Effect Of Electroacupuncture At Bei Shu Point On Clinical Efficacy And Insulin Resistance Of Overweight And Obese Type 2 Diabetes Patietes Patients With Phlegm-Turbidity-Blocking Syndrome

Objective: To observe the clinical efficacy of electroacupuncture(EA)at the points of Xiashu(GV 12)and Pishu(BL 15),and acupuncture at the point of Pinglong(GV 40)on overweight and obese type 2 diabetes mellitus(T2DM)patients with TCM syndrome of resistance in phlegm and turbidity,as well as insulin resistance(IR),so as to provide a new clinical idea for TCM treatment of such diseases,and to increase certain theoretical basis and practical experience.Methods: A total of 60 overweight and obese T2 DM patients who met the inclusion criteria were divided into an observation group and a control group by random number table method,with 30 cases in each group.Among them,the control shall be treated on a regular basis,including lifestyle intervention,dietary guidance,blood sugar control and correct the lipid metabolism disorders.On the basis of the treatment in the control group,the observation group was mainly treated with electroacupuncture at Back-shu point,and the selected acupoints were as follows: Weiwan xiashu point(EX-B3)、Pishu point(BL20),and Fenglong point(ST40).Treatment once a day,6 times a week,rest 1day a week,1 week as a course of treatment,a total of 4 courses.After treatment,the changes of obesity index(body weight,BMI),blood glucose index(FPG,2h PG),blood lipid index(TG,LDL-C),insulin index(FINS,HOMA-IR)and TCM syndrome score(TCM syndrome)were observed before and after treatment.Results:(1)Comparison of general data: gender,age and course of disease were comparable between the two groups(P>0.05).(2)Comparison of baseline data: Laboratory related indicators of the two groups(body weight,BMI,FPG,2h PG,Hb A1 c,TG,LDL-C,FINS,HOMA-IR)and TCM syndrome scores were comparable between the two groups(P>0.05).(3)Comparison of efficacy measures:(1)within the group comparison: all the indexes of the two groups after treatment in patients with down before the treatment(P<0.01);(2)the comparison between groups:in terms of reducing obesity and blood sugar index,observed between treatment group and control group(P>0.05);In terms of reducing blood lipid and insulin index,the effect of observation group was better than that of control group(P<0.01).(4)Comparison of TCM syndrome scores:(1)Intra-group comparison:the TCM syndrome scores of the two groups were improved before and after treatment,and the TCM syndrome scores after treatment were lower than those before treatment(P<0.01);(2)the comparison between groups: observation group than the control group in improving the TCM syndrome,the effect is remarkable(P<0.01).(5)Comparison of total effective rate:(1)TCM: control group 70%,observation group93.33%,the difference was statistically significant(P<0.05);(2)Western medicine:control group 83.33%,observation group 90%,the difference was not statistically significant(P> 0.05).Conclusion: Electroacupuncture at Back-Shu point combined with basic treatment can reduce blood lipid levels and insulin resistance in overweight and obese T2 DM patients with phlegm-turbiditic blockage,and has a significant effect on improving TCM syndromes of patients.The clinical operation is safe and effective,worthy of clinical reference.