艾灸配合推拿治疗早期糖尿病足疗效观察  

Therapeutic Observation of Moxibustion plus Tuina for Early-stage Diabetic Foot

作　　者：俞年塘 许成华 鲁静[2] 熊圣彪 刘颖东 YU Nian-tang;XU Cheng-hua;LU Jing;XIONG Sheng-biaol;LIU Hng-dong(Tonglu County Hospital of Chinese Medicine, Hangzhou 311500,China;Anhui University of Chinese Medicine,Hefei 230038,China)

机构地区：[1]浙江省桐庐县中医院,杭州311500 [2]安徽中医药大学,合肥230038

出　　处：《上海针灸杂志》2017年第12期1435-1438,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：浙江省中医药科学研究基金项目(A类)(2015ZA235)

摘　　要：目的观察艾灸配合推拿治疗早期糖尿病足的临床疗效。方法将70例早期糖尿病足患者随机分为治疗组和对照组,每组35例。对照组采用常规药物治疗,治疗组在对照组治疗基础上采用艾灸配合推拿治疗。治疗2个疗程后,观察两组患者治疗前后踝肱指数(ABI)变化情况,并比较两组临床疗效。结果治疗组患者临床症状明显缓解,总有效率为96.9%,对照组总有效率为75.8%,两组比较差异有统计学意义(P<0.05)。结论艾灸配合推拿治疗糖尿病足安全、有效,而且中医特色明显,易被患者接受,是早期糖尿病足较佳的治疗方法。Objective To observe the clinical efficacy of moxibustion plus tuina in treating early-stage diabetic foot. Method Seventy patients with early-stage diabetic foot were randomized into a treatment group and a control group, 35 cases each. The control group was intervened by conventional medication, while the treatment group was additionally intervened by moxibustion plus tuina. After 2 treatment courses, the changes of ankle bronchial index （ABI） in the two groups were observed, and the clinical efficacies were compared. Result Patients in the treatment group showed significant improvement in symptoms, and the total effective rate was 96.9%. The total effective rate was 75.8% in the control group. The difference between the two groups was statistically significant （P〈0.05）. Conclusion Moxibustion plus tuina is safe and effective in treating diabetic foot. With significant Chinese medicine feature and acceptable to patients, this method is a good choice in treating early-stage diabetic foot.

关 键 词：艾条灸 推拿 糖尿病并发症 糖尿病足 踝肱指数 

分 类 号：R246.1[医药卫生—针灸推拿学]