兰花兰 刘凤彬 廖秀娥

【摘要】 目的：观察艾灸用于糖尿病周围神经病变肢体疼痛患者的疗效，为临床护理提供依据。方法：从福建中医药大学附属人民医院内分泌科抽取符合纳入标准的糖尿病周围神经病变肢体疼痛患者100例，并按就诊顺序分为试验组和对照组，各50例。对照组患者给予常规护理;试验组患者在此基础上使用艾灸仪灸丰隆穴和足三里穴治疗。观察两组患者干预前后的空腹血糖、神经病变情况、疼痛情况。结果：干预后，两组空腹血糖值均较干预前下降（P<0.05），但干预后两组比较差异无统计学意义（P>0.05）;试验组的多伦多临床神经病变评分（TCSS）、简易疼痛量表评分（VAS）低于对照组，差异均有统计学意义（P<0.05）。结论：常规治疗护理结合多功能艾灸仪施灸可缓解糖尿病患者周围神经病变肢体疼痛的症状，提高患者的生活质量。

【关键词】 周围神经病变 艾灸 肢体疼痛

[Abstract] Objective： To observe the therapeutic effect of moxibustion on diabetic peripheral neuropathy patients with limb pain， and to provide basis for clinical nursing. Method： A total of 100 Diabetic peripheral neuropathy patients with limb pain were selected from the Department of Endocrinology， Affiliated Peoples Hospital of Fujian University of Traditional Chinese Medicine， and they were divided into the experimental group and the control group according to the visiting order， 50 cases in each. The patients in the control group were given routine nursing. On this basis， the patients in the experimental group were treated with moxibustion instrument at Fenglong and Zusanli points. The fasting blood glucose， neuropathy and pain were observed between the two groups before and after intervention. Result： After iintervention， the fasting blood glucose in the two groups were decreased than before intervention （P<0.05）， but there was no significant difference between the two groups after intervention （P>0.05）. After intervention， the Toronto clinical neuropathy score （TCSS） and simple pain scale score （VAS） of the experimental group were lower than those of the control group （P<0.05）. Conclusion： Routine treatment and nursing combined with multi-functional moxibustion instrument can alleviate the symptoms of peripheral neuropathy and limb pain in diabetic patients， and improve the quality of life of patients.

糖尿病周圍神经病变是糖尿病最常见的慢性微血管并发症之一，也是糖尿病足等其他慢性并发症的危险因素[1]。研究显示，病程超过20年的糖尿病患者患周围神经病变的概率大于50%，严重影响患者的生活质量[2]。而疼痛，是DPN发展过程中的重要症状之一，被称之为糖尿病周围神经病变性疼痛，其患病率为7%～20%，占全部DPN患者总数的10%～32%，在糖尿病病程超过20年的患者中，有超过50%的患者出现病理性神经疼痛[3-4]。本病起病隐匿，患者逐渐出现双侧肢端感觉异常有麻木、蚁走、虫爬、发热、触电样感觉，往往从远端脚趾上行可达膝上，患者有穿袜子与戴手套样感觉。而艾灸作为祖国医学的重要组成部分，其历史悠久，是中医药学的宝贵遗产，本次试验实用的是艾灸仪对患者进行干预，通过电子加热和磁疗作用，通过经络的传导，以起到温通气血、扶正祛邪的作用，缓解疾病症状。……