穴位按摩联合中药精油涂擦及穴位贴敷治疗糖尿病周围神经病变临床效果研究  

Effect of acupoint massage combined with Chinese herbal essential oil application and acupoint patchingin patients with diabetic peripheral neuropathy

作　　者：张家慧 包彩莲 王艳[4] ZHANG Jiahui;BAO Cailian;WANG Yan(Department of Geriatrics,Northern Jiangsu People's Hospital,Yangzhou,Jiangsu 225001;School of Public Health,School of Nursing,Yangzhou University,Yangzhou,Jiangsu 225000;Suzhou Hospital of Integrated Traditional Chinese and Western Medicine,Suzhou,Jiangsu 215101;Department of Human Resources,Northern Jiangsu People's Hospital,Yangzhou,Jiangsu 225001)

机构地区：[1]江苏省苏北人民医院老年医学科,江苏扬州225001 [2]扬州大学护理学院公共卫生学院,江苏扬州225000 [3]江苏省苏州市中西医结合医院,江苏苏州215101 [4]江苏省苏北人民医院人力资源部,江苏扬州225001

出　　处：《河北中医》2024年第10期1676-1681,共6页Hebei Journal of Traditional Chinese Medicine

基　　金：中国社会福利基金会护爱基金(编号:HLCXKT-20230135);江苏省苏北人民医院科研项目(编号:SBKY21072)。

摘　　要：目的观察穴位按摩联合中药精油涂擦及穴位贴敷治疗糖尿病周围神经病变(DPN)临床疗效。方法将2022年1月至2023年6月收治的90例DPN患者按照随机数字表法分为观察组与对照组,每组45例。对照组予常规管理方案,观察组以常规管理方案为基础增加穴位按摩联合中药精油涂擦及穴位贴敷。比较2组患者神经传导速度、临床症状、中医证候、实验室指标及临床疗效。结果干预前2组中医证候积分相比未见显著差异(P>0.05),干预后中医证候积分均明显下降(P<0.05),且观察组较对照组明显更低(P<0.05);干预前2组的临床各症状得分相比均未见显著差异(P>0.05),干预后临床各症状均显著降低(P<0.05),且观察组较对照组明显更低(P<0.05);干预前2组的神经传导速度比较均未见显著差异(P>0.05),干预后神经传导速度均显著提高(P<0.05),且观察组较对照组明显更高(P<0.05);干预前2组的血流动力学指标无明显差异(P>0.05),干预后2组全血黏度(BV)、红细胞沉降率(ESR)与血浆黏度(PV)均明显下降(P<0.05),且观察组水平低于对照组(P<0.05);观察组干预总有效率明显较对照组更高(P<0.05)。结论穴位按摩联合中药精油涂擦及穴位贴敷能够改善DPN患者的临床症状,提高治疗效果,改善患者的神经传导速度与血流动力学指标水平。Objective To study the effect of acupoint massage combined with Chinese herbal essential oil application and acupoint patching in patients with diabetic peripheral neuropathy(DPN).Methods Ninety DPN patients treated in our hospital from January 2022 to June 2023 were enrolled and they were randomly assigned into observation group(n=45)and control group(n=45).All patients were managed by routine intervention,and those in observation group were additionally given acupoint massage combined with Chinese herbal essential oil application and acupoint patching.The nerve conduction velocity(NCV),clinical symptoms,traditional Chinese medicine(TCM)syndrome,laboratory index,clinical efficacy were included as comparators.Results None of the TCM syndrome scores and clinical symptom scores differed significantly between groups before intervention(P>0.05).After intervention,TCM symptom scores and clinical symptom scores in the both groups were significantly decreased(P<0.05),which decreased notably in the observation group compared to the control group(P<0.05).The inter-group difference of NCV and hemodynamics indexes before intervention was comparable before intervention(P>0.05).After intervention,significantly increased NCV and decreased hemodynamics indexes such as whole blood viscosity(WBV),erythrocyte sedimentation rate(ESR)and blood plasma viscosity were detected in the both groups than before intervention(P<0.05),with inter-group significantdifference(P<0.05).The total effective rate in the observation group was significantly higher than that in the control group(P<0.05).Conclusion The combination can improve clinical symptomsenhance treatment effects,and improve NCV and hemodynamic indexes in DPN patients.

关 键 词：糖尿病并发症 糖尿病神经病变 穴位贴敷疗法 按摩 

分 类 号：R587.1[医药卫生—内分泌]