针灸联合益气化痰通络法治疗糖尿病周围神经病变的临床疗效观察  

Observation on the clinical effect of acupuncture and moxibustion combined with Yiqi Huatan Tongluo method for diabetic peripheral neuropathy

作　　者：刘瑞萍 张世超 Liu Ruiping;Zhang Shichao

机构地区：[1]辽宁中医药大学附属医院,110032 [2]辽宁大学,110036

出　　处：《中国疗养医学》2020年第8期834-837,共4页Chinese Journal of Convalescent Medicine

基　　金：国家“十二五”科技支撑计划项目(2014BAI10B00)。

摘　　要：目的 探讨针灸联合益气化痰通络法治疗糖尿病周围神经病变的临床疗效.方法 选择2018年6月至2019年6月就诊的糖尿病周围神经病变患者80例,按照诊疗方案不同分为两组,对照组40例在基础诊疗方案上加用益气化痰通络中药治疗,观察组40例在对照组诊疗基础上加用针灸,比较两组临床总有效率,血糖、血脂控制情况,正中神经、腓总神经传导速度以及不良反应.结果 观察组临床总有效率92.5%明显高于对照组72.5%(P<0.05);观察组空腹血糖(FBG)(5.637±0.03283)mmol/L低于对照组(6.197±0.00881)mmol/L(P<0.01),观察组餐后2 h血糖(2 hPG)(9.150±0.03215)mmol/L低于对照组(9.673±0.02728)mmol/L(P<0.01),观察组糖化血红蛋白(HbA1c)(6.207±0.05487)%低于对照组(6.800±0.15280)%(P<0.05);观察组三酰甘油(TG)(1.310±0.01723)mmol/L低于对照组(1.623±0.02963)mmol/L(P<0.01),观察组总胆固醇(TC)(4.213±0.01856)mmol/L低于对照组(5.620±0.04726)mmol/L(P<0.01),观察组低密度脂蛋白胆固醇(LDL-C)(2.620±0.03055)mmol/L低于对照组(3.537±0.03844)mmol/L(P<0.01);观察组正中神经运动神经传导速度(MNCV)(46.66±0.53490)m/s高于对照组(42.96±0.46310)m/s(P<0.01),观察组正中神经感觉神经传导速度(SNCV)(46.96±0.29230)m/s高于对照组(39.67±0.27720)m/s(P<0.01),观察组腓总神经MNCV(46.21±0.54570)m/s高于对照组(39.41±0.67980)m/s(P<0.01),观察组腓总神经SNCV(46.60±0.26760)m/s高于对照组(42.92±0.04484)m/s(P<0.01);观察组出现1例不良反应,对照组出现2例不良反应.结论针灸联合益气化痰通络法治疗糖尿病周围神经病变临床有效,对血糖、血脂水平具有一定的控制作用,可显著改善正中神经、腓总神经传导速度.Objective To explore the clinical effect of acupuncture and moxibustion combined with Yiqi Huatan Tongluo method for diabetic peripheral neuropathy.Methods A total of 80 patients with diabetic peripheral neuropathy treated from June 2018 to June 2019 were selected and divided into two groups according to different treatment plans.40 cases in the control group were treated with traditional Chinese medicine of Yiqi Huatan Tongluo for eliminating phlegm and collaterals on the basis of the basic diagnosis and treatment scheme,while 40 patients in the observation group were treated with acupuncture and moxibustion on the basis of the diagnosis and treatment in the control group,and the total clinical effective rate,blood glucose and lipid control,median nerve,common peroneal nerve conduction velocity and adverse reactions were compared between the two groups.Results The total effective rate in the observation group(92.5%)was significantly higher than that in the control grou(72.5%)(P<0.05).The FBG(5.637±0.03283)mmol/L in the observation group was lower than(6.197±0.00881)mmol/L in the control group(P<0.01),the 2 hPG(9.150±0.03215)mmol/L in the observation group was lower than(9.673±0.02728)mmol/L in the control group(P<0.01),and the HbA1c(6.207±0.05487)%in the observation group was lower than(6.800±0.15280)%in the control group(P<0.05).The TG(1.310±0.01723)mmol/L in the observation group was lower than(1.623±0.02963)mmol/L in the control group(P<0.01),the TC(4.213±0.01856)mmol/L in the observation group was lower than(5.620±0.04726)mmol/L in the control group(P<0.01),and the LDL-C(2.620±0.03055)mmol/L in the observation group was lower than(3.537±0.03844)mmol/L in the control group(P<0.01).The median nerve MNCV of(46.66±0.53490)m/s in the observation group was higher than(42.96±0.46310)m/s in the control group(P<0.01),and the median nerve SNCV of(46.96±0.29230)m/s in the observation group was higher than(39.67±0.27720)m/s in the control group(P<0.01),and common peroneal nerve MNCV(46.21±0.54570)m/s in

关 键 词：针灸 益气化痰通络 糖尿病周围神经病变 临床疗效 

分 类 号：R587.2[医药卫生—内分泌]