차이유통계학의의。결론：당뇨병합병비반환자침구치료가이명현강저체중、개선이도소저항。
Objective:To observe the clinical effects of acupuncture treatment on diabetic patients with obesity . Methods:66 cases were randomly divided into treatment and control groups ,each group with 33 cases.Control group was used metformin hydrochloride tablets (Glucophage) 0.5g, 2 times/d on the basis of regular diet ex-ercise and other lifestyle interventions .The treatment group , in addition to lifestyle interventions , was received metformin hydrochloride tablets ( Glucophage ) 0.5g,2 times/d combined with acupuncture treatment for two months.Observe the changes of fasting blood -glucose, fasting insulin, insulin sensitivity index (ISI), body mass index , and waist circumference .Results:To compare the treatment group before and after treatment , body weight (kg), body mass index (kg/m2), waist (cm), fasting glucose (mmol/l) and fasting insulin (uIU/L) were significantly decreased;insulin sensitivity index was significantly increased .The difference was remarka-ble.Compared with the control group, body weight (kg), body mass index (kg/m2), waist (cm) and fasting insulin ( uIU/L) were significantly decreased in the treatment group , but insulin sensitivity index was signifi-cantly increased in the treatment group ,and the difference was statistically significant .Conclusion:The acupunc-ture treatment for diabetic patients with obesity can significantly reduce weight , and improve insulin resistance .