中药补气活血方离子导入配合穴位按摩治疗糖尿病周围神经病变效果观察

目的:探讨中药离子导入联合穴位按摩应用在糖尿病周围神经病变的临床疗效及应用价值。方法:选取2016年1月至2018年10月西宁市城北区中医院收治的糖尿病周围神经病变210例作为研究对象,按照治疗方案不同分为对照组和观察组,每组105例,对照组给予西医基础治疗,观察组在对照组基础上联合中药离子导入与穴位按摩治疗,比较2组治疗效果。结果:观察组患者治疗总有效率为97.14%显著高于对照组的86.67%,组间比较差异有统计学意义(P<0.05)。观察组治疗后肢体麻木评分(1.53±0.11)分,肢体疼痛评分(1.34±0.12)分,倦怠乏力评分(1.23±0.14)分,手足畏寒评分(1.33±0.14)分;对照组疗后肢体麻木评分(2.06±0.38)分,肢体疼痛评分(1.96±0.34)分,倦怠乏力评分(1.84±0.37)分,手足畏寒评分(1.85±0.32)分,组间比较差异有统计学意义(P<0.05)。观察组治疗后尺神经传导速度(51.68±3.75)m/s,胫神经传导速度(39.96±2.98)m/s,腓总神经传导速度(38.43±2.88)m/s;对照组治疗后尺神经传导速度(45.32±2.86)m/s,胫神经传导速度(37.04±2.41)m/s,腓总神经传导速度(35.06±2.19)m/s,组间比较差异有统计学意义(P<0.05)。结论:中药离子导入联合穴位按摩应用在糖尿病周围神经病变可以提升临床疗效,改善神经传导素,减轻临床症状评分,值得在临床推广应用。

Effects Observation on Iontoprotection Buqi Huoxue Decotion Combined with Acupoint Massage in the Treatment of Diabetic Peripheral Neuropathy

To investigate the clinical efficacy and value of iontoprotection combined with acupoint massage in diabetic peripheral neuropathy.Methods:A total of 210 cases of diabetic peripheral neuropathy, who were treated in Chengbei District TCM Hospital in Xining City from January 2016 to October 2018, were selected and divided into a control group and an observation group according to different treatment schemes, with 105 cases in each group.The control group was given basic treatment of western medicine, and the observation group was combined with iontoprotection of traditional Chinese medicine and acupoint massage on the basis of the control group.The treatment effects of the 2 groups were compared.Results:The total effective rate of treatment in the observation group was 97.14%, which was significantly higher than that in the control group(86.67%), and the difference between groups was statistically significant(P<0.05).After treatment, limb numbness score(1.53±0.11), limb pain score(1.34±0.12), fatigue score(1.23±0.14)and chills fear score(1.33±0.14)were scored in the observation group.After treatment, limb numbness score(2.06±0.38), limb pain score(1.96±0.34), fatigue score(1.84±0.37), and chills fear score(1.85±0.32)were scored in the control group.The differences were statistically significant(P<0.05).After treatment, ulnar nerve conduction velocity(51.68±3.75)m/s, tibial nerve conduction velocity(39.96±2.98)m/s, and common peroneal nerve conduction velocity(38.43±2.88)m/s were observed in the observation group.After treatment, ulnar nerve conduction velocity(45.32±2.86)m/s, tibial nerve conduction velocity(37.04±2.41)m/s, and common peroneal nerve conduction velocity(35.06±2.19)m/s in the control group were observed.The comparison showed statistically significant difference(P<0.05).Conclusion:The application of traditional Chinese medicine iontoprotection combined with acupoint massage in diabetic peripheral neuropathy can improve clinical efficacy, improve neurotransmitter and reduce clinical symptom score, which is worthy of clinical application.