温通针法治疗阳虚寒凝血瘀证糖尿病周围神经病变的临床观察  

Clinical Observation of Warming and Unblocking Acupuncture for Treatment of Diabetic Peripheral Neuropathy of Yang Deficiency,Cold Accumulation and Blood Stasis Syndrome

作　　者：林凯勉 冯淑兰[1] 陈志标[2] LIN Kai-Mian;FENG Shu-Lan;CHEN Zhi-Biao(Guangzhou University of Chinese Medicine,Guangzhou 510405 Guangdong,China;Zhongshan Traditional Chinese Medicine Hospital,Guangzhou 528400 Guangdong,China)

机构地区：[1]广州中医药大学,广东广州510006 [2]中山市中医院,广东中山528400

出　　处：《广州中医药大学学报》2021年第7期1396-1400,共5页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：【目的】观察温通针法治疗阳虚寒凝血瘀证糖尿病周围神经病变的临床疗效。【方法】将90例阳虚寒凝血瘀证糖尿病周围神经病变患者随机分为治疗组和对照组,每组各45例。对照组给予常规治疗以及健康宣教,治疗组在对照组治疗的基础上给予温通针法治疗。7 d为1个疗程,连续治疗4个疗程。观察2组患者治疗前后多伦多临床评分(TCSS)以及正中神经与腓总神经传导速度的变化情况,并评价2组的临床疗效。【结果】(1)治疗后,2组患者TCSS评分明显改善(P<0.05),且治疗组在改善TCSS评分方面明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者神经传导速度明显改善(P<0.05),且治疗组在改善神经传导速度方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗组总有效率为88.89%(40/45),对照组为73.33%(33/45)。治疗组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】温通针法治疗阳虚寒凝血瘀证糖尿病周围神经病变,能明显改善患者的临床症状,有利于神经功能的恢复。Objective To observe the clinical effects of warming and unblocking acupuncture for treatment of diabetic peripheral neuropathy of yang deficiency,cold accumulation and blood stasis syndrome.Methods Ninety cases of diabetic peripheral neuropathy patients with syndrome of yang deficiency,cold accumulation and blood stasis were randomly divided into treatment group and control group,45 cases in each group.The control group was given conventional treatment and health education,and the treatment group was given warming and unblocking acupuncture treatment on the basis of the treatment of the control group.Seven days constituted a treatment course,and the treatment covered 4 continuous courses.The Toronto Clinical Score(TCSS)and the conduction velocity of the median nerve and common peroneal nerve were observed in the two groups before and after treatment,and the clinical efficacy of the two groups was evaluated.Results(1)After treatment,the TCSS of the two groups was significantly improved(P<0.05),and the treatment group was significantly superior to the control group in improving TCSS,the difference being statistically significant(P<0.05).(2)After treatment,the nerve conduction velocity of the two groups was significantly improved(P<0.05),and the treatment group was significantly superior to the control group in improving the nerve conduction velocity,the difference being statistically significant(P<0.05).(3)The total effective rate was 88.89%(40/45)in the treatment group and 73.33%(33/45)in the control group.The curative effect of the treatment group was superior to that of the control group,and the difference was statistically significant(P<0.05).Conclusion Warming and unblocking acupuncture can improve clinical symptoms and facilitate neurological recovery in patients with diabetic peripheral neuropathy of yang deficiency,cold accumulation and blood stasis syndrome.

关 键 词：温通针法 阳虚寒凝血瘀证 糖尿病周围神经病变 神经功能 临床观察 

分 类 号：R246.9[医药卫生—针灸推拿学]