隔姜灸关元穴治疗0级糖尿病足的临床疗效观察  

Ginger moxibustion at Guanyuan point(CV 4)in the treatment of grade O diabetic foot:a clinical efficacy observation

作　　者：刘换焕 甄林强 董永书 LIU Huanhuan;ZHEN Linqiang;DONG Yongshu(Henan University of Chinese Medicine,Zhengzhou 450000;Department of Encephalopathy,Henan Provincial Hospital of Integrated Traditional Chinese and Western Medicine)

机构地区：[1]河南中医药大学,郑州450000 [2]河南省中西医结合医院脑病科

出　　处：《现代中医临床》2024年第2期32-36,共5页Modern Chinese Clinical Medicine

基　　金：河南省中医药拔尖人才培养项目资助(No.豫卫中医函[2021]15号)。

摘　　要：目的 观察隔姜灸关元穴对0级糖尿病足(diabetic foot, DF)的临床疗效。方法 纳入2023年1月至2023年7月于河南省中西医结合医院就诊的62例阳虚寒凝证糖尿病足患者作为研究对象,随机分为对照组和治疗组,每组31例。对照组给予常规药物治疗,治疗组在对照组的基础上,每日给予关元穴隔姜灸,每穴灸7壮,约20 min, 1次/d, 6 d为1疗程,共3个疗程。观察2组患者治疗前后的临床症状(足部皮肤温度、疼痛程度、皮肤色泽、间歇性跛行)、踝肱指数及中医证候积分,并进行临床疗效分析。结果 研究过程中,无脱落病例。经3个疗程治疗后,治疗组总有效率为93.55%,明显高于对照组总有效率83.88%,差异具有统计学意义(P<0.05)。2组患者治疗后临床症状(足部皮肤温度、疼痛程度、皮肤色泽、间歇性跛行)及踝肱指数测定总分优于治疗前(P<0.05);治疗后中医证候积分明显低于同组治疗前(P<0.05),且治疗组均低于对照组(P<0.05)。2组未见不良反应。结论 隔姜灸关元穴可明显改善糖尿病足症状,并延缓其发展,临床效果显著。Objective To observe the clinical effect of ginger moxibustion at Guanyuan(CV 4)for grade O diabetic foot(DF).Methods sFrom January 2023 to July 2023,62 patients with diabetic foot,presenting with yang deficiency and cold coagulation syndrome,treated at Henan Provincial Hospital of Integrated Traditional Chinese and Western Medicine,were included in the trial.They were randomly divided into a control group and an observation group,with 31 cases in each.The control group received routine drug treatment,while the observation group,in addition to routine treatment,was given ginger moxibustion at Guanyuan point every day.Each session involved seven moxa cones at each point,lasting approximately 20 min,once a day,for a total of six days in one course and three courses in total.The clinical symptoms(foot skin temperature,pain intensity,skin color,intermittent claudication),ankle brachial index and TCM syndrome scores of the two groups before and after treatment were observed,and the clinical efficacy was analyzed.Results Throughout the study,there were no patient dropouts.After completing the three courses of treatment,the total effective rate of the observation group(93.55%)was significantly higher than that of the control group(83.88%),and the difference was statistically significant(P<0.05).After the treatment,the total scores of clinical symptoms(foot skin temperature,pain degree,skin color,intermitent claudication)and ankle brachial index in the two groups were significantly improved compared to before treatment(P<0.05).The scores of TCM syndromes after treatment were significantly lower than those before treatment within each group(P<0.05),and the scores in the observation group were lower than those in the control group(P<0.05).No adverse reactions were found in the two groups.Conclusion Ginger moxibustion at Guanyuan point can significantly improve the symptoms of diabetic foot,delay its progression,demonstrating remarkable clinical efficacy.

关 键 词：糖尿病足 命门之火 小肠气化 灸法 关元穴 

分 类 号：R259[医药卫生—中西医结合]