Thirty two cases of type 2 diabetes mellitus of qi and yin deficiency treated with laser acupuncture

激光针灸治疗气阴两虚型2型糖尿病32例

Rong-xian ZHANG (张荣贤)^a, Hong LI (李红)^b, Jia-wei XIONG (熊嘉玮)^a*, Yong-qu JIANG (蒋永取)^c, Yu-tang LI (李玉堂)^a, Jian-bin ZHANG (张建斌)^a

^a Second Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Second Chinese Medicine Hospital of Jiangsu Province, Nanjing 210017, China (南京中医药大学第二附属医院，江苏省第二中医院，南京210017， 中国）

^b Nanjing Zhenhongtong Industry & Trade Co., Ltd., Nanjing 210000, China (南京桢宏通工贸有限公司，南京210000， 中国)

^C Nanjing University of Traditional Chinese Medicine, Nanjing 210023, China (南京中医药大学，南京210023， 中国)

ABSTRACT

Objective: To observe the clinical therapeutic effect of laser acupuncture on type 2 diabetes mellitus (T2DM) of qi and yin deficiency type.

Methods: Laser acupuncture was used to treat 32 patients of T2DM. Acupoint selection: Fèishū (肺俞BL13), Píshū  (脾俞BL20), Shènshū (肾俞BL23), Wǎnxiàshū (胃脘下俞EX-B3), Sānyīnjiāo (三阴交SP6) and Zúsānlĭ 足三里(ST36). It took 20 min in each treatment, five treatments a week. There were 2 days of interval in 2 weeks of treatment. Before and after treatment, the changes in fasting plasma glucose (FPG), postprandial 2-hour glucose (2hPG), fasting insulin (FINS), glycosylated albumin (GA), insulin resistance index (HOMA-IR) and the symptom score of traditional Chinese medicine (TCM) were observed in the patients. The therapeutic effect was evaluated.

Results: Of 32 cases, 8 cases were remarkably effective, 18 cases effective and 6 cases failed. The total effective rate was 81.3%. At the end of treatment course, the level of every indicator after treatment was significantly lower than that before treatment (all P < 0.01).

Conclusion: Laser acupuncture achieves the significant therapeutic effect on T2DM of qi and yin deficiency and this therapy deserves to be promoted in clinical application.

Keywords

Laser acupuncture

Type 2 diabetes mellitus (T2DM)

Qi and yin deficiency

【摘要】

目的：观察激光针灸治疗气阴两虚型2型糖尿病（T2DM）的临床疗效。

方法：采用激光针灸治疗T2DM患者32例。取穴：肺俞、脾俞、肾俞、胃脘下俞、三阴交、足三里。每次治疗20分钟，每周5次。治疗2周，间隔2天。观察治疗前后空腹血糖（FPG）、餐后2h血糖（2hPG）、空腹胰岛素（FINS）、糖基化白蛋白（GA）、胰岛素抵抗指数（HOMA-IR）及中医症状积分的变化，评价疗效。

结果：32例中有显著疗效8例，有效18例，无效6例。总有效率81.3%。疗程结束时，治疗后各项指标均显著低于治疗前（均P<0.01）。

结论：激光针灸治疗气阴两虚型2型糖尿病疗效显著，值得临床推广应用。

【关键词】激光针灸、2型糖尿病（T2DM）、气阴两虚