运用温针灸治疗糖尿病性膀胱病变43例,设对照组43例,共治疗30d.分别于治疗前后观察每日排尿次数、每次尿量、膀胱残余尿量.观察结果表明温针灸疗法能够减少每日排尿次数,提高每次尿量,减少膀胱残余尿量,同治疗前相比差异显著(P＞0.05).<br/> By the needle-warming moxibustion, 43 cases of diabetic vesical pathological changes,together with 43 cases in the control group, were treated for 30 days, to observe the times of urination,volume of urine and residual urine inside the bladder before and after treatment every day. It has been indicated in observation that needle-warming acupuncture therapy can decrease the time of urination every day, elevate the urine volume each time and decrease the residual urine in the bladder, with a significant difference (P＞0.05) in comparison with before the treatment.
目的:观察针刺治疗糖尿病的疗效.方法:对100例患者在适当饮食控制的基础上,电针脾俞、肾俞、肺俞、胃脘下俞、足三里、内关、三阴交、合谷和血海,并辨证加减.结果:治疗后患者空腹血糖值下降,与治疗前比有显著差异(P＜0.05);症状明显者由治疗前的85﹪下降到治疗后的4﹪.结论:针刺能降低糖尿病患者空腹血糖,在改善临床症状方面亦有明显效果.<br/> Purpose: To observe the therapeutic effect of acupuncture treatment for diabetes. Method:Based upon proper diet, 100 cases of patients with diabetes were treated with Pishu (BL 20), Shenshu (BL 23), Feishu (BL 13), Weiwanxiashu (Extra), Zusanli (ST 36), Sanyinjiao (SP 6), Hegu (LI 4), and Xuehai (SP 10) by electric acupuncture, with acupoints added or deducted upon syndrome differentiation.Results: Fasting blood sugar decreased in the patients after the treatments, with a significant difference (P＜0.05) in comparison with before treatment. And the patients with obvious symptoms decreased from 85﹪ before the treatment to 4﹪ after the treatment. Conclusions: Acupuncture treatment can reduce fasting blood sugar in the patients with diabetes and is also remarkably effective in improving the clinical symptoms.
观察针刺结合口服中药汤剂治疗糖尿病视网膜病变临床疗效.将80例患者按单双号随机分成治疗组40例,予针刺太阳、阳白透鱼腰、攒竹等穴和服用中药"明目五子汤";对照组40例子静脉滴注维脑路通及口服双密达莫、维生素E,进行对照观察.治疗组总有效率为92.5﹪,对照组总有效率为55.0﹪,疗效相比差异有显著性意义(P＜0.01).针刺结合中药汤剂有较好疗效,且优于单纯西药治疗.<br/> The clinical effect on treatment of diabetic retinopathy with acupuncture plus herbal decoction has been observed. Eighty cases were randomly divided into treatment group and control group by the odd and even serial numbers. Forty cases in the treatment group were treated with needling Taiyang (Ex-HN 5), Yangbai (GB 14) toward Yuyao (Ex-HN 4) and Cuanzhu (BL 2) plus the herbal decoction called "Mingmu Wuzi Decoction". Forty cases in the control group were treated with intravenous drip of Venorutin and oral administration of dipyridamole and vitamin E. And the result showed the total effective rate of 92.5﹪ in the treatment group and that of 55.0﹪ in the control group with significant difference (P＜0.01), which suggested that acupuncture plus herbal decoction had better therapeutic effect than western medications alone.
观察针药结合"补肾通络法"对糖尿病周围神经病变(DPN)的临床疗效.将DPN患者104例,随机分为针药组和对照组各52例.治疗2个月后,针药组的临床显效率为51.9﹪,总有效率为88.5﹪,均优于对照组(P＜0.05).针药结合"补肾通络法"治疗DPN临床效果良好.<br/> To observe the clinical therapeutic effect of diabetic peripheral neuropathy (DPN) treated by needling combined with drug, 104 patients with DPN were randomly divided into acupuncture plus drug group and control group, and each group had 52 patients. After treatment of two months, the clinical effective rate in acupuncture plus drug group was 51.9﹪, and the total effective rate was 88.5﹪, both of them were better than those in control group (P＜0.05). The needling method of nourishing the kidney and dredging the meridian combined with drug had good clinic effect in the treatment of DPN.
对40例已确诊Ⅱ型糖尿病患者,给予针刺内关穴治疗,分别观察针刺20 min,40 min和60min不同时段对其心脏植物神经功能的影响.检测短时心率变异诸项指标,结果不同针刺时间均能改善各项指标,针刺前后疗效有非常显著性差异(P＜0.01).3组组间疗效没有显著性差异(P＞0.05).<br/> Forty cases of type Ⅱ diabetes mellitus were treated by puncturing point Neiguan (PC 6), and the effect on their cardiac vegetative nerve functions were observed at 20 min, 40 min and 60 min after acupuncture respectively. The findings showed that all heart rate variables improved remarkably at the three time periods after acupuncture treatment, with significant differences (P＜0.01); but there was no significant difference in the curative effects among the three time periods.
