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温和灸联合穴位按摩治疗糖尿病性骨质疏松症的临床效果

Clinical effect of mild moxibustion combined with acupoint massage in treating diabetic osteoporosis

    摘要
  • 摘要:
      目的  观察温和灸联合穴位按摩对糖尿病性骨质疏松症(DOP)患者的临床干预效果。
      方法  将60例DOP患者按照随机数字表法分为观察组30例和对照组30例。对照组口服阿法骨化醇软胶囊，观察组在对照组基础上行温和灸联合穴位按摩治疗。治疗60 d后，采用视觉模拟评分法(VAS)评分评定骨痛程度，采用糖尿病特异性生存质量量表(DSQL)评分评价患者生活质量，采用中医临床症状评分评价临床疗效，采用满意度调查表调查患者满意度情况。
      结果  治疗后，2组生理功能、心理/精神、社会关系、治疗效果评分均降低，且观察组低于对照组，差异有统计学意义(P < 0.05);观察组中医临床症状候评分改善程度优于对照组，差异有统计学意义(P < 0.01)。治疗后，观察组VAS评分低于对照组，总满意度高于对照组，差异有统计学意义(P < 0.05)。观察组总有效率高于对照组，差异有统计学意义(P < 0.01)。
      结论  温和灸联合穴位按摩能有效改善DOP患者中医临床症状，提高患者生活质量和治疗满意度。

     

    Abstract:
      Objective  To observe the effect of mild moxibustion combined with acupoint massage in treating diabetic osteoporosis (DOP).
      Methods  A total of 60 patients with DOP were divided into observation group (30 cases) and control group (30 cases) according to random number table method.The control group was orally treated with alfacalcohol soft capsule, and the observation group was treated with mild moxibustion combined with acupoint massage on the basis of the control group.After 60 days after treatment.Visual Analogue Scale (VAS) score was used to evaluate clinical bone pain, Diabetes-specific Quality of Life (DSQL) score was used to evaluate patients′quality of life, clinical efficacy was evaluated by TCM clinical symptom score, and satisfaction questionnaire was used to investigate patients′ satisfaction.
      Results  After treatment, the scores of physiological function, psychology/spirit, social relationship and treatment effect of the two groups were decreased, and were significantly lower in the observation group than those in the control group (P < 0.05).The degree of TCM clinical symptom score improvement in the observation group was better than that in the control group (P < 0.01).After treatment, the VAS score of the observation group was significantly lower, and the total satisfaction was significantly higher than that of the control group (P < 0.05).The total effective rate of the observation group was significantly higher than that of the control group(P < 0.01).
      Conclusion  Mild moxibustion combined with acupoint massage can effectively improve the TCM clinical symptoms of patients with DOP, and improve the quality of life and treatment satisfaction.

     

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