温经通络法联合针刺治疗糖尿病痛性神经病变的效果  

Effect of Wenjing Tongluo Method combined with acupuncture on painful diabetic peripheral neuropathy

作　　者：尹小妹 孙世宁 田象菊 刘兴梅[2] YIN Xiaomei;SUN Shining;TIAN Xiangju;LIU Xingmei(Department of Endocrinology,Linyi Hospital of Traditional Chinese Medicine,Shandong Province,Linyi 276000,China;Department of Neurology,Linyi Hospital of Traditional Chinese Medicine,Shandong Province,Linyi 276000,China)

机构地区：[1]山东省临沂市中医医院内分泌科,山东临沂276000 [2]山东省临沂市中医医院脑病科,山东临沂276000

出　　处：《中国当代医药》2025年第3期119-123,共5页China Modern Medicine

摘　　要：目的探讨温经通络法联合针刺治疗对糖尿病痛性神经病变(PDPN)患者的治疗效果及对神经传导功能的作用。方法选取2022年3月至2023年7月临沂市中医医院的68例PDPN患者作为研究对象,按照随机数字表法分为对照组和干预组,每组各34例。对照组予以甲钴胺、度洛西汀治疗,干预组在对照组的基础上加温经通络中药足浴联合针刺疗法。比较两组患者的临床效果、血糖水平、疼痛程度、睡眠质量、神经传导速度。结果干预组的总有效率高于对照组,差异有统计学意义(P<0.05);治疗后,两组患者空腹血糖(FBG)、餐后2 h血糖(2 hPG)、糖化血红蛋白(HbA1c)水平比较,差异无统计学意义(P>0.05);干预组的视觉模拟评分法(VAS)评分和匹兹堡睡眠质量指数(PSQI)评分低于对照组,差异有统计学意义(P<0.05);干预组的腓总神经感觉神经传导速度(SNCV)、腓总神经运动神经传导速度(MNCV)、正中神经SNCV、正中神经MNCV均高于对照组,差异有统计学意义(P<0.05)。结论采用温经通络中药足浴联合针刺疗法治疗PDPN,能有效改善患者临床症状,提高神经传导速度,加快病情恢复。Objective To investigate the therapeutic effect of Wenjing Tongluo Method combined with acupuncture on painful diabetic peripheral neuropathy(PDPN)and its effect on nerve conduction function.Methods A total of 68 patients with PDPN in Linyi Hospital of Traditional Chinese Medicine from March 2022 to July 2023 were selected as the study objects and they were divided into control group and intervention group according to random number table method,with 34 patients in each group.The control group was treated with Mecobalamine and Duloxetine,and the intervention group was treated with Wenjing Tongluo Chinese medicine foot bath combined with acupuncture on the basis of the control group.The clinical effect,blood sugar level,pain degree,sleep quality and nerve conduction velocity were compared between the two groups.Results The total effective rate of the intervention group was higher than that of the control group,the difference was statistically significant(P<0.05).After treatment,there was no significant difference in fasting blood glucose(FBG),2 h postprandial plasma glucose(2 hPG)and glycosylated hemoglobin(HbA1c)between two groups(P>0.05).Visual analogue scale(VAS)score and Pittsburgh sleep quality index(PSQI)score in the intervention group were lower than those in the control group,and the differences were statistically significant(P<0.05).The common peroneal nerve sensory nerve conduction velocity(SNCV),common peroneal nerve motor nerve conduction velocity(MNCV),median nerve SNCV and median nerve MNCV in the intervention group were higher than those in the control group,with statistical significances(P<0.05).Conclusion The treatment of PDPN with Wenjing Tongluo Chinese medicine foot bath combined with acupuncture can effectively improve the clinical symptoms,increase the nerve conduction speed and accelerate the recovery of the disease.

关 键 词：糖尿病痛性神经病变 温经通络法 针刺 神经传导功能 

分 类 号：R245.3[医药卫生—针灸推拿学]