迎随补泻法治疗气虚血瘀型2型糖尿病神经病变的临床疗效研究  

Clinical Study of Directional Supplementation and Draining Method in the Treatment of Type 2 Diabetic Neuropathy of Qi Deficiency and Blood Stasis

作　　者：宋怡琳 李浩华 俞赛军 SONG Yilin;LI Haohua;YU Saijun(Shanghai Construction Group(SCG)Hospital,Shanghai 200083,China)

机构地区：[1]建工医院,上海200083

出　　处：《中医药信息》2020年第6期105-108,共4页Information on Traditional Chinese Medicine

基　　金：上海虹口区“国医强优”三年行动计划项目(HGY-KY-2018-35)。

摘　　要：目的:观察迎随补泻法针刺治疗气虚血瘀型2型糖尿病神经病变的临床疗效。方法:将符合纳入标准的80例气滞血瘀型2型糖尿病神经病变患者单盲随机分为治疗组40例和对照组40例。治疗组采用迎随补泻法针刺进行治疗,对照组采用平补平泻针刺法治疗,每日1次,每周不少于5次,共治8周。比较两组患者治疗前后TCSS、VAS评分,中医证候量表评分及疗效情况。结果:治疗结束后,两组TCSS、VAS评分均较治疗前比较有统计学意义(P<0.05),治疗组优于对照组(P<0.05);治疗结束后,治疗组在气短乏力、口干、肢体麻木、肢体疼痛、面色晦暗、舌暗瘀点、汗出等中医症状评分方面均优于对照组(P<0.05)。治疗组总疗效(90%,36/40)优于对照组(62.5%,25/40),与对照组比较有统计学意义(P<0.05)。结论:两种治疗方案对改善气虚血瘀型2型糖尿病神经病变症状均有效,但迎随补泻针刺法效果治疗更有优势。Objective:To observe the clinical efficacy of directional supplementation and draining acupuncture in the treatment of type 2 diabetic neuropathy of qi deficiency and blood stasis.Methods:80 patients with type 2 diabetic neuropathy of qi deficiency and blood stasis were randomly divided into the treatment group(n=40)and the control group(n=40).The treatment group was treated with directional supplementation and draining acupuncture;whereas the control group was treated with mild reinforcing-reducing acupuncture.The treatment was once a day and no less than 5 times a week for a total of 8 weeks.The scores of TCSS and VAS,TCM symptom scores and efficacy were compared between the two groups.Results:The scores of TCSS and VAS were significantly improved after the treatment compared to those before the treatment in the two groups(P<0.05);of which the improvements were more significant in the treatment group(P<0.05).The improvements of TCM symptoms,such as shortness of breath,fatigue,dry mouth,numbness,limb pain,dark complexion,dark tongue and sweating,were better in the treatment group than those in the control group(P<0.05).The total curative effect of the treatment group was 90%(36/40),which was higher than 62.5%(25/40)of the control group(P<0.05).Conclusion:Both therapies were effective in improving the neuropathic symptoms of type 2 diabetic periphera neuropathy of qi deficiency and blood stasis,but the effect of directional supplementation and draining acupuncture has more advantages in treating the disease.

关 键 词：针刺 气虚血瘀 2型糖尿病神经病变 迎随补泻法 

分 类 号：R259[医药卫生—中西医结合] R246[医药卫生—中医内科学]