电子灸治疗糖尿病周围神经病变疗效观察

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1、电子灸治疗糖尿病周围神经病变疗效观察刘璐璐叶涛上海市南京西路街道社区卫生服务中心摘要：目的观察电子灸治疗糖尿病周围神经病变(肝肾亏虚型)的临床疗效。方法将90例糖尿病周围神经病变(肝肾亏虚型)患者随机分为治疗组44例和对照组46例。治疗组采用电子灸治疗，对照组采用中药熏洗足部治疗。两组均治疗10次为1个疗程，共治疗3个疗程。观察两组治疗前后中医症状总积分及密歇根神经筛查量表(MNSI)评分的变化情况，并比较两组临床疗效。结果两组治疗1、2、3个疗程后屮医症状总积分与同组治疗前比较，差异均具有统计学意义(P<0.01)。治疗组治疗后中医

2、症状总积分改善率为(60.9±16.7)%,对照组为(56.6±19.2)%,两组比较差异具有统计学意义(IK0.01)。治疗组总有效率为97.7%,对照组为95.7%,两组比较差异无统计学意义(P>0.05)。治疗组治疗后MMST评分差值为(2.98±3.66)分，对照组为(0.78±2.92)分，两组比较差异具有统计学意义(P〈0.01)。结论电子灸是一种治疗糖尿病周围神经病变的有效方法，其疗效略优于中药熏洗。关键词：灸法;电灸;糖尿病神经病变;中药熏洗;糖尿病并发症;密歇根神经筛查量表;肝肾亏虚;作者简介：刘璐璐(1970—),

3、女，副主任医师收稿日期:2017-05-11基金：上海市卫牛和计划牛育委员会中医药科研基金项目(2014LP045A)ObservationsontheTherapeuticEffectofElectronicMoxibustiononDiabeticPeripheralNeuropathyLIULu-luYETaoShanghaiWestNanjingRoadCommunityHea1thCenter;Abstract：ObjectiveToinvestigatetheclinicalefficacyofelectronicmoxi

4、bustionintreatingdiabeticperipheralneuropathy(liver-kidneydeficiencytype)•MethodsNinetypatientswithdiabeticperipheralneuropathy(1iver-kidneydeficiencytype)wererandomizedtoatreatmentgroup(44cases)andacontrolgroup(46cases)•Thetrcatmcntgroupreceivedelectronicmoxibustionand

5、thecontrolgroup,Chineseherbalfumigationoffeet.Bothgroupsweretreated10timesasacourseforatotalofthreecourses.TheTCMsymptomtotalscoreandtheMichiganNeuropathyScreeningTnstrument(MNSI)scorewererecordedinthetwogroupsbeforeandaftertrcatmcnt.Thecliniceiltherapeuticeffectswereco

6、mparedbetweenthetwogroups.ResultsTherewasastatisticallysignificantpre-/post-treatmentdifferenceintheTCMsymptomtotalscoreinbothgroupsafterone,twoandthreecoursesoftreatment(P<0.01).TheTCMsymptomtotalscoreimprovementratewas(60.9±16.7)%inthetreatmentgroupeind(56・6±19・2)%int

7、hecontrolgroup;therewasastatisticallysignificantdifferencebetweenthetwogroups(P<0.01)•Thetotalefficacyratewas97.7%inthetreatinentgroupand95.7%inthecontrolgroup;therewasnostatisticallysignificantdifferencebetweenthetwogroups(P>0.05)•Thepre-/post-treatmentMNSIscorediffere

8、ncevaluewas(2.98±3.66)inthetrcatmentgroupand(0.78±2.92)inthecontrolgroup;therewasastatisticallysignificantdiff