Observation on therapeutic efficacy of heat-sensitive moxibustion plus Western medicine for diabetic peripheral neuropathy  

热敏灸联合西药治疗糖尿病周围神经病变疗效观察

作　　者：Fang Xiu-juan Zheng Guo-xin Huangfu Ye-hui Yu Nian-tang 方秀娟;郑国新;皇甫烨辉;俞年塘(Tonglu Hospital of Traditional Chinese Medicine,Zhejiang Province,Hangzhou 311500,China)

机构地区：[1]Tonglu Hospital of Traditional Chinese Medicine,Zhejiang Province,Hangzhou 311500,China

出　　处：《Journal of Acupuncture and Tuina Science》2020年第6期452-457,共6页针灸推拿医学（英文版）

基　　金：2018年浙江省中医药科技计划项目,No.2018ZT004.

摘　　要：Objective:To observe the clinical efficacy of heat-sensitive moxibustion plus Western medicine in treating patients with diabetic peripheral neuropathy(DPN).Methods:A total of 70 patients with DPN were divided into an observation group and a control group by sealed envelope method combined with the random number table method,with 35 cases in each group.The control group was treated with routine medicine,and the observation group was treated with heat-sensitive moxibustion on the basis of the treatment in the control group.After 2 courses of treatment,the scores of Toronto clinical scoring system(TCSS)and vibration perception threshold(VPT)in both groups were observed,and the clinical efficacy was compared.Results:During treatment,3 cases dropped out in the control group and 4 cases in the observation group.After treatment,the total effective rate in the observation group was higher than that in the control group(P<0.05).The scores of TCSS and VPT in both groups decreased after treatment,and the intra-group comparison showed statistical significance(both P<0.05).The scores of TCSS and VPT in the observation group were lower than those in the control group,and the differences were statistically significant(both P<0.05).Conclusion:Heat-sensitive moxibustion plus Western medicine can improve the symptoms in patients with DPN,and has a better curative effect than the Western medicine alone.目的:观察热敏灸联合西药治疗糖尿病周围神经病变患者的临床疗效.方法:将70例糖尿病周围神经病变患者按信封法结合随机数字表法随机分为观察组和对照组,每组35例.对照组采用常规药物治疗,观察组在对照组药物治疗基础上给予热敏灸治疗.治疗2个疗程后,观察两组患者多伦多临床评分系统(TCSS)及振动感觉阈值(VPT)评分,比较两组临床疗效.结果:研究过程中,对照组脱落3例,观察组脱落4例.治疗后,观察组总有效率高于对照组(P<0.05).治疗后,两组患者的TCSS和VPT评分均较本组治疗前下降,组内差异均有统计学意义(均P<0.05);观察组患者的TCSS和VPT评分均低于对照组,组间差异均有统计学意义(均P<0.05).结论:热敏灸联合西药能改善糖尿病周围神经病变患者的症状,疗效优于单独西药治疗.

关 键 词：Moxibustion Therapy Moxa Stick Moxibustion Heat-sensitive Moxibustion Sensory Thresholds Diabetes MellitusType 2 Diabetic Neuropathies 

分 类 号：R246.6[医药卫生—针灸推拿学]