益气温阳活血汤联合针刺治疗气虚血瘀型2型糖尿病周围神经病变的临床观察  

Clinical Observation of Yiqi Wenyang Huoxue Decoction and Acupuncture in Qi Deficiency and Blood Stasis of Diabetic Peripheral Neuropathy Patients

作　　者：王丹[1] 袁文佳 WANG Dan;YUAN Wenjia(General practice,Zhengzhou Central Hospital,Zhengzhou Henan 450007,China;Department of Traditional Chinese Medicine,Yellow River Water Conservancy Commission Yellow River Central Hospital,Zhengzhou Henan 450007,China)

机构地区：[1]郑州市中心医院全科,河南郑州450007 [2]黄河水利委员会黄河中心医院中医科,河南郑州450003

出　　处：《临床研究》2023年第10期117-120,共4页Clinical Research

摘　　要：目的分析益气温阳活血汤加针刺对气虚血瘀型2型糖尿病周围神经病变(DPN)的疗效。方法选取2018年8至2020年12月郑州市中心医院收治的62例气虚血瘀型2型DPN患者进行研究,经随机数表法分成对照组(针刺治疗)、观察组(在前组基础上加以益气温阳活血汤),各31例。比较两组治疗有效率、治疗前后中医证候评分、多伦多临床评分(TCSS)、视觉模拟评分(VAS)及腓总神经的传导速度情况,并记录下不良反应情况。结果观察组治疗有效率高于对照组,差异有统计学意义(P<0.05)。治疗前,两组中医证候评分(多食易饥、少气懒言、神疲乏力、肌肤甲错、手足不温、肢体疼痛或麻木)比较,差异无统计学意义(P>0.05);治疗8周后,观察组各项中医证候评分低于对照组,差异有统计学意义(P<0.05)。治疗前,两组TCSS及VAS评分比较,差异无统计学意义(P>0.05);治疗8周后,观察组TCSS及VAS评分低于对照组,差异有统计学意义(P<0.05)。治疗前,两组腓总神经的传导速度比较,差异无统计学意义(P>0.05);治疗8周后,观察组腓总神经的传导速度高于对照组,差异有统计学意义(P<0.05)。两组整个治疗期间均未产生显著不良反应。结论益气温阳活血汤加针刺对气虚血瘀型2型DPN患者疗效理想,能改善其临床症状和神经传导速度,减轻其疼痛感,且安全性较高。Objective To analyze the clinical effectiveness of Yiqi Wenyang Huoxue decoction and acupuncture in Qi 118 Clinical Research,Oct.2023,Vol.31 No.10 deficiency and blood stasis of diabetic peripheral neuropathy(DPN)patients.Methods A total of 62 Qi deficiency and blood stasis of DPN patients treated from August 2018 to December 2020 in Zhengzhou Central Hospital were investigated.Divided into a control group(acupuncture treatment)and an observation group(supplemented with Yiqi Wenyang Huoxue Tang on the basis of the previous group)by random number table method,with 31 cases each.Group contrast results were concluded through the total effective rates,TCM syndrome scores,Toronto clinical scoring system(TCSS),visual analogue scale(VAS)scores,common peroneal nerve conduction velocity and adverse reactions.Results The effective rates in the observation group were higher than control group,and the difference was statistically significant(P<0.05);before treatment,there were no significant between-group differences about TCM syndrome scores like hyperphagia with rapid hungering,weak breath,unwillingness to speak,fatigue,squamous and dry skin,cold limb,limb pain or numbness(P>0.05);after 8w of treatment,TCM syndrome scores in the observation group were lower than control group,and the difference was statistically significant(P<0.05);before treatment,TCSS and VAS scores between groups were not significantly different(P>0.05);after 8w of treatment,TCSS and VAS scores in the observation group were lower than control group,and the difference was statistically significant(P<0.05);before treatment,the common peroneal nerve conduction velocity between groups was not significantly different(P>0.05);after 8w of treatment,the common peroneal nerve conduction velocity in the observation group was higher than control group,and the difference was statistically significant(P<0.05);both of groups were not discovered with the obvious adverse reactions.Conclusion The combination of Yiqi Wenyang Huoxue Tang and acupuncture has an ideal thera

关 键 词：益气温阳活血汤 针刺 气虚血瘀型 糖尿病周围神经病变 

分 类 号：R587.1[医药卫生—内分泌]