气街理论指导针灸治疗糖尿病周围神经病变的疗效分析  

Efficacy analysis of acupuncture on diabetic peripheral neuropathy guided by Qi Street theo⁃ry

作　　者：陈招 伍小涌 蔡海燕 蒋垂刚[1] 何舟[1] Chen Zhao;Wu Xiaoyong;Cai Haiyan;Jiang Chuigang;He Zhou(Acupuncture Department,The People’s Hospital of Guangxi Zhuang Autonomous Region,Nanning 530016,China;Traditional Chinese Medicine Department,The Third People’s Hospital of Nanning,Nanning 530003,China;Panyu Hospital of Chinese Medicine,Guangzhou 511400,China)

机构地区：[1]广西壮族自治区人民医院针灸科,南宁530016 [2]广西南宁市第三人民医院中医科,南宁530003 [3]广东省广州市番禺区中医院,广州511400

出　　处：《广西医科大学学报》2022年第6期923-927,共5页Journal of Guangxi Medical University

基　　金：广西科技计划项目(No.桂科AB17195021)。

摘　　要：目的:探讨气街理论指导下的针灸疗法对糖尿病周围神经病变的疗效及对神经电生理的影响。方法:选取2021年1—12月广西壮族自治区人民医院针灸科、神经科、内分泌科收治的80例糖尿病周围神经病变患者作为研究对象,随机分为观察组和对照组,每组40例。对照组给予糖尿病基础治疗、口服甲钴胺片;观察组在此基础上,运用气街理论予以针灸治疗3个月。比较两组的临床疗效、神经传导速度及不良反应发生情况。结果:两组患者治疗后的多伦多临床评分系统(TCSS)评分较治疗前均显著降低(P<0.05),且观察组治疗后TCSS评分显著低于对照组(P<0.05)。治疗后两组患者腓总神经、正中神经的运动神经传导速度(MCV)、感觉神经传导速度(SCV)较同组治疗前均显著增高,且治疗后观察组显著优于对照组(P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:气街理论指导的针灸治疗可改善糖尿病周围神经病变临床症状,有效提高神经传导速度,是治疗糖尿病周围神经病变安全、有效的方法。Objective:To explore the effect of acupuncture under the guidance of Qi Street theory on diabetic peripheral neuropathy(DPN)and its effect on neuroelectrophysiology.Methods:Eighty patients with DPN treated in the Acupuncture Department,Neurology Department and Endocrinology Department of The People’s Hospital of Guangxi Zhuang Autonomous Region from January to December 2021 were randomly divided into observation group and control group,with 40 cases in each group.The control group was given basic treatment of diabetes and oral mecobalamin tablets,while the observation group was treated with acupuncture with Qi Street theory for 3 months on the basis of control group.The clinical efficacy,nerve conduction velocity and adverse reactions were compared between the two groups.Results:The Toronto clinical scoring system(TCSS)of both groups after treatment were significantly lower than those before treatment(P<0.05),and the TCSS scores of the observation group after treatment were significantly lower than those of the control group(P<0.05).After treatment,the motor nerve conduction velocity(MCV)and sensory nerve conduction velocity(SCV)of the nervus peroneus communis and median nerve of the patients in the two groups were significantly higher than those in the same group before treatment,and the observation group was significantly better than the control group after treatment(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Acupuncture under the guidance of Qi Street theory can improve the clinical symptoms of DPN and effectively increase nerve conduction velocity.It is a safe and effective method for the treatment of DPN.

关 键 词：气街理论 糖尿病周围神经病变 疗效 神经电生理 

分 类 号：R246.1[医药卫生—针灸推拿学]