针刺和运动疗法对2型糖尿病的疗效观察

目的：在合理饮食和口服降糖药治疗的基础上，观察不同方法对患者血糖，胰岛素水平以及血脂等项的影响。方法：80例患者随机分为针刺治疗组（A），运动疗法组（B），针刺结合运动疗法组（C）、和单纯进行合理饮食及口服降糖药治疗对照组（D）。历时2个月，观察治疗前后上述各项指标变化情况。结果：治疗后A、B、C3组的血糖。胰岛素水平均较对照组明显降低（P＜0．05，P＜0．01），而C组又明显低于A、B两组（P＜0．05，P＜0．01），各组血脂也较治疗前有所下降，结论：针刺加上适当的运动能明显降低血糖，降低胰岛素抵抗，恢复胰岛素功能，改善血脂代谢，显示治疗上的协同作用，及单纯药物和饮食疗法的不能替代性。

Observation on Therapeutic Effects of Acupuncture and Exercise Therapy on Type 2 Diabetes

Purpose To observe effects of different therapies on levels of blood sugar, insulin and blood lipids in the patient of type 2 diabetes on the basis of rational diet and oral administration of hypoglycemia agents. Methods 80 cases were randomly divided into acupuncture treatment group(A), exercise therapy group(B), acupuncture plus exercise therapy group(C), and control group(D) treated with rational diet and oral administration of hypoglycemia agents. They were treated for 2 months and the above mentioned indexes before and after treatment were observed. Results The blood sugar and insulin levels in the group A, B, C after treatment decreased significantly as compared with those in the control group (P<0.05,P<0.01), and in the group C were lower than those in the group A and B(P<0.05,P<0.01), and the levels of blood lipids in the groups decreased somewhat as compared with those before treatment. Conclusion Acupuncture and proper exercise can significantly decrease blood sugar and insulin resistance, and restore function of insulin, improve lipid metabolism, showing their cooperation in treatment of type 2 diabetes.