经络导平联合甲钴胺治疗糖尿病周围神经病变的临床效果  

Clinical efficacy of meridian guide flat combined with Mecobalamin in the treatment of diabetic peripheral neuropathy

作　　者：李军 范肃[2] 张振宇[2] 王朝宏[2] LI Jun;FAN Su;ZHANG Zhenyu;WANG Chaohong(Yongledian Community Health Service Center of Tongzhou District in Beijing City,Beijing 101105,China;Speciahy Treatment Center,Wangjing Hospital of Chinese Academy of Traditional Chinese Medicine,Beijing 100102,China)

机构地区：[1]北京市通州区永乐店社区卫生服务中心,北京101105 [2]中国中医科学院望京医院特色诊疗部,北京100102

出　　处：《中国医药导报》2018年第27期110-113,共4页China Medical Herald

基　　金：国家中医药管理局中医诊疗模式创新试点项目(110021);北京市中医管理局北京市中医住院医师规范化培训三优教学团队项目

摘　　要：目的观察经络导平联合甲钴胺治疗糖尿病周围神经病变的临床效果。方法选取2016年5月～2017年2月在中国中医科学院望京医院及北京市通州区永乐店社区卫生服务中心就诊的糖尿病周围神经病变门诊患者80例,采用随机数字表法随机分为治疗组和对照组,每组各40例。对照组予降糖、控制相关危险因素和口服甲钴胺等常规治疗,治疗组在常规治疗的基础上加用经络导平治疗,连续治疗8周。比较治疗前后两组患者临床症状、感觉及运动神经的传导速度变化以及血流变学指标水平。结果治疗组总有效率显著高于对照组,差异有统计学意义(P<0.05);两组腓总神经、正中神经的运动和感觉神经传导速度在治疗后均有升高,且治疗组显著高于对照组(P<0.05);两组全血高切黏度、全血中切黏度、全血低切黏度、血浆黏度均较治疗前下降(P<0.05);且治疗组各指标明显低于对照组(P<0.05)。结论经络导平联合甲钴胺治疗可缓解糖尿病神经病变患者的临床症状,提高感觉及运动神经的传导速度以及改善血流变学指标水平,具有很好的临床疗效。Objective To investigate the clinical effect of meridian guide flat combined with Mecobalamin in the treatment of diabetic peripheral neuropathy. Methods Eighty patients with diabetic peripheral neuropathy admitted in Wangjing Hospital of Chinese Academy of Traditional Chinese Medicine and Yongledian Community Health Service Center of Tongzhou District in Beijing City from May 2016 to February 2017 were selected and they were divided into control group and treatment group according to random number table method, with 40 cases in each group. The control group was treated with Mecobalamin simply, while the treatment group was treated with Mecobalamin combined with meridian guide flat. The two groups were treated for 8 weeks. Clinical symptoms, conduction velocity of sensory and motor nerves, blood rheology were compared between the two groups before and after treatment. Results The total effective rate of treatment group was higher than that of control group, the difference was statistically significant（P〈0.05）.Motor and sensory conduction velocity of common peroneal nerve and median nerve were higher after treatment in both groups, and treatment group was significantly higher than control group（P〈0.05）. Whole blood high, medium, low shear viscosity and plasma viscosity declined after treatment in both groups（P〈0.05）, and those in the treatment group were significantly lower than control group（P〈0.05）.Conclusion Meridian guide flat combined with Mecobalamin can relieve symptoms of patients with diabetes peripheral neuropathy and improve conduction velocity of sensory and motor nerves, it also can improve blood rheology and have satisfied effect.

关 键 词：经络导平 甲钴胺 糖尿病周围神经病变 临床效果 

分 类 号：R743[医药卫生—神经病学与精神病学]