气功运动联合益气养血化瘀中药浴足对糖尿病高危足患者神经传导速度及血流量的影响  

Effect of Qigong exercise combined with traditional Chinese medicine foot bathon nerve conduction velocity and blood flow in patients with high risk diabetes foot

作　　者：王丛香 李秀贞 杨越 WANG Congxiang;LI Xiuzhen;YANG Yue(Department of Endocrinology and Diabetes Mellitus,Cangzhou Hospital of Integrated TCM-WM·HEBEI,Cangzhou,Hebei 061000)

机构地区：[1]河北省沧州中西医结合医院内分泌糖尿病科,河北沧州061000

出　　处：《河北中医》2024年第8期1354-1357,1362,共5页Hebei Journal of Traditional Chinese Medicine

基　　金：河北省中医药管理局科研计划项目(编号:2022590)。

摘　　要：目的观察气功运动联合益气养血化瘀中药浴足对糖尿病高危足患者神经传导速度及血流量的影响。方法将2022年4月至2023年4月河北省沧州中西医结合医院收治的120例糖尿病高危足患者按随机数字表法分为2组,对照组60例予常规护理干预,研究组60例在对照组基础上配合气功运动联合益气养血化瘀中药浴足干预。比较2组干预前后多伦多临床评分系统(TCSS)评分、神经传导速度、足背动脉血流量、血浆黏度、血小板聚集率及血清炎症因子[白细胞介素6(IL-6)、肿瘤坏死因子α(TNF-α)]水平。结果2组干预后TCSS各项评分均较本组干预前降低(P<0.05),且研究组干预后均低于对照组(P<0.05)。2组干预后胫神经传导速度及腓总神经传导速度均升高(P<0.05),且干预组干预后均高于对照组(P<0.05)。2组干预后足背动脉血流量均升高(P<0.05),且干预组干预后高于对照组(P<0.05)。2组干预后血浆黏度及血小板聚集率均较本组干预前降低(P<0.05),且研究组干预后均低于对照组(P<0.05)。2组干预后血清IL-6、TNF-α水平均较本组干预前降低(P<0.05),且研究组干预后均低于对照组(P<0.05)。结论气功运动联合益气养血化瘀中药浴足能够有效改善糖尿病高危足患者的足部状况和神经传导速度,增加患者的足背动脉血流量,降低患者的血浆黏度、血小板聚集率及血清炎症因子水平,值得临床推广。Objective To study the effect of Qigong exercise combined with traditional Chinese medicine(TCM,supplementing qi,nourishing blood and removing blood stasis)foot bath on nerve conduction velocity and blood flow in patients with high risk diabetes foot.Methods A total of 120 patients with high risk diabetes foot admitted to Cangzhou Hospital of Integrated TCM-WWM·HEBEI from April 2022 to April 2023 were randomly assigned in a 1∶1 ratio to either routine nursing intervention(control group)or Qigong exercise+TCM foot bath+routine nursing intervention(study group).The Toronto clinical scoring system(TCSS)score,nerve conduction velocity,blood flow of dorsalis pedis artery,plasma viscosity,platelet aggregation rate,and serum inflammatory factors(interleukin-6[IL-6]and tumor necrosis factor-α[TNF-α])were included as comparators between groups before and after intervention.Results After intervention,the scores of TCSS in the two groups were significantly lower than those before intervention(P<0.05),and which in the study group were significantly lower than those of the control group(P<0.05).The conduction velocity of tibial and peroneal nerve in the two groups were significantly increased after intervention(P<0.05),and the increases weremore commonin the study group compared to the control group(P<0.05).After intervention,significantly increased blood flow of the dorsalis pedis artery,and significantly decreased plasma viscosity and platelet aggregation rate were observedin the two groups(all P<0.05),the improvements were more pronounced in the study group relative to the control group(all P<0.05).After intervention,the levels of serum IL-6 and TNF-αin the two groups were significantly decreased than those before intervention(P<0.05),and the decreases were more prevalent in the study group compared with the control group(P<0.05).Conclusion The intervention of Qigong exercise combined with TCM foot bath can effectively improve the foot condition and nerve conduction velocity in patients with highrisk diabetes foot,wh

关 键 词：糖尿病高危足 气功运动 中药浴足 

分 类 号：R587.29[医药卫生—内分泌]