中低频脉冲联合中医穴位贴敷治疗糖尿病周围神经病变的疗效及安全性研究  

Efficacy and Safety of Middle and Low Frequency Pulse Combined with Acupoint Application of Traditional Chinese Medicine in the Treatment of Diabetic Peripheral Neuropathy

作　　者：何燕青 吴芳 HE Yanqing;WU Fang(Department of Neurovascular Medicine,Wuwei Second People's Hospital,Wuwei 733000,Gansu,China)

机构地区：[1]武威市第二人民医院神经血管内科,甘肃武威733000

出　　处：《糖尿病新世界》2024年第8期1-3,7,共4页Diabetes New World Magazine

基　　金：武威市市列科技计划项目(WW2101167)。

摘　　要：目的分析糖尿病周围神经病变患者应用中低频脉冲联合中医穴位贴敷治疗的疗效及安全性。方法选取2021年1月-2023年8月武威市第二人民医院收治的96例糖尿病周围神经病变患者为研究对象,根据抽签法分为贴敷组、电疗组、联合组,每组32例。贴敷组给予中医穴位贴敷治疗,电疗组给予中低频脉冲电疗,联合组给予中医穴位贴敷联合中低频脉冲电疗,对比3组临床疗效、中医证候积分、神经功能及安全性。结果联合组治疗总有效率明显高于贴敷组、电疗组,差异有统计学意义(P均<0.05);而贴敷组与电疗组治疗总有效率比较,差异无统计学意义(P>0.05)。治疗后,联合组中医证候积分明显低于贴敷组、电疗组,差异有统计学意义(P均<0.05);而贴敷组与电疗组中医证候积分对比,差异无统计学意义(P>0.05)。3组不良反应总发生率比较,差异无统计学意义(P>0.05)。结论糖尿病周围神经病变患者应用中医穴位贴敷联合中低频脉冲电疗的疗效更确切,能够进一步减轻患者症状,改善患者神经功能,且安全性良好。Objective To analyze the efficacy and safety of middle and low frequency pulse combined with acupoint application of traditional Chinese medicine(TCM)in the treatment of diabetic peripheral neuropathy.Methods Ninety-six patients with diabetic peripheral neuropathy admitted to Wuwei Second People's Hospital from January 2021 to August 2023 were selected as the study objects,and the patients were divided into application group,electro-therapy group and combination group according to the lottery method,with thirty-two cases in each group.The appli-cation group was given Chinese acupuncture point application treatment,the electrotherapy group was given medium and low frequency pulse electrotherapy,and the combination group was given Chinese acupuncture point application combined with medium and low frequency pulse electrotherapy.The clinical efficacy,TCM syndrome score,neurologi-cal function and safety of the three groups were compared.Results The total effective rate of combination group was significantly higher than that of application group and electrotherapy group,and the difference was statistically signifi-cant(both P<0.05).There was no significant difference in the total effective rate between the application group and the electrotherapy group(P>0.05).After treatment,the TCM syndrome score in combination group was significantly lower than that in application group and electrotherapy group,and the difference was statistically significant(both P<0.05).There was no significant difference in TCM syndrome score between application group and electrotherapy group(both P>0.05).There was no significant difference in the total incidence of adverse reactions among the three groups(P>0.05).Conclusion In diabetic peripheral neuropathy patients,the application of traditional Chinese medicine acu-point application combined with middle and low frequency pulse electrotherapy is more effective,can further reduce the symptoms of patients,improve the neurological function of patients,and has good safety.

关 键 词：糖尿病周围神经病变 中低频脉冲电疗 穴位贴敷 临床疗效 安全性 

分 类 号：R4[医药卫生—临床医学]