雷火灸治疗寒凝血瘀型痛性糖尿病神经病变临床观察  

Efficacy observation of thunder-fire moxibustion on painful diabetic neuropathy with syndrome of blood stasis due to cold coagulation

作　　者：李硕苗 邵建国 陈琳 达坤林 韩玥 张玉 LI Shuo-miao;SHAO Jian-guo;CHEN Lin(Nantong Third Hospital Affiliated to Nantong University,Nantong226006,China)

机构地区：[1]南通大学附属南通第三医院(南通市第三人民医院),南通226006

出　　处：《山西中医》2024年第6期37-38,共2页Shanxi Journal of Traditional Chinese Medicine

基　　金：江苏省南通市科技局课题(编号:MS2023080)。

摘　　要：目的:观察雷火灸治疗寒凝血瘀型痛性糖尿病神经病变的临床疗效。方法:选取符合纳入标准的寒凝血瘀型糖尿病神经病变伴有疼痛的患者60例,随机分为两组各30例。对照组采用口服降糖药加甲钴胺片治疗,治疗组在对照组基础上加用雷火灸治疗。观察两组患者治疗前后疼痛评分表(VAS)、多伦多评分表(TCSS)、中医证候积分及糖化白蛋白(GA)、空腹血糖、C肽水平。结果:治疗后,两组VAS评分、TCSS评分、中医证候积分及GA水平均降低,C肽水平均升高,且治疗组较对照组改善更明显,差异具有统计学意义(P﹤0.05)。结论:雷火灸在改善寒凝血瘀型糖尿病神经病变疼痛症状方面疗效较好。Objective:To observe the clinical efficacy of thunder-fire moxibustion on painful diabetic neuropathy with syndrome of blood stasis due to cold coagulation.Methods:60 cases of eligible patients with painful diabetic neuropathy with syndrome of blood stasis due to cold coagulation were selected and randomly divided into two groups,30 cases in each group.The control group was treated with oral hypoglycemic drugs and mecobalamin tablets,while the treatment group was treated plus with thunder-fire moxibustion on the basis of control group.Visual Analogue Scale/Score(VAS),Toronto Clinical Scoring System(TCSS),TCM syndrome score,glycated albumin(GA),fasting blood glucose and C-peptide level of patients were observed in two groups before and after treatment.Results:After treatment in both groups,VAS score,TCSS score,TCM syndrome score and GA level were decreased,while C-peptide level was increased,and the improvement of treatment group was more significant than that of control group,and the difference was statistically significant(P﹤0.05).Conclusion:The clinical efficacy of thunder-fire moxibustion on painful diabetic neuropathy with syndrome of blood stasis due to cold coagulation is better.

关 键 词：痛性糖尿病神经病变 寒凝血瘀 痛性 雷火灸 针灸疗法 

分 类 号：R587.2[医药卫生—内分泌]