实用中医药杂志
實用中醫藥雜誌
실용중의약잡지
JOURNAL OF PRACTICAL TRADITIONAL CHINESE MEDICINE
2013年
8期
620-622
,共3页
非酒精性脂肪肝%电针%穴位贴敷%血清RBP4%胰岛素抵抗
非酒精性脂肪肝%電針%穴位貼敷%血清RBP4%胰島素牴抗
비주정성지방간%전침%혈위첩부%혈청RBP4%이도소저항
Non alcoholic fatty liver%Electroacupuncture%acupoint%serum RBP4%insulin resistance
目的：观察电针结合穴位贴敷疗法对非酒精性脂肪（NAFLD）血清视黄醇结合蛋白4（RBP4）的影响。方法：90例随机分为治疗组45例对照组45例，对照组给予立普妥口服，每次10mg，每天1次；治疗组应用电针穴位同时结合穴位贴敷疗法，每天1次，两组均治疗1个月为一疗程，共治疗3个疗程。结果：治疗组ALT、AST、TC、TG明显下降，优于对照组（P＜0.05）；治疗组血糖、血清胰岛素、胰岛素抵抗指数、血清RBP4含量均明显下降，优于对照组（P＜0.05），治疗组B超检查肝脏声像图明显好转，总有效率优于对照组（P＜0.05）。结论：电针配合穴位贴敷可通过降低血清RBP4含量，改善胰岛素抵抗（IR），达到治疗NAFLD的作用。
目的：觀察電針結閤穴位貼敷療法對非酒精性脂肪（NAFLD）血清視黃醇結閤蛋白4（RBP4）的影響。方法：90例隨機分為治療組45例對照組45例，對照組給予立普妥口服，每次10mg，每天1次；治療組應用電針穴位同時結閤穴位貼敷療法，每天1次，兩組均治療1箇月為一療程，共治療3箇療程。結果：治療組ALT、AST、TC、TG明顯下降，優于對照組（P＜0.05）；治療組血糖、血清胰島素、胰島素牴抗指數、血清RBP4含量均明顯下降，優于對照組（P＜0.05），治療組B超檢查肝髒聲像圖明顯好轉，總有效率優于對照組（P＜0.05）。結論：電針配閤穴位貼敷可通過降低血清RBP4含量，改善胰島素牴抗（IR），達到治療NAFLD的作用。
목적：관찰전침결합혈위첩부요법대비주정성지방（NAFLD）혈청시황순결합단백4（RBP4）적영향。방법：90례수궤분위치료조45례대조조45례，대조조급여립보타구복，매차10mg，매천1차；치료조응용전침혈위동시결합혈위첩부요법，매천1차，량조균치료1개월위일료정，공치료3개료정。결과：치료조ALT、AST、TC、TG명현하강，우우대조조（P＜0.05）；치료조혈당、혈청이도소、이도소저항지수、혈청RBP4함량균명현하강，우우대조조（P＜0.05），치료조B초검사간장성상도명현호전，총유효솔우우대조조（P＜0.05）。결론：전침배합혈위첩부가통과강저혈청RBP4함량，개선이도소저항（IR），체도치료NAFLD적작용。
Objective:Effects of electroacupuncture combined with acupoint sticking therapy on non alcoholic fatty (NAFLD) of serum retinol binding protein 4 (RBP4) effect.Method: Meet the criteria for the diagnosis of patients with non alcoholic fatty liver disease in 90 cases,45 cases were randomly divided into the treatment group and 45 cases in control group,The control group was given early oral,10 mg every time,1 times a day;The treatment group were treated with acupuncture combined with acupoint sticking therapy,1 times a day,two groups were treated for 1 months to 1 courses of treatment,a total of 3 courses of treatment.2 groups of liver function (ALT,AST),total cholesterol (TC),triglyceride (TG), fasting plasma glucose (FBG) and serum insulin (FINS),and calculated the insulin resistance index.Detection of serum content of RBP4 and B ultrasound examination of the liver.Results:in the treatment group,ALT,AST,TC,TG decreased significantly,better than the control group (P < 0.05); the treatment group,serum insulin,blood glucose and insulin resistance index,serum RBP4 levels were significantly decreased,better than the control group (P < 0.05),treatment group B ultrasound examination of the liver ultrasonography significantly better than the control group,the total efficiency (P<0.05).Conclusion:Acupuncture plus acupoint application can reduce the levels of serum RBP4,improve insulin resistance (IR),to achieve therapeutic effect of NAFLD.
