针刺治疗老年糖尿病周围神经病伴失眠病人的疗效观察  

Therapeutic effect of acupuncture on elderly patients with diabetic peripheral neuropathy complicated with insomnia

作　　者：王鸣 顾晓美 奚旸 郭远滢 葛伟 WANG Ming;GU Xiaomei;XI Yang;GUO Yuanying;GE Wei(Department of Acupuncture and Tuina,Affiliated Geriatric Hospital of Nanjing Medical University,Nanjing 210024,China)

机构地区：[1]南京医科大学附属老年医院(江苏省省级机关医院)针灸推拿科,江苏省南京市210024

出　　处：《实用老年医学》2025年第2期187-190,196,共5页Practical Geriatrics

基　　金：江苏省中医药科技发展计划项目(MS2022138);国家自然科学基金青年科学基金资助项目(81904278)。

摘　　要：目的观察针刺治疗老年糖尿病周围神经病(DPN)伴失眠病人的临床疗效。方法选择糖尿病周围神经病伴失眠病人66例,随机分为治疗组和对照组,每组33例,2组病人分别在药物治疗基础上给予针刺与假针刺治疗,观察治疗前及治疗4周后2组病人多伦多临床评分系统(TCSS)评分、正中神经(MN)和腓总神经(CPN)的神经传导速度、匹兹堡睡眠质量指数(PSQI)的变化和疗效。结果治疗组总有效率为90.91%,对照组总有效率为75.76%,差异有统计学意义(P<0.05)。治疗4周后,2组病人TCSS评分、PSQI指数均较治疗前明显降低(P<0.05),MN、CPN的神经传导速度明显提高(P<0.05),且治疗组改善更明显(P<0.05)。结论针刺联合药物治疗可明显缓解老年DPN病人四肢疼痛、麻木等临床症状,同时提高神经传导速度,改善睡眠质量。Objective To observe the clinical effect of acupuncture on the elderly patients with diabetic peripheral neuropathy(DPN)complicated with insomnia.Methods A total of 66 elderly patients with DPN combined with insomnia were randomly divided into treatment group and control group,with 33 cases in each group,and they were treated with acupuncture or sham acupuncture on the basis of medication,respectively.The changes of Toronto Clinical Scoring System(TCSS)score,nerve conduction velocity of median nerve(MN)and common peroneal nerve(CPN),and Pittsburgh sleep quality index(PSQI)were assessed before and 4 weeks after treatment,and the effective rate was compared between the two groups.Results After treatment,the total effective rate was 90.91%in the treatment group,compared with 75.76%in the control group(P<0.05).The TCSS score and PSQI were significantly lower and the nerve conduction velocity of MN and CPN were significantly higher after treatment in both groups than those before treatment(P<0.05),especially in the treatment group(P<0.05).Conclusions Acupuncture combined with medication can obviously relieve the clinical symptoms of limb pain and numbness in the elderly patients with DPN,and improve the nerve conduction velocity and sleep quality.

关 键 词：糖尿病周围神经病 失眠 针刺 老年人 

分 类 号：R246.1[医药卫生—针灸推拿学] R587.2[医药卫生—中医临床基础]