中药穴位贴敷外治法干预糖尿病周围神经病变的临床疗效

Clinical efficacy of external acupoint application of traditional Chinese medicine in the treatment of diabetic peripheral neuropathy

  • 摘要:
    目的 观察中药穴位贴敷外治法干预糖尿病周围神经病变的临床疗效。
    方法 选取77例糖尿病周围神经病变患者, 随机分为观察组38例及对照组39例。2组患者均给予常规基础干预,对照组在此基础上采用甲钴胺口服治疗,观察组在对照组基础上加用中药穴位贴敷干预。干预3个月后,比较2组患者空腹血糖(FBG)、餐后2 h血糖(2 hPBG)、糖化血红蛋白(HbAlc)、多伦多临床评分系统(TCSS)评分、神经传导速度、中医证候疗效和临床治疗满意度。
    结果 观察组患者FBG、2 hPBG、HbAlc与对照组比较,差异无统计学意义(P>0.05); 观察组干预后TCSS评分、神经传导速度、中医证候疗效、临床治疗满意度优于对照组,差异有统计学意义(P<0.05)。
    结论 中药穴位贴敷干预糖尿病周围神经病变,能明显提高临床疗效,降低TCSS评分,改善周围神经传导速度,临床治疗满意度较高。

     

    Abstract:
    Objective To observe the clinical effect of external acupoint application of traditional Chinese medicine in the treatment of diabetic peripheral neuropathy.
    Methods A total of 77 patients with diabetic peripheral neuropathy were selected, and were randomly divided into observation group(38 cases) and control group (39 cases). All patients were given routine basic treatment, the control group was additionally given oral administration of mecobalamin, and the observation group was additionally given traditional Chinese medicine acupoint application on the basis of the control group. After 3 months of treatment, fasting blood glucose (FBG), two-hour postprandial blood glucose (2 hPBG), glycosylated hemoglobin (HbAlc), Toronto Clinical Scoring System (TCSS) score, nerve conduction velocity, TCM syndrome score, satisfaction with clinical treatment.
    Results There were no significant differences in FBG, 2 hPBG and HbAlc between the observation group and the control group (P>0.05). After intervention, the TCSS score, nerve conduction velocity, TCM syndrome efficacy and clinical treatment satisfaction of the observation group were better than those of the control group (P < 0.05).
    Conclusion Acupoint application of traditional Chinese medicine in the treatment of diabetic peripheral neuropathy can effectively improve clinical efficacy, decrease TCSS score and improve peripheral nerve conduction velocity, and has higher satisfaction with clinical treatment.

     

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