Chen Kevin W, Liu Tianjun, Zhang Haibo, Lin Zhongpeng
Center for Integrative Medicine, University of Maryland School of Medicine, Baltimore, Maryland 21207, USA.
Am J Chin Med. 2009;37(3):439-57. doi: 10.1142/S0192415X09006965.
Diabetes rates have doubled in China over the past decade. However, as conventional medicine offers neither a sound explanation nor an effective cure, patients with diabetes increasingly seek complementary and alternative therapies. It was reported that the traditional Chinese medical approach, Qigong, might produce therapeutic benefits with minimal side-effects in this condition. The Qigong Database, the China National Knowledge Infrastructure, and the library databases of Chinese institutions from 1978 to middle of 2008 on open trials, laboratory studies, and controlled clinical studies were reviewed. Over 35 studies were identified and reviewed. Qigong therapy for diabetic patients included self-practice, group qi-field therapy, external qi therapy, and Qigong in combination with other therapies. Only 2 randomized controlled trials were found; both evaluate Qigong as an adjuvant to conventional therapy. All studies reported some therapeutic effect or improvement. Some reported significant reduction in fasting plasma glucose. Others reported complete cures, which were unlikely to be the result of placebo effect as objective outcome measures were used. Qigong therapy may be an important complement to conventional medicine in treating diabetes, but the quality of studies needs to be improved. These preliminary data are promising and support the need for further randomized controlled trials.
在过去十年间,中国的糖尿病发病率翻了一番。然而,由于传统医学既无法给出合理的解释,也没有有效的治愈方法,糖尿病患者越来越多地寻求补充和替代疗法。据报道,中国传统医学方法——气功,在治疗糖尿病方面可能疗效显著且副作用极小。我们检索了气功数据库、中国知网以及中国各机构图书馆数据库中1978年至2008年年中关于开放试验、实验室研究和对照临床研究的资料。共识别并审查了35项以上的研究。针对糖尿病患者的气功疗法包括自我练习、集体气场疗法、外气疗法以及气功与其他疗法相结合。仅发现2项随机对照试验;这两项试验均将气功评估为传统疗法的辅助手段。所有研究均报告了一定的治疗效果或病情改善情况。一些研究报告空腹血糖显著降低。另一些研究报告有完全治愈的情况,由于使用了客观的疗效指标,这不太可能是安慰剂效应的结果。气功疗法可能是治疗糖尿病的传统医学的重要补充,但研究质量有待提高。这些初步数据很有前景,支持进一步开展随机对照试验的必要性。