针药结合治疗糖尿病周围神经病变80例

高莉,吴琳,鹿晓君

(咸阳市中心医院,陕西 咸阳 712000)

摘要：目的观察针灸联合中药治疗糖尿病周围神经病变的临床疗效。方法将160例患者随机分为治疗组和对照组各80例，在常规糖尿病的基础治疗上,治疗组选用针灸联合中药治疗，对照组肌肉注射弥可保，观察治疗前后两组患者的症状、体征及神经传导速度变化情况。结果治疗4周后治疗组总有效率为92.5%，对照组总有效率为73.8%，2组总有效率比较有显著差异(P<0.05)。2组患者治疗前后神经传导速度均较治疗前提高,并且治疗组提高明显优于对照组(P<0.05)。结论针灸联合中药治疗糖尿病周围神经病变能够明显提高神经传导速度，减轻临床症状，明显优于单纯应用西药治疗。

关键词:糖尿病;周围神经病变/针灸疗法;黄芪桂枝五物汤;神经传导速度

DOI:10.13463/j.cnki.jlzyy.2015.05.029

中图分类号：R745文献标志码： A

文章编号：1003-5699(2015)05-0527-03

基金项目:国家自然科学

作者简介:高莉(1981-)，主治医师，主要从事针灸治疗神经系统疾病的临床研究。

收稿日期:(责任编辑：张瑞彬2014-09-08)

Treatment of diabetic peripheral neuropathy by acupuncture combined with Chinese medicine

GAO Li,WU Lin,LU Xiaojun

(Xianyang Central Hospital,Xianyang 712000,Shaanxi Province,China)

Abstract:ObjectiveTo observe the clinical curative effect of acupuncture combined with Chinese herbal medicine in the treatment of diabetic peripheral neuropathy.MethodsThe 160 patients were randomly divided into treatment group and control group with 80 cases in each group,based on routine treatment for diabetes,the treatment group was given acupuncture combined with traditional Chinese medicine treatment,the control group were observed before and after treatment with intramuscular injection of mecobalamin,sign and the nerve conduction velocity of two groups of patients’ symptoms and changes.ResultsAfter 4 weeks treatment,the total effective rate of treatment group was 92.5%,the total efficiency of control group was 73.8%,the total efficiency of two groups were significantly different (P<0.05).Two groups of patients before and after treatment to improve the nerve conduction velocity than that before treatment,and the treatment group improved significantly better than the control group (P<0.05).ConclusionAcupuncture?combined with Chinese medicine treatment can obviously improve the nerve conduction velocity in diabetic peripheral neuropathy,relieve the clinical symptoms,superior to simply using western medicine treatment.

Keywords:diabetes;peripheral neuropathy/acupuncture;Huangqi Guizhi Wuwu decoction;nerve conduction velocity

糖尿病是临床常见的慢性代谢性疾病，目前我国的糖尿病总体发病率为9.7%[1]。糖尿病周围神经病变(DPN)是最常见的糖尿病慢性并发症，调查显示:约8%的新发糖尿病患者和超过50%的长期糖尿病患者患有DPN[2]。本研究通过针灸联合中药对80例DPN患者进行治疗，取得了显著的疗效。现报道如下。

1临床资料

1.1一般资料选取2010年7月—2014年4月于咸阳市中心医院住院治疗的2型糖尿病周围神经病变患者160例，其中男86例，女74例，平均年龄(58.4±4.8)岁。将患者随机分为治疗组和对照组，每组各80例。2组患者年龄、性别、病程、病情对比差异无统计学意义(P<0.05)。

1.2诊断标准所有病例均符合1999年WHO糖尿病诊断标准，并符合DNP的临床诊断标准[3]。1)有明确的糖尿病病史。……