| Objective:To observe the effectiveness of heat-sensitive umbilical moxibustion on blood glucose control rate and improving quality of life in patients with type 2 diabetes mellitus with Qi and Yin deficiency,so as to provide clinical basis for the auxiliary treatment of type 2 diabetes mellitus with Qi and Yin deficiency with heat-sensitive umbilical moxibustion.Methods:Eighty patients with type 2 diabetes with well-known Yin and Yin deficiency meeting the inclusion criteria were randomly divided into two groups,with 40 patients in each group,which were respectively named as the control group(drug group)and the experimental group(umbilical cultivation plus drug group).The basic treatment of diet guidance,health education and regular exercise was also given to patients in both groups.The control group(drug group)received basic treatment at the same time,oral routine hypoglycemic drugs(used alone or in combination)were used to control blood glucose,and the hypoglycemic plan before entering the study was generally not changed,and patients continued to take the original oral hypoglycemic drugs for 30 days.The experimental group(umbilical refining plus drug group)was combined with heat sensitive umbilical refining moxibustion on the basis of the control group,once a day,each treatment for 1hour,a total of 30 days of intervention.The changes of fasting blood glucose(FPG),2 hours post-meal blood glucose(2h PG),glycated hemoglobin(Hb A1c),traditional Chinese medicine symptom score and quality of life score of the two groups of patients before and after treatment,as well as the changes of daily fingertip fasting blood glucose and 2 hours post-meal blood glucose of the two groups during treatment,and the differences in postoperative efficacy were observed.Results:1.A total of 80 cases were included in this study,of which 2 cases in the control group(drug group)fell off because they did not participate in the test as required,and a total of 38 cases were actually completed,with a shedding rate of 5%;In the experimental group(umbilical chain plus drug group),there were 2 cases of shedding due to treatment not performed according to the prescribed requirements,and 1 case gave up shedding due to incomplete test.A total of 37 cases were actually completed,and the shedding rate was 7.5%.There was no significant difference in the shedding rate between the two groups(P >0.05).There were no significant differences in gender,age,height,weight,BMI and course of disease between control group and experimental group(P > 0.05).2.Comparison of fasting blood glucose before and after treatment: there was no significant difference in FPG level between groups before treatment(P > 0.05),but there was significant difference in FPG level between groups after treatment(P < 0.01);FPG in venous blood of the control group decreased after treatment compared with that before treatment,with significant difference within the group(P < 0.01);FPG in venous blood of the experimental group decreased after treatment compared with that before treatment,with significant difference within the group(P < 0.01),and the decrease in the experimental group was greater than that of the control group.3.Comparison of fasting blood glucose in fingertip blood during treatment:During treatment,the daily fingertip blood FPG of the two groups was compared for a total of 16 days(P < 0.05),and it was concentrated in the later stage of treatment;In the control group,FPG of fingertip blood showed a decreasing trend,but fluctuated greatly;Fingertip blood FPG of the experimental group showed a decreasing trend,and the decreasing range was larger than that of the control group,and the blood glucose value was stable and the fluctuation range was small.4.Comparison of blood glucose level 2 hours after meal in venous blood before and after treatment: There was no statistical difference in blood glucose level2 hours after meal in venous blood before treatment(P > 0.05),but there was significant difference in 2h PG level in venous blood after treatment(P <0.01);2h PG in venous blood of the control group decreased after treatment compared with that before treatment,and there was a significant difference within the group(P < 0.01);2h PG in venous blood of the experimental group decreased after treatment compared with that before treatment,and there was a significant difference within the group(P < 0.01),and the decrease in the experimental group was greater than that in the control group.5.Comparison of blood glucose in fingertip blood 2 hours after meal during treatment: During treatment,the daily fingertip blood 2h PG was compared between the two groups for a total of 14 days(P < 0.05),and the difference was concentrated in the later stage of treatment;The fingertip 2h PG of the control group showed a decreasing trend on the whole,but the fluctuation was great.Fingertip blood2 h PG of the experimental group showed a decreasing trend,and the decreasing range was larger than that of the control group,and the blood glucose value was stable and the fluctuation range was small.6.Comparison of Hb A1 c before and after treatment: there was no statistically significant difference in Hb A1 c level between groups before treatment(P > 0.05),and there was statistically significant difference in Hba1 c level between groups after treatment(P < 0.05);After treatment,Hb A1 c in the control group was lower than before treatment,and the difference was statistically significant(P < 0.05);after treatment,Hb A1 c in the experimental group was lower than before treatment,and the difference was significant(P < 0.01),and the decrease rate in the experimental group was greater than that in the control group.7.Comparison of TCM syndrome scores before and after treatment:There was no statistical difference between the two groups before treatment(P > 0.05),there was significant difference between the two groups before and after treatment in the control group(P < 0.01),and there was significant difference between the two groups before and after treatment in the test group(P < 0.01).After treatment,there was significant difference in TCM symptom evaluation between the two groups(P < 0.01).The TCM symptom score of the two groups decreased after treatment compared with that before treatment.Compared with the control group,the decrease rate in the experimental group was greater.8.Comparison of diabetes-specific quality of life scores before and after treatment:There was no significant difference in the quality of life assessment between the two groups before and after treatment(P > 0.05),there was significant difference in the quality of life assessment of the control group before and after treatment(P < 0.01),and there was significant difference in the quality of life assessment of the experimental group before and after treatment(P < 0.01).After treatment,there was significant difference in the quality of life between the two groups(P < 0.01),and the quality of life score of the two groups decreased after treatment compared with that before treatment,and the decline rate of the control group was smaller than that of the test group.9.Efficacy comparison results: In the control group,the significant efficiency was 10.53%,the effective rate was 36.84%,the ineffective rate was52.63%,and the total effective rate was 47.37%;The effective rate was 37.84%,effective rate was 48.65%,ineffective rate was 13.51%,and total effective rate was 86.49%.After Chi-square test,there was significant difference in clinical efficacy between the control group and the experimental group(P < 0.01).The effective efficiency,effective rate and total effective rate of the control group were lower than that of the experimental group,and the ineffective efficiency of the control group was higher than that of the experimental group.Conclusion: Heat-sensitive umbilical moxibustion has a good auxiliary therapeutic effect on type 2 diabetes mellitus with both Qi and Yin deficiency,which can effectively reduce the symptoms of traditional Chinese medicine improve the quality of life of patients. |
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