中医外治法在糖尿病周围神经病变治疗的效果观察  

Observation on Effect of Peripheral Neuropathy in Diabetic with Traditional Chinese Medicinal Treatment

作　　者：罗露露[1] 刘琦[1] 刘振杰[1] 蓝柳贵[1] 王丘平[1] 吴丽燕[1] 

机构地区：[1]广东省中医院内分泌科,广东广州510120

出　　处：《成都中医药大学学报》2015年第4期39-41,共3页Journal of Chengdu University of Traditional Chinese Medicine

基　　金：广东省中医药局立项课题:温阳通络法治疗糖尿病性周围神经病的临床方案研究(编号:20142076)

摘　　要：目的:评价中医外治法联合硫辛酸针治疗糖尿病周围神经病变的疗效。方法:将66例患者根据入院先后顺序随机分为2组,观察组应用中医外治法(中药熏洗+穴位贴敷+刺络放血)联合a-硫辛酸针,对照组应用a-硫辛酸针,连续10 d后对比效果。结果:观察组的总体症状评分和多伦多临床评分系统比对照组总积分明显降低,差异有统计学意义(P<0.05)。总体症状评分中疼痛频率、灼热感、感觉异常和麻木的各项评分均比对照组显著降低,差异有统计学意义(P<0.05)。结论:中医外治法联合硫辛酸针治疗糖尿病周围神经病变安全有效,优于单独硫辛酸针,值得临床应用推广。Objective： Evaluation of traditional Chinese medicinal acupuncture combined with lipoic acid in diabetic peripheral neuropathy patients. Methods： 66 patients admitted according to the order randomized into two groups, observation group Traditional Chinese Medicinal （TCM acupoint sticking ＋ fumigation ＋ Bloodletting） pin joint a- lipoic acid, lipoic acid control group a- needle, after 10 d continuous contrast. Results： The overall symptom score and clinical scoring system was significantly lower in Toronto than in the control group, the total score, the difference was statistically significant （ P 〈 0.05 ） . Overall symptom score in frequency of pain, burning sensation, paresthesia and numbness of the score was significantly lower than the control group, the difference was sta- tistically significant （ P 〈 0. 05 ） . Conclusion： Traditional Chinese Medicinal acupuncture combined with lipoic acid treatment of dia- betic peripheral neuropathy is safe and effective, than the needle-lipoic acid alone, is worthy of clinical application and promotion.

关 键 词：中医外治法 硫辛酸针 糖尿病周围神经病变 总体症状评分 多伦多临床评分系统 

分 类 号：R244[医药卫生—针灸推拿学] R255.4[医药卫生—中医临床基础]