中药足浴联合穴位注射干预糖尿病周围神经病变临床疗效评价

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1、中药足浴联合穴位注射干预糖尿病周围神经病变临床疗效评价［摘要］目的探讨中药足浴联合穴位注射干预糖尿病周围神经病变的临床疗效。方法选择2013年5月~2015年6月在我院住院治疗的糖尿病周围神经病变患者95例,采用随机数字表法随机分为观察组48例及对照组47例。观察两组患者的临床疗效及治疗前后右胫神经及左胫神经的MCV、SCV与中医证候积分情况。结果观察组的总有效率为93.75%z显著高于对照组的85.11%,差异有统计学意义（Pv0.05）。两组治疗后右胫神经及左胫神经的MCV、SCV与治疗前比较明显升高（P<0.05）;观察组治疗后的右胫神经及左

2、胫神经的MCV、SCV明显高于对照组（P<0.05）。两组治疗后证候积分与治疗前比较均显著下降（P<0.05）;观察组治疗后的证候积分明显低于对照组,两组比较差异有统计学意义（P<0.05）。结论糖尿病周围神经病变采用中药足浴联合穴位注射干预方法，可缓解其临床症状，使得胫神经传导速度明显提高，值得临床推广应用。［关键词］中药足浴；穴位注射；糖尿病周围神经病变［Abstract］ObjectiveToevaluatetheclinicalcurativeeffectoffootbathofChinesemedicinecombinedwithacup

3、ointinjectioninterventionintreatmentofdiabeticperipheralneuropathy.MethodsFromMay2013toJune2015,atotalof95casesofdiabeticperipheralneuropathyinourhospitalwereselectedandrandomlydividedintoobservationgroupwith48casesandthecontrolgroupwith47cases.Theclinicalefficacyofthetwogroup

4、swereobservedandtheMCV,SCVandTCMsyndromescoreofrightanteriortibialnerveandlefttibialnervewereobservedbeforeandaftertreatment.ResultsThetotaleffectiverateofobservationgroupwas93.75%,whichwassignificantlyhigherthan85.11%ofcontrolgroup,thedifferencewassigrdficant(P<0.05)・Afterthe

5、treatment,therighttibialnerveandlefttibialnerveMCV,SCVinthetwogroupswereallsignificantlyincreasedcomparedwithbeforetreatmentP<0.05);therighttibialnerveandlefttibialnerveMCV,SCVoftheobservationgroupaftertreatmentwassignificantlyhigherthanthatofthecontrolgroup(P<0.05)・Aftertreat

6、mentthesymptomscoreinthetwogroupsallhaddecreasedsignificantlycomparedwithbeforetreatment;andthesymptomscoreintheobservationgroupaftertreatmentwassign讦icantlylowerthanthatofthecontrolgroup,withstatisticalsignificanee(P<0.05).ConclusionDiabeticperipheralneuropathybyfootbathofChi

7、nesemedicinecombinedwithacupointinjectioninterventioncanalleviatetheclinicalsymptoms,thetibialnerveconductionvelocityincrease,itisworthofclinicalapplication.[Keywords]FootbathofChinesemedicine;Acupointinjection;Diabeticperipheralneuropathy糖尿病周围神经病变(diabeticperipheralneuropathy

8、,DPN)作为糖尿病最常见并发症，临床常见，如不及时治疗容易导致糖尿病足，甚至发生感染、坏疽，严重者可能截肢［1］。DPN