穴位按摩联合中药沐足对糖尿病患者周围神经病变的效果观察

目的：探讨穴位按摩联合中药沐足对糖尿病患者周围神经病变的疗效。方法选取70例我科糖尿病周围神经病变患者，随机分为观察组和对照组各35例，对照组进行糖尿病自我管理，观察组在对照组的基础上进行穴位按摩联合中药沐足。观察组在干预前和干预3个月末运用尼莫地平法评价临床症候的改善效果；并与对照组比较，分析穴位按摩联合中药沐足对糖尿病患者周围神经病变的效果。结果观察组患者总有效率（94.29%）高于对照组（80.00%），差异有统计学意义（P＜0.05）。穴位按摩联合中药沐足干预后患者四肢疼痛、四肢发凉、肢软无力、感觉减退、肢软麻木、肌肉萎缩临床症候评分较干预前明显降低，差异有统计学意义（P＜0.05）。结论穴位按摩联合中药沐足能有效改善糖尿病周围神经病变患者的临床症候，值得推广应用。

Observation of effect of acupuncture point massage combined with traditional Chinese medicine foot massage on patients with diabetic peripheral neuropthy

Objective To explore the effect of acupuncture point massage combined with traditional Chinese medicine foot massage on patients with diabetic peripheral neuropthy. Methods 70 patients with diabetic peripheral neuropathy in our department were collected,and were randomly divided into observation group（35 cases） and control group（35 cases）.The control group was given diabetes self-management,the observation group on the basis of the control group was given acupuncture point massage combined with Chinese medicine foot massage.The clinical symptom improving effect of observation group were evaluated before intervention and at the end of 3 months of intervention using nimodipine method;and compared with the control group to analyze the the effect of acupuncture point massage combined with traditional Chinese medicine foot massage on patients with diabetic peripheral neuropthy. Results The total efficiency in observation group（94.29%） was higher than 80.00%in control group,the difference was significant between two groups（P 〈 0.05）.The clinical symptom score of limb pain,cold extremities,soft limb weakness, sensory loss, limb numbness, muscle atrophy soft after acupuncture point massage combined with traditional Chinese medicine foot massage were decreased compared with before intervention,the difference was statistically significant（P 〈 0.05）. Conclusion Acupuncture point massage combined with traditional Chinese medicine foot massage can effectively improve the clinical symptoms in patients with diabetic peripheral neuropthy,and is worthy of popularization and application.