穴位埋线法治疗糖尿病周围神经病变随机对照研究  

Randomized Controlled Trial on Diabetic Peripheral Neuropathy Treated with Acupoint Catgut-embedding Therapy

作　　者：唐润东 刘悦[2] 纪静芸 邓妍[1] 

机构地区：[1]广州中医药大学,广东广州510405 [2]广东省第二中医院,广东广州510095

出　　处：《辽宁中医药大学学报》2017年第5期172-175,共4页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：广东省中医药局科研资助项目(20164001)

摘　　要：目的:观察评价穴位埋线法治疗糖尿病周围神经病变(DPN)的临床疗效。方法:将符合诊断标准的60例DPN患者随机分为穴位埋线治疗组和普通针刺对照组各30例,两组均进行糖尿病基础治疗。治疗组选取双侧三阴交、足三里、外关、血海等穴位埋线,对照组选取与治疗组相同的穴位进行普通针刺治疗。观察两组患者治疗前后密歇根糖尿病周围神经病筛查表(MNSI)总积分、正中神经运动纤维传导速度(MNCV)和腓总神经感觉神经纤维传导速度(SNCV)的改变。结果:治疗后两组MNSI积分均较前降低(均P<0.05),且治疗组MNSI积分降低幅度优于对照组(P<0.05);治疗后两组MNCV、SNCV均较前提高(均P<0.05)。治疗后两组对比,治疗组MNCV和SNCV均优于普通针刺组(均P<0.05)。穴位埋线治疗组的总有效率优于普通针刺组(86.7%vs 63.3%,P<0.05)。结论:穴位埋线与普通针刺对DPN的治疗均有良好疗效,相较于普通针刺方法,穴位埋线治疗DPN疗效确切,作用柔和持久、不良反应少、弥补了单纯普通针刺穴位治疗作用时间短、治疗次数多、患者依从性差的缺陷。适合DPN的防治和长期应用,值得临床推广。Objective：To observe the clinical curative effect of diabetic peripheral neuropathy（DPN）with catgut-embedding therapy. Methods：Sixty DPN patients were randomly divided into a catgutembedding therapy group and an acupuncture group. 30 cases in each group. Patients in the two groups received basic treatment to control blood sugar within a safe range. On this basis,patients in the catgutembedding therapy group were treated with catgut-embedding at＂Sanyinjiao（SP 6）＂＂Zusanli（ST 36）＂＂Waiguan（SJ 5）＂＂Xuehai（SP 10）＂points,the treatment was given once a week,2 weeks for a course of treatment. Patients in another group were treated with ordinary acupuncture treatment. To observe two groups before and after treatment in patients with diabetic peripheral neuropathy screening MNSI total scores,and MNCV,SNCV changes. Results：After treatment the MNSI score of peripheral neuropathy was significantly reduced in the two group（all P〈0.05）,which was more significant in the catgut-embedding therapy group（P〈0.05）. After treatment,the sensory nerve conduction velocity（SNCV）and motor nerve conduction velocity（MNCV）of median nerve and common peroncal nerve were significantly increased in the two groups（all P〈0.05）. Compared between two groups after treatment,catgut-embedding therapy group were superior to the ordinary acupuncture group（P〈0.05）. Conclusion：Catgut-embedding therapy and the ordinary acupuncture treatment both have satisfied effects for distal symmetric multiple peripheral neuropathy,and catgut-embedding therapy is superior to medication on improving clinical sins of sensory disorder,reflection disturbance and muscle weakness nerve conduction and clinical curative effect,is suitable for the prevention and control of DPN,and long-term application,catgut-embedding therapy is worth to clinical promotion.

关 键 词：穴位埋线 糖尿病周围神经病变 针刺治疗 

分 类 号：R246.6[医药卫生—针灸推拿学] R587.2[医药卫生—中医临床基础]