1. 上海中医药大学附属曙光医院治未病科,上海,201203
2. 上海市浦东新区金杨社区卫生服务中心中医科,上海,200136
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王莹, 朱蕴华, 张晓天, 等. 中医非药物综合方案干预社区糖尿病前期人群的临床观察[J]. 上海中医药杂志, 2017,51(11):45-48.
WANG Ying, ZHU Yun-hua, ZHANG Xiao-tian, et al. Clinical observation of comprehensive non-drug interventions of traditional Chinese medicine in community pre-diabetes population[J]. Shanghai Journal of Traditional Chinese Medicine, 2017,51(11):45-48.
王莹, 朱蕴华, 张晓天, 等. 中医非药物综合方案干预社区糖尿病前期人群的临床观察[J]. 上海中医药杂志, 2017,51(11):45-48. DOI:
WANG Ying, ZHU Yun-hua, ZHANG Xiao-tian, et al. Clinical observation of comprehensive non-drug interventions of traditional Chinese medicine in community pre-diabetes population[J]. Shanghai Journal of Traditional Chinese Medicine, 2017,51(11):45-48. DOI:
目的:观察中医非药物综合方案对社区糖尿病前期人群的影响。 方法:将120例糖尿病前期人群随机分为治疗组和对照组,每组60例。治疗组予中医非药物综合方案(迈步任督功、耳穴贴压)配合健康宣教管理干预,对照组予社区常规干预方案(健康宣教管理)。疗程为期1年,观察糖耐量转归情况、糖代谢相关指标、心血管危险因素(颈动脉内中膜厚度、血肌酐和尿微量白蛋白排泄率)指标的变化情况。 结果:①疗程结束后,治疗组、对照组的糖尿病发生率分别为0.0%、5.0%,差异有统计学意义(P<0.05);治疗组、对照组糖耐量复常率分别为48.3%、11.7%,差异有统计学意义(P<0.05)。②组间治疗后比较,空腹血糖、餐后2 h血糖、糖化血红蛋白水平差异有统计学意义,治疗组明显低于对照组(P<0.05)。③组间治疗后比较,颈动脉内中膜厚度、血肌酐、尿微量白蛋白排泄率差异有统计学意义,治疗组改善明显优于对照组(P<0.05)。 结论:中医非药物综合方案配合健康宣教管理可明显改善社区糖尿病前期人群的血糖代谢水平,降低心血管危险因素,从而一定程度上降低糖尿病的发生率。
Objective:To observe the influence of comprehensive non-drug interventions of traditional Chinese medicine in community pre-diabetes population. Methods120 pre-diabetic patients were randomly divided into the treatment group and control group,60 cases in each group. The treatment group was treated with comprehensive non-drug interventions of traditional Chinese medicine(Chinese medical kinesiotherapy and auricular point pressing)combined with health education and management,and the control group was treated with conventional interventions(health education and management),with a course of one year. The changes on the glucose tolerance outcomes,related indicators of glucose metabolism and cardiovascular risk factors(carotid intima-media thickness,serum creatinine and urinary microalbumin excretion rate)were observed and compared. Results:①During the treatment,the incidence rates of diabetes were 0.0% in the treatment group and 5.0% in the control group,with statistically significant difference(P<0.05).The normalization rates of glucose tolerance were 48.3% in the treatment group and 11.7% in the control group,with statistically significant difference(P<0.05). ②After treatment,there were statistically significant differences on the levels of fasting blood glucose,postprandial 2 h blood glucose and glycosylated hemoglobin between the two groups,and the levels in the treatment group were obviously lower than those in the control group(P<0.05). ③After treatment,there were statistically significant differences on the levels of carotid intima-media thickness,serum creatinine and urinary microalbumin excretion rate between the two groups,and the improvement in the treatment group were obviously better than those in the control group(P<0.05). Conclusion:The comprehensive non-drug interventions of traditional Chinese medicine combined with health education and management can obviously improve the levels of glucose metabolism in community pre-diabetic patients,decrease the cardiovascular risk factors,and thus reduce the incidence rate of diabetes to a certain extent.
糖尿病前期治未病非药物疗法中医功法耳穴贴压社区人群
pre-diabetespreventive treatment of diseasenon-drug therapyChinese medical exerciseauricular point pressingcommunity population
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