通经调脏法护理干预在2型糖尿病周围神经病变患者中的应用效果  

Application effect of nursing intervention by regulating meridian and Zang-organs in patients with type 2 diabetic peripheral neuropathy

作　　者：洒文娟 李培[1] 王春艳 张微 SA Wen-juan;LI Pei;WANG Chun-yan;ZHANG Wei(Department of Endocrinology,Shenzhen Hospital of Guangzhou University of Chinese Medicine,Guangdong Province,Shenzhen 518000,China)

机构地区：[1]广州中医药大学深圳医院内分泌科,广东深圳518000

出　　处：《中国当代医药》2021年第16期249-251,共3页China Modern Medicine

基　　金：广东省深圳市科技计划项目(JCYJ20180301171119622)。

摘　　要：目的探讨通经调脏法护理干预在2型糖尿病周围神经病变(DPN)患者中的应用效果。方法回顾性分析2018年12月~2019年8月广州中医药大学深圳医院收治的100例DPN患者的临床资料,根据干预方法不同分为两组,每组各50例。对照组常规控制血糖,改善循环,营养神经及进行DPN防护健康教育指导,观察组在上述基础上加用通经调脏法护理干预。观察治疗前后两组的正中神经、腓总神经的运动神经传导速度(MNCV)和感觉神经传导速度(SNCV)。通过肌电图检查和临床症状观察进行疗效判定。结果观察组干预后的总有效率高于对照组,差异有统计学意义(P<0.05);两组护理干预后的腓浅神经、正中神经的MNCV、SNCV高于干预前;观察组护理干预后的腓浅神经、正中神经的MNCV、SNCV高于对照组,差异均有统计学意义(P<0.05)。结论在常规治疗基础上结合通经调脏法能减轻DPN患者症状,可在一定程度上改善患者周围神经受损。Objective To explore the application effect of nursing intervention by regulating the meridian and Zang-organs in patients with type 2 diabetic peripheral neuropathy(DPN).Methods A retrospective analysis of the clinical data of 100 patients with DPN admitted to Shenzhen Hospital of Guangzhou University of Chinese Medicine from December 2018 to August 2019 were selected.They were divided into two groups according to different interventions,50 cases in each group.In the control group,patients were routinely given blood glucose control,circulation improvement,nerve nourishment,and health education and guidance on the protection of DPN.In the observation group,nursing intervention of regulating the meridian and the internal organs was added on the basis of the control group.The motor nerve conduction velocity(MNCV)and sensory nerve conduction velocity(SNCV)of the median nerve and common peroneal nerve of the two groups before and after treatment were observed.The efficacy was determined by giving electromyography examination and clinical symptom observation.Results The total effectiveness rate of the observation group after intervention was higher than that of the control group,and the difference was statistically significant(P<0.05).The MNCV and SNCV of the superficial peroneal nerve and median nerve after nursing intervention in the observation group and the control group were higher than those of the intra-group intervention before,and the differences were statistically significant(P<0.05).The MNCV and SNCV of the superficial peroneal nerve and median nerve in the observation group after nursing intervention were higher than those of the control group,and the differences were statistically significant(P<0.05).Conclusion On the basis of conventional treatment,joint application of the meridian and Zang-organs regulating can alleviate the symptoms of patients with DPN,and can improve the peripheral nerve damage to a certain extent.

关 键 词：通经调脏法 护理干预 2型糖尿病 周围神经病变 效果 

分 类 号：R244.1[医药卫生—针灸推拿学]