将36例糖尿病Ⅱ型患者分为西药组和针刺组,分别予降糖药物和针刺治疗.治疗前患者血糖、HbA1,各项心脏植物神经功能试验均异常.治疗1个月西药组血糖及HbA1显著下降,而其余各项指标均无显著变化.针刺组血糖HbA1无显著变化,但乏氏指数、立卧位心率差、30/15R-R期间比值、异常项目数均显著改善.说明针刺可以改善心脏植物神经功能.<br/> Thirty-six patients with type Ⅱ diabetes were divided into medicine group treated with oral hypoglycemic agents and acupuncture group treated with needling. The patients had abnormity on blood glucose, glycosylatedhemoglobin (HbA1), and the function of cardiac vegetative nerve before treatment. After one month’ s treatment, there were marked decrease on blood glucose and HbA1 in medicine group, but no change in acupuncture group. Patients of acupuncture group had an exact improving effect on Wassermann index, difference in heart rate between standing and lying position,30/15R-R interval ratio and other function of cardiac vegetative nerve. It indicated acupuncture could improve the abnormal function of cardiac vegetative nerve.
目的:观察穴位敷贴对调整Ⅱ型糖尿病脂类代谢异常的作用.方法:应用穴位敷贴加常规降糖药治疗30例Ⅱ型糖尿病患者,同时单用常规降糖药治疗30例Ⅱ型糖尿病患者,观察治疗前后两组血脂水平的变化.结果:治疗组与对照组比较,胆固醇、甘油三酯、低密度脂蛋白和高密度脂蛋白治疗前后差值,有显著性意义(P＜0.01).结论:穴位敷贴对降低糖尿病患者高血脂有良好的作用,能有效改善患者脂代谢紊乱的状况.<br/> Purpose: To observe the regulative effect of acupoint application of abnormai lipid metabolism in type Ⅱ diabetes. Methods: Thirty patients with type Ⅱ diabetes were treated by acupoint application and routine hypoglycemic agents. Meanwhile, another 30 patients with type Ⅱ diabetes were treated by routine hypoglycemic agents only. A difference in the blood-lipid level between pretreatment and post-treatment was observed in the two groups. Results: Differences in cholesterol,triglyceride, low-density lipoprotein and high-density lipoprotein between pre-treatment and posttreatment in treatment group were significantly different from those in control group(P＜0.01).Conclusion: Acupoint application has a good lowering effect on high blood lipid and can effectively alleviate the disorder of lipid metabolism in diabetics.
采用胃脘下俞穴埋线治疗糖尿病62例,其中Ⅰ组30例,为埋线治疗组;Ⅱ组32例,为埋线配合等量西药组;Ⅲ组30例,为纯西药对照组.经治疗后,Ⅰ组有效率90.0﹪,Ⅱ组有效率93.7﹪,Ⅲ组有效率60.0﹪.Ⅰ组、Ⅱ组与Ⅲ组比较,疗效差异显著(P＜0.01).对于糖尿病人需长期调节血糖及防治并发症等有着重要意义.<br/> To observe the therapeutic effects of catgut implantation at Weiwanxiashu (Ex-B 3) in the treatment of diabetes, catgut implantation was used to treat 62 cases of diabetes. In group A, 30 cases were treated just by catgut implantation; in group B, 32 cases were treated by catgut implantation and western medicine; in group C, 30 cases were treated just by western medicine. After treatment, the effective rate was 90.0﹪ in group A, 93.7﹪ in group B and 60.0﹪ in group C. The therapeutic effects in groups A and B were obviously better than that in group C (P＜0.01). These are of great significance for diabetic patients in controlling blood sugar and preventing and treating complications.
观察46例NIDDM患者针灸治疗前后空腹血糖(FBS)、胰岛素(INS)、胰岛素敏感性指数(ISI)及INS拮抗激素的变化.针灸治疗NIDDM获得了良好的临床疗效.同时患者FBS、INS含量明显回降,ISI显著回升,这种变化程度与疗效有关;患者INS拮抗激素和脂质的水平出现了良性改变.针灸对NIDDM机体的内分泌、糖和脂质代谢具有良性调整作用.提示针灸纠正NIDDM IR可能是治疗作用的关键性因素之一.<br/> The fasting blood sugar (FBS), blood insulin (INS), insulin sensitivity index (ISI) and resistant hormone of INS in 46 patients with NIDDM were observed before and after the treatment. It was showed that the good effect was achieved in the cases by acupuncture and moxibustion, while the contents of FBS and INS in plasma were all decreased and ISI was increased in the cases treated by acupuncture and moxibustion, the degree of decrease of FBS and INS, and increase of ISI being closely related to therapeutic effect. The level of resistant hormone of INS and lipid in patients tend to normal level. Acupuncture and moxibustion had a good regulatory effect on the function of endocrine,sugar and lipid metabolism. It suggests that IR can be corrected by acupuncture and moxibustion,which is a key to therapeutic effect.
Diabetes mellitus (DM) is a syndrome characterized by abnormally elevated blood sugar because the pancreas does not release adequate insulin and/or the insulin does not work fully. In TCM, DM results from weak constitution and yin deficiency and dryness heat,belonging to the categories of"Xiaoke" and "Xiaodan".