电针联合滞针动法治疗2型糖尿病动眼神经麻痹疗效观察  

Efficacy Observation of Electroacupuncture Combined with Stuck-moving Needling Method for Oculomotor Paralysis in Type 2 Diabetes

作　　者：武良群[1] 关睿骞 文立杨 于志国[1] 李同军[1] 高维滨[1] WU Liangqun;GUAN Ruiqian;WEN Liyang;YU Zhiguo;LI Tongjun;GAO Weibin(Second Affiliated Hospital,Heilongjiang University of Chinese Medicine,Harbin 150001,China)

机构地区：[1]黑龙江中医药大学附属第二医院,哈尔滨150001

出　　处：《上海针灸杂志》2022年第5期437-442,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：黑龙江省自然科学基金项目(H201470);哈尔滨市科技计划项目(2015RAXYJ045);黑龙江中医药大学附属第二医院科研基金(2019YB-03);孙申田青年人才基金(JX-201805)。

摘　　要：目的观察电针联合滞针动法治疗2型糖尿病动眼神经麻痹的临床疗效。方法将60例2型糖尿病动眼神经麻痹患者随机分为对照组和治疗组,每组30例。对照组给予西药和康复训练治疗,治疗组在对照组的基础上加以电针联合滞针动法治疗。以瞳孔直径、眼裂大小、复视角度、复视目测评分、中医证候积分、生活质量评估量表评分、临床疗效及不良反应为评价指标。结果治疗后,两组瞳孔直径均有缩小(P<0.05),眼裂均有所扩大(P<0.05),治疗组优于对照组(P<0.05);两组复视目测评分及复视角度均有所降低(P<0.05),治疗组优于对照组(P<0.05);两组中医证候积分均有所降低(P<0.05),治疗组优于对照组(P<0.05);两组生活质量评估量表评分均有所提升(P<0.05),治疗组优于对照组(P<0.05)。治疗组总有效率为90.0%,优于对照组的70.0%(P<0.05)。两组在治疗过程中,均未出现重大不良反应。结论在西药和康复训练治疗基础上,电针联合滞针动法可以明显改善2型糖尿病动眼神经麻痹的临床症状,扩大患侧眼裂,改善复视情况,提高生活质量,且安全可靠。Objective To observe the clinical efficacy of electroacupuncture plus stuck-moving needling method in treating oculomotor paralysis in type 2 diabetes.Method Sixty type 2 diabetic patients with oculomotor paralysis were randomized into a control group and a treatment group,with 30 cases in each group.The control group was given Western medication and rehabilitation training,and the treatment group was given additional electroacupuncture plus stuck-moving needling treatment.The evaluation measures included pupil diameter,palpebral fissure,diplopia angle,visual measurement score of diplopia,symptom score of traditional Chinese medicine(TCM),quality of life(QOL)evaluation scale score,clinical efficacy,and adverse reactions.Result After the treatment,the pupil diameter was reduced(P<0.05),the palpebral fissure was enlarged(P<0.05)in both groups,and the treatment group was superior to the control group(P<0.05).The visual measurement score of diplopia and diplopia angle decreased in both groups(P<0.05)and were better in the treatment group than in the control group(P<0.05).The TCM symptom score dropped in both groups(P<0.05)and was better in the treatment group than in the control group(P<0.05).The QOL evaluation scale score increased in the two groups(P<0.05),and the treatment group was superior to the control group(P<0.05).The total effective rate was 90.0%in the treatment group,higher than 70.0%in the control group(P<0.05).There were no severe adverse reactions during the study in the two groups.Conclusion On the basis of Western medication and rehabilitation training therapy,electroacupuncture plus stuck-moving needling method can notably improve the clinical symptoms in type 2 diabetes complicated with oculomotor paralysis.It can enlarge the palpebral fissure and improve diplopia of the affected eye,enhance the QOL,and is safe and reliable.

关 键 词：电针 滞针动法 针药并用 糖尿病并发症 动眼神经麻痹 

分 类 号：R246.1[医药卫生—针灸推拿学]