俞募配穴针刺法对糖尿病周围神经病变患者神经传导速度的影响  

Combination of the back-shu points and the front-mu points for nerve conduction velocity of patients with diabetic peripheral neuropathy

作　　者：王秀汝[1] 鲁梅花[2] 李文利 周德安[4] 

机构地区：[1]首都医科大学宣武医院康复医学科针灸室,北京市100053 [2]首都医科大学宣武医院内科,北京市100053 [3]银川石油城采油三处职工医院中医科,宁夏回族自治区银川市750006 [4]首都医科大学附属北京中医院针灸科,北京市100053

出　　处：《中国临床康复》2005年第3期148-149,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:探讨针刺治疗糖尿病周围神经病时,配穴方法与神经传导速度的关系。方法:选取2003-01/2004-05在首都医科大学宣武医院内分泌科门诊糖尿病周围神经病变患者中,符合纳入标准,能够完成治疗所需疗程的100例患者,根据就诊顺序,每满25例一组,分别为治疗组Ⅰ,治疗组Ⅱ,治疗组Ⅲ和对照组。治疗组Ⅰ取穴:第1组:大椎、肺俞、肝俞、脾俞、胃腧、肾俞、悬钟、太溪、行间、然谷。第2组:关元、中府、期门、章门、中脘、京门、曲池、合谷、血海、足三里、三阴交。治疗组Ⅱ取穴同治疗组Ⅰ的第1组腧穴。针具选择及针刺手法同治疗组Ⅰ。治疗组Ⅲ取穴同治疗组Ⅰ的第2组腧穴。操作同治疗组Ⅱ。对照组:仅药物治疗。检查并记录各组治疗前后的神经传导速度,进行比较。结果:治疗组Ⅰ治疗后运动神经传导速度犤正中神经(40.6±3.4)m/s,胫后神经(37.0±3.2)m/s犦、感觉神经传导速度犤正中神经(46.4±3.6)m/s,胫后神经(37.0±3.9)m/s犦明显高于治疗前犤(34.7±2.9),(30.2±3.0),(41.1±3.1),(32.4±3.3)m/s犦(t=6.556,7.753,5.579,4.51,P<0.01)。对照组治疗前后神经传导速度比较,差异无显著性意义(P>0.05)。治疗组I治疗后感觉、运动神经传导速度明显高于治疗组Ⅱ,Ⅲ治疗后(t=3.115～4.390,P<0.01)。结论:俞募配穴针刺法能有效改?AIM:To investigate the relation between the matching methods for different acupoints and nerve conduction velocity during the treatment of diabetic peripheral neuropathy with acupuncture. METHODS:From January 2003 to May 2004,100 patients,who accomplished courses they needed and were in accordance with the inclusion criteria,were selected from outpatients with diabetic peripheral neuropathy in the Department of Endocrinology,Xuanwu Hospital,Capital University of Medical Sciences.The 100 patients were divided into treatment groups of Ⅰ,Ⅱ,Ⅲand control according to their consultation time with 25 cases in each group.The method for treatment group Ⅰwas acupuncturing into the first group of points including Dachui,Feishu,Kanshu,P'ishu,Weishu,Shenshu,xuanzhong(Chüehku),T'aihsi,Hsinchien and Janku,and into the second group of points including Kuanyüan,Chungfu,Ch'ime,Changmen,Chungwan,Chingmen,Ch'üch'ih,Hoku,Xuehai,Tsusanli and Sanyinjiao.The method for treatment group Ⅱwas acupuncturing into the same points as in the first group of the treatment group Ⅰ,and the choice of needles for acupuncture and acupuncture manipulation for treatment group Ⅱwere same as those for treatment group Ⅰ.The method for treatment group Ⅲwas acupuncturing into the same points as in the second group of the treatment group Ⅰ,and the manipulation was the same as for the treatment group Ⅱ. The method for the control group was drug treatment.The nerve conduction velocities in all the groups were examined and recorded for comparison. RESULTS:The motor nerve conduction velocities[(40.6±3.4) m/s for median nerve and (37.0±3.2) m/s for posterior tibial nerve] and sensory nerve conduction velocity[(46.4±3.6) m/s for median nerve and (37.0 ±3.9) m/s for posterior tibial nerve]in the treatment group Ⅰafter treatment were significantly higher than those before treatment[(34.7±2.9),(30.2±3.0),(41.1±3.1),(32.4±3.3) m/s respectively](t=6.556,7.753,5.579,4.51,P< 0.01).There was no significant difference in nerve conduction

关 键 词：周围神经系统疾病/针灸疗法 糖尿病神经病变/针灸疗法 针灸学 

分 类 号：R587.1[医药卫生—内分泌]