Clinical Observation Of Acupuncture Intervention In People With Impaired Glucose Tolerance And Phlegm-damp Constitution

Objective: By identifying the TCM constitution of people with impaired glucose tolerance,and selecting acupoints according to their constitution,using acupuncture to interfere with impaired glucose tolerance,comparing the effects of acupuncture and lifestyle interventions,and exploring the optimal therapeutic scheme of acupuncture to intervene impaired glucose tolerance and conditioning constitution in clinic.Method: 66 subjects with impaired glucose tolerance and phlegm-dampness were randomly divided into treatment group(acupuncture + lifestyle intervention)and control group(lifestyle intervention)in 33 cases.After 3 courses of treatment,the two groups were compared.The changes of FPG,2hPG,HbA1 c and TCM phlegm scores objectively evaluated the therapeutic effect of acupuncture intervention on impaired glucose tolerance and phlegm-dampness.Results: The treatment group and the control group had effects on the regulation of FPG,2hPG and HbA1 c in the subjects.After treatment,the above indexes were lower than those before treatment(P<0.05).There was no significant difference in FPG between the two groups after treatment(P>0.05).The effect of 2hPG and HbA1 c in the treatment group was better than that in the control group(P<0.05).The scores of phlegm-dampness after treatment were lower than those before treatment,but the scores of the treatment group were lower than that of the control group.The treatment group had better conditioning effect on phlegm-dampness(P<0.05).Conclusion: Both the acupuncture group and the lifestyle intervention group can effectively improve the symptoms and indicators of impaired glucose tolerance and the phlegm-dampness population,but the acupuncture group is better than the lifestyle group in the intervention of 2hPG and HbA1 c.The conditioning effect of the acupuncture group on the phlegm-dampness constitution is also superior to that of the lifestyle group.It is further inferred that the acupuncture has certain advantages in interfering with the impaired glucose tolerance and the efficacy of the phlegmdampness body,and can be further promoted and applied in the clinic.