摘要:
目的:观察(人)胎盘组织液穴位注射配合口服盐酸二甲双胍肠溶片与单纯口服盐酸二甲双胍肠溶片对2型糖尿病患者血糖影响的差异.方法:将60例2型糖尿病患者随机分为口服药物组和穴位注射组,各30例.口服药物组采用盐酸二甲双胍肠溶片治疗,每次口服0.25g,每日2次,连服8周;穴位注射组在口服药物组治疗的基础上加用(人)胎盘组织液地机、胰俞注射治疗,隔日治疗1次,1周治疗3次,4周为一疗程,共治2个疗程.观察治疗前后两组患者的空腹血糖(FBG)、餐后血糖(PBG)、糖化血红蛋白(HbAlc)和临床疗效.结果:与治疗前相比,两组患者的FBG、PBG和HbAlc在治疗后均有所降低(均P<0.05);穴位注射组以上各指标降低较口服药物组更为明显(均P<0.05).治疗后穴位注射组总有效率为90.0% (27/30),显著优于口服药物组的63.3%(19/30,P<0.05).结论:(人)胎盘组织液穴位注射配合口服盐酸二甲双胍肠溶片对2型糖尿病患者的降血糖方面优于单纯口服盐酸二甲双胍肠溶片.%Objective To observe the difference for type 2 diabetes between acupoint injection of human placenta tissue fluid combined with oral administration of metformin and simple metformin.Methods Sixty patients with type 2 diabetes were randomly assigned into a medication group and an injection group,30 cases in each one.In the oral medication group,metformin hydrochloride enteric-coated tablets was applied orally for continuous eight weeks,0.25 g a time,twice a day.In the injection group,based on the same oral administration,human placenta tissue fluid was injected into Diji(SP 8) and Yishu(EX-B 5) for two courses(four weeks as one course),once every other day and three times a week.Fast blood glucose(FBG),postprandial blood glucose(PBG),glycosylated hemoglobin(HbAlc) and clinical effect were observed in the two groups before and after treatment.Results Compared with those before treatment,FBG,PBG and HbAlc were decreased in the two groups after treatment (all P< 0.05),with more apparent change in the injection group(all P<0.05).The total effective rate of the injection group was 90.0% (27/30),which was obviously better than 63.3% (19/30) of the medication group (P<0.05).Conclusion Acupoint injection of human placenta tissue fluid combined with metformin hydrochloride enteric-coated tablets for type 2 diabetes can better lower blood glucose than simple metformin hydrochloride enteric-coated tablets.