补气益血针刺处方对糖尿病周围神经病变患者神经功能及神经传导速度的影响  

Effect of “Buqi Yixue” needling on neurological function and nerve conduction velocity in patients with diabetic peripheral neuropathy

作　　者：詹海兰[1] 汤清平[1] 唐曦[1] 阮丽华 ZHAN Hai-lan;TANG Qing-ping;TANG Xi;RUAN Li-hua(Department of Rehabilitation,Hunan Brain Hospital,Changsha 410007,China)

机构地区：[1]湖南省脑科医院康复医学科

出　　处：《针刺研究》2019年第11期832-834,839,共4页Acupuncture Research

摘　　要：目的:观察补气益血针刺处方对糖尿病周围神经病变麻木疼痛患者临床症状、神经功能及神经传导速度的影响。方法:糖尿病周围神经病变麻木疼痛患者86例按随机数字表法分为对照组和观察组各43例,对照组给予常规糖尿病周围神经病变治疗方案,观察组在对照组基础上加用补气益血针刺处方治疗,取膻中、气海及双侧脾俞、曲池、太溪、悬钟等穴,每次30 min,隔日治疗1次,共治疗2个月。对比两组患者的中医症候评分、多伦多临床评分系统(TCSS)评分及神经传导速度。结果:治疗后,两组患者中医症候评分均较治疗前下降(P<0. 05),且观察组低于对照组(P<0. 01)。两组治疗后TCSS评分均较治疗前下降(P<0. 05),且观察组低于对照组(P<0. 01)。两组治疗后运动神经与感觉神经传导速度均较治疗前提高(P<0. 05),且观察组高于对照组(P<0. 01)。结论:补气益血针刺处方可改善糖尿病周围神经病变患者的临床症状及神经传导速度。Objective To observe the efficacy of"Buqi Yixue "needling on clinical symptoms,neurological function and nerve conduction velocity in patients with diabetic peripheral neuropathy.MethodsEighty-six patients with diabetic peripheral neuropathy numbness and pain were equally randomized into control group and treatment group. The patients of the control group received basic treatment and oral administration of Cilostazol(50 mg/time,2 times/d)and Epalrestat(50 mg/time,3 times/d). The patients of the treatment group received acupuncture stimulation of Danzhong(CV17),Qihai(CV6),Pishu(BL20),Quchi(LI11),etc.,for 30 min,once every day,on the basic treatment. The treatment was conducted for 8 successive weeks. The scores of Traditional Chinese Medicine(TCM)symptoms,Toronto clinical scoring system(TCSS)and nerve conduction velocity(NCV)were detected before and after the treatment.ResultsAfter the treatment,the scores of TCM symptoms and TCSS were considerably decreased(P<0. 05),and the NCV was significantly increased(P<0. 05)in both groups compared with those of their own pre-treatment. The therapeutic effect of the treatment group was significantly superior to that of the control group in lowering the scores of TCM symptoms and TCSS,and in up-regulating the NCV(P<0. 01).Conclusion"Buqi Yixue"needling is effective in improving clinical symptoms and increasing NCV in patients with diabetic peripheral neuropathy.

关 键 词：糖尿病周围神经病变 麻木疼痛 补气益血针刺处方 临床效果 

分 类 号：R246.1[医药卫生—针灸推拿学]