西部中医药
西部中醫藥
서부중의약
GANSU JOURNAL OF TRADITIONAL CHINESE MEDICINE
2014年
8期
5-6,7
,共3页
糖耐量减低(IGT)%糖尿病(DM)%中医治未病%健康管理
糖耐量減低(IGT)%糖尿病(DM)%中醫治未病%健康管理
당내량감저(IGT)%당뇨병(DM)%중의치미병%건강관리
impaired glucose tolerance (IGT)%diabetes mellitus%TCM preventive treatment%health control
目的：以中医治未病方法（中药降糖贴穴位贴敷）结合健康管理干预糖尿病前期（IGT）人群，探讨其对糖尿病(DM)发病率的影响以及逆转为正常糖耐量(NGT)的作用。方法：将150例患者随机分为治疗组90例和对照组60例，治疗组进行降糖贴穴位贴敷和饮食、运动等健康管理方法干预；对照组单纯饮食、运动等健康管理方法干预。2组疗程均为12个月，观察2组干预后DM发病率和IGT逆转率情况。结果：治疗组IGT发展为DM者2例（2.50%），对照组6例（10.91%）；治疗组IGT转NGT为50.00%，对照组为27.27%。上述指标2组比较差异有统计学意义(P＜0.05)。治疗组干预前后血糖变化明显(P＜0.05)，对照组无明显改善(P＞0.05)，干预后2组比较差异有统计学意义(P＜0.05)。结论：中医治未病方法结合健康管理对糖耐量减低的干预有助于其逆转为正常糖耐量，降低糖尿病的发病风险。
目的：以中醫治未病方法（中藥降糖貼穴位貼敷）結閤健康管理榦預糖尿病前期（IGT）人群，探討其對糖尿病(DM)髮病率的影響以及逆轉為正常糖耐量(NGT)的作用。方法：將150例患者隨機分為治療組90例和對照組60例，治療組進行降糖貼穴位貼敷和飲食、運動等健康管理方法榦預；對照組單純飲食、運動等健康管理方法榦預。2組療程均為12箇月，觀察2組榦預後DM髮病率和IGT逆轉率情況。結果：治療組IGT髮展為DM者2例（2.50%），對照組6例（10.91%）；治療組IGT轉NGT為50.00%，對照組為27.27%。上述指標2組比較差異有統計學意義(P＜0.05)。治療組榦預前後血糖變化明顯(P＜0.05)，對照組無明顯改善(P＞0.05)，榦預後2組比較差異有統計學意義(P＜0.05)。結論：中醫治未病方法結閤健康管理對糖耐量減低的榦預有助于其逆轉為正常糖耐量，降低糖尿病的髮病風險。
목적：이중의치미병방법（중약강당첩혈위첩부）결합건강관리간예당뇨병전기（IGT）인군，탐토기대당뇨병(DM)발병솔적영향이급역전위정상당내량(NGT)적작용。방법：장150례환자수궤분위치료조90례화대조조60례，치료조진행강당첩혈위첩부화음식、운동등건강관리방법간예；대조조단순음식、운동등건강관리방법간예。2조료정균위12개월，관찰2조간예후DM발병솔화IGT역전솔정황。결과：치료조IGT발전위DM자2례（2.50%），대조조6례（10.91%）；치료조IGT전NGT위50.00%，대조조위27.27%。상술지표2조비교차이유통계학의의(P＜0.05)。치료조간예전후혈당변화명현(P＜0.05)，대조조무명현개선(P＞0.05)，간예후2조비교차이유통계학의의(P＜0.05)。결론：중의치미병방법결합건강관리대당내량감저적간예유조우기역전위정상당내량，강저당뇨병적발병풍험。
Objective:To explore the influence of TCM preventive treatment (acupoint sticking of glucose-de-creasing paste) and health control intervention on the incidence of diabetes mellitus (DM) and reversing to normal glucose tolerance (NGT) by intervening the patients in prediabetic state. Methods:All 150 patients were randomized into 90 cases of the treatment group and 60 cases of the control group, the treatment group received acupoint sticking of glucose-decreasing paste and health control intervention including diet, exercise and others; the control group health control intervention including diet, exercise and others. One course of the treatment was 12 months, DM inci-dences and IGT reversing rate of both groups were observed after intervention. Results:There were two cases in the treatment group changing from IGT to DM (2.50%);six cases in the control group (10.91%);reversing rate from IGT to NGT in the treatment group was 50.00%, higher than 27.27%of the control group, the difference showed sta-tistical meaning in the indexes (P<0.05). After intervention, the changes of blood glucose in the treatment group were notable (P<0.05), and these of the control group were subtle (P>0.05), the difference showed statistical meaning after intervention (P<0.05). Conclusion:TCM preventive treatment and health control in intervening IGT are helpful to changing it to NGT and decrease the incidence of DM.
