“已病防变” 干预在糖尿病周围神经病变25例中的应用

邝丽霞

广东省中山市西区医院中医科，广东中山528400

【摘要】目的：探究“已病防变”的思想对糖尿病周围神经病变患者糖代谢指标和足部症状影响。方法：选取糖尿病周围神经病变的45例患者作为研究对象，随机分为研究组和对照组，对照组行常规治疗，研究组在对照组患者基础上应用“已病防变”的理念进行治疗，包括穴位按摩、中药足浴、毕格氏运动，观察两组患者治疗后空腹血糖(FBG)、餐后2小时血糖(P2hBG)、甘油三脂(TC)、总胆固醇(TG)、糖化血红蛋白(HbA1C)以及足部症状评分的变化情况。结果：治疗后，两组患者FBG、P2hBG、 TC、TG、 HbA1C均显著降低(P<0.05)，其中研究组下降更为显著(P<0.01)；研究组患者足部症状评分治疗前后差异显著(P<0.05)，且治疗后评分优于对照组(P<0.05)。结论：“已病防变”的思想及其治疗方法能有效改善糖尿病周围神经病变患者糖代谢指标和足部症状，临床上值得进行推广。

【关键词】糖尿病；周围神经病变；已病防变

【中图分类号】R587.2

【文献标志码】A

【文章编号】1007-8517(2015)21-0075-02

Abstract:ObjectiveTo observe the influence of the view of “stopping the progression of disease” on the biochemical markers of glucose metabolism and clinical symptom of foot of the diabetes patient from peripheral neuropathy.Methods We selected 45 patients who were diagnosed with DPN， give all the patients with the normal hypoglycemic Drugs, lipid lowering agents, blood glucose monitoring and the lecture of DPN. They were divided into two groups (the study group and the control group) randomly. There were 20 patients in the control group and they received basic and normal therapy while there were 25 patients in the study group and they received point massage, Chinese traditional medical foot bath and Bi′s exercise. Both the course of the treatment is six months.Observe and compare the changes FBG, P2HBG,TC,TG,HbA1Cand the symptoms score of foot after the treatment. Results After 6 months treatment, all the patients of the study group and the control group have a significant decrease in the FBG, P2HBG, TC, TG(P<0.05)and the changes in study group is more significant(P<0.01).Moreover,there is a significant changes of the symptoms score of foot after treatment in the study group(P<0.05) and there is no obvious differences of the score in the control group(P>0.05). Conclusions The conception of “stopping the progression of disease” and its treatments will improve the biochemical markers of glucose metabolism and clinical symptom of foot of the diabetes patient from peripheral neuropathy.

Keywords:Diabetes Mellitus;Peripheral Neuropathy;Stopping the Progression of Disease

收稿日期：(2015.08.02)

The Discussion of the Clinic Significance of the Influence of the View of

“Stopping the Progression of Disease” on the Diabetic Peripheral Neuropathy

KUANG Lixia

Traditional Chinese Medicine Department of West Zone Hospital of Zhongshan City,Zhongshan 528400,China

糖尿病是临床上常见的以高血糖为特征的代谢性疾病，由遗传和环境相互作用而引起，其并发症是主要危害，可损害心血管、肾、眼、周围神经等多个器官和系统，最终导致多器官功能障碍，严重危害健康[1]。据统计，我国糖尿病患者总数占全球糖尿病患者总数的1/3[2]。糖尿病周围神经病变(Diabetic Peripheral neuropathy DPN)是糖尿病患者最常见的慢性并发症和主要的致残因素之一，发生率高达60%～90%，其发病原因与长期高血糖以及微血管病变有关[3]。DPN的主要临床表现为肢体远端及躯干部分麻木、疼痛、后期可表现为感觉减退甚至消失，严重者会出现肌肉萎缩的情况。《黄帝内经》中曾提出“圣人不治已病治未病，不治已乱治未乱”，其中一点即为“已病防变”的思想[4]，我院结合“已病防变”的思想治疗糖尿病周围神经病变患者，取得较好临床疗效，现报道如下。……