梁行郑州市中医院康复医学科，河南郑州　450007

针药结合治疗2型糖尿病患者末梢神经病变的疗效分析

梁行
郑州市中医院康复医学科，河南郑州450007

目的分析针药结合治疗2型糖尿病末梢神经病变的实用性。方法2014年3月—2015年3月期间，来该院治疗的2型糖尿病末梢神经病变的患者有86例，将其划分为实验组和对照组，各43例，对照组患者采用常规控血糖治疗，实验组患者在常规控血糖治疗的基础上结合中药益活通络汤与针灸治疗，比较两组治疗效果。结果实验组的治疗效果明显优于对照组；实验组在治疗肢端麻醉、肢端疼痛等临床症状的治疗有效率明显高于对照组；实验组肌电图疗效明显优于对照组。结论中药针灸结合治疗协同增效，实现优势互补，实现补益肝肾、活血化瘀，治疗效果显著，值得临床推广。

益活通络汤；针刺注射治疗；糖尿病末梢神经病变

［Abstract］Objective Practical analysis combined with acupuncture and Chinese medicine in the treatment of type 2 diabetes peripheral nerve lesions.Methods 2014 March to 2015 during March to 86 cases of patients of our hospital for the treatment of type 2 diabetic peripheral neuropathy，divided into the experimental group and the control group，43 cases in each.The control group were treated with conventional controlled blood glucose treatment，the patients in the experimental group on the basis of conventional control blood sugar treatment combined with traditional Chinese medicine Yi live Tongluo Decoction and acupuncture treatment，compared two groups of treatment effect.Results The treatment effect of the experimental group was better than the control group；the treatment of clinical symptoms of the experimental group in the treatment of acral anesthesia，pain in the extremities，effective rate was significantly higher than that of the control group；experimental group electromyography curative effect is obviously superior to the control group.Conclusion Traditional Chinese medicine combined with acupuncture treatment of synergistic，complementary advantages，tonifying the liver and kidney，promoting blood circulation and removing blood stasis，remarkable curative effect，is worth the clinical promotion.

［Key words］Yi Huo Huo Luo Decoction；Acupuncture injection treatment；Ddiabetic peripheral neuropathy

末梢神经病变，也称为血痹，一种最常见的糖尿病并发症。研究显示，末梢神经病变的根源为消渴，患者一般是由于肝脾肾气血不足，从而使得络脉功能失调［1］。它的症状表现为手脚痛觉温觉感觉减退、头部麻木以及肢体无力等，尤其是在寒冷的季节，如果不及时治疗，患者后期可能会出现肌肉萎缩甚至瘫痪，严重影响患者的生活［2］。该文对86例患者进行常规控血糖治疗和常规控血糖治疗的基础上结合中药益活通络汤与针灸治疗，分析针药结合治疗2型糖尿病患者末梢神经病变的实用性，现报道如下。……