针刺对气阴两虚型糖尿病周围神经病变患者的临床观察  

Clinical Observation on the Efficiency of Acupuncture for Patients of Qi and Yin Deficiency with Diabetic Peripheral Neuropathy

作　　者：陈妮[1] 沈卫东[1] 

机构地区：[1]上海中医药大学附属曙光医院,上海201203

出　　处：《辽宁中医杂志》2012年第12期2476-2480,共5页Liaoning Journal of Traditional Chinese Medicine

摘　　要：目的:观察针刺对气阴两虚型糖尿病周围神经病变患者的临床疗效。方法:采用自身前后对照的临床试验方法,予26例气阴两虚型糖尿病周围神经病变患者针刺腧穴治疗,取穴曲池、合谷、阴陵泉、三阴交、足三里、太溪、阳陵泉,伴随上肢症状者加尺泽。针刺得气后留针30min,隔日针刺1次,10次为1个疗程,共治疗2个疗程,每1个疗程结束后记录各项观察指标,治疗前后分别检测正中神经、腓总神经传导速度。结果:1.经2个疗程的治疗后,26例DPN患者中,痊愈1例,占3.8%;显效6例,占23.2%;有效14例,占53.8%;无效5例,占19.2%。总有效率为80.8%。2.治疗后患者的正中神经、腓总神经传导速度与治疗前比较,有显著性差异(P<0.01)。结论:针刺对于气阴两虚型糖尿病周围神经病变患者的临床治疗有较好的疗效,值得临床推广应用。Objective ： To observe the clinical efficiency of acupuncture on Qi and Yin deficiency of diabetic peripheral neuropathy patients. Methods ： It was a self-contrast method before and after the trial. All the patients took the treatment for two periods, each patient were acupunctured every other day. It took 10 times for one period. All the data after the course of trail was recorded. The median nerve and the peroneal nerve conduction velocities were tested before and after the treatment. Results ： 1. After the two courses of treatment,1 case in 26 cases of 3.8% cured,6 cases of 23.2% marked effected,14 cases of 53.8% effected,5 cases of 19.2% were invalid. The total effective rate was 80.8%. 2. After the treatment, the median nerve and the peroneal nerve conduction velocities had significant difference compared with that before the treatment （P 〈 0. 01 ）. Conclusion：The efficiency of acupuncture on Qi and Yin deficiency of diabetic peripheral neuropathy patients is good, and worthy of clinical application.

关 键 词：针刺 糖尿病 神经病变 临床观察 

分 类 号：R587.1[医药卫生—内分泌]