调理脾胃针法对糖尿病周围神经病变神经传导功能的影响  

Effect of Spleen-stomach Regulation-needling on Nerve Conduction Activity in Patients with Diabetic Peripheral Neuropathy

作　　者：吉学群[1] 王春梅[1] 张萍[1] 张鑫[1] 张智龙[1] 

机构地区：[1]天津市中医药研究院附属医院针灸科,天津300120

出　　处：《针刺研究》2010年第6期443-447,共5页Acupuncture Research

摘　　要：目的:探讨糖尿病周围神经病变的较佳针灸治疗方案。方法:将患者随机分为观察组和对照组,每组40例。观察组采用调理脾胃针法治疗,针刺曲池、合谷、血海等穴;对照组应用甲钴胺500μg肌肉注射。两组均每日治疗1次,共治疗4周。比较两组治疗前后神经传导功能及疗效。结果:观察组总有效率为95.0%(38/40),优于对照组的82.5%(33/40)(P<0.05);治疗后观察组患者胫神经的运动、感觉功能均优于对照组(P<0.05,P<0.01)。结论:调理脾胃针法治疗糖尿病周围神经病变的疗效优于甲钴胺治疗,并能有效提高神经传导功能。Objective To observe the effect of acupuncture on the nerve conduction function in patients with diabetic peripheral neuropathy. Methods Eighty diabetic patients were equally randomized into acupuncture group and medication group, Uniform reinforcing and reducing manipulation of acupuncture for regulating both spleen and stomach was applied to bilateral Quchi （LI 11）, Hegu （LI 4）, Xuehai （SP 10）, Diji （SP 8）, Zhongwan （CV 12）, Zusanli（SY 36）, Yinlingquan （SP 9）,etc., for 30 min, once daily for 4 weeks. Patients of the medication group were treated with intramuscular injection of Mecobalamine （500 μg）, once daily for 4 weeks. The sensory conduction velocity （SCV）, motor conduction velocity （MCV）, the amplitude and latency of the evoked potential of the tibial nerve were detected before and after the treatment by using an Electromyograph and Evoked Potential Equipment. Results After the treatment, of the two 40 cases in the medication and acupuncture groups, 12 （30.0 % ） and 24 （60.0%） were cured basically, 12 （30.0%） and 10 （25.0%） experienced marked improvement in their symptoms, 9 （22.5%） and 4 （10.0%） were effective, and 7 （17.5%） and 2 （5.0%） failed in the treatment, with the total effective rates being 82.5% and 95.0 % respectively. The therapeutic effect of the acupuncture group was significantly superior to that of the medication group （P〈0.05）. In comparison with the pre-treatment, the SCV, MOV, amplitude and latency of the evoked potential of the tibial nerve in the acupuncture group were improved significantly after the treatment （P〈0.05, P〈0.01 ）. Compared with the medication group, the SOV, the amplitude and the latency of the tibial nerve in the acupuncture group were also improved significantly after the treatment （ P〈0.05, P〈0.01 ）. Conclusion Manipulation of acupuncture for regulating spleen-stomach function has a better effect on the conduction function of the tibial nerve than Mecobalamine in the treatm

关 键 词：糖尿病周围神经病变 针刺疗法 调理脾胃针法 

分 类 号：R587.2[医药卫生—内分泌]