针灸辅助治疗糖尿病周围神经病变对神经功能恢复及预后的影响

摘要

目的 观察针灸辅助治疗糖尿病周围神经病变对神经功能恢复及预后的影响.方法 选取170例糖尿病周围神经病变患者,随机等分为两组.对照组给予常规临床治疗方法治疗;观察组除进行常规临床治疗外,辅助应用针灸疗法进行治疗.比较两组患者的临床治疗效果以及神经传导速度,随访2个月患者并发症发生情况.结果 观察组总有效率高达92.9%,对照组总有效率为76.5%,观察组明显高于对照组(P<0.05);运动神经传导速度检测中治疗后观察组患者左正中神经速度为(44.2±2.3)m/s,明显高于对照组的(33.4±4.1)m/s,左尺神经速度为(44.3±2.4)m/s,明显高于对照组(33.9±4.1)m/s,右胫神经速度(37.1±4.3)m/s也高于对照组(31.9±2.6)m/s,右腓神经速度(36.9±2.5)m/s也高于对照组的(32.5±2.3)m/s;感觉神经传导速度(SCV)中,观察组左正中神经速度为(44.1±3.2)m/s,明显高于对照组的(33.3±4.1)m/s,左尺神经速度为(43.5±2.6)m/s,明显高于对照组(33.9±2.7)m/s,右腓浅神经速度(35.8±2.6)m/s也高于对照组(30.9±3.8)m/s,两组比较差异均具有统计学意义(P<0.05);将两组患者随访2个月情况进行比较,观察组并发症发生率为14.1%,明显低于对照组(28.2%)(P<0.05).结论 针灸辅助治疗糖尿病周围神经病变疗效显著,提高了患者神经传导速度,且后期出现并发症率低.%Objective To observe the effect of acupuncture-moxibustion in assisting the treatment of diabetic peripheral neuropathies (DPN) on the recovery and prognosis of neurological function. Method A total of 170 DPN patients were evenly randomized into two groups. The control group received conventional treatment; the observation group was additionally given acupuncture-moxibustion to assist the treatment. The clinical efficacies and nerve conduction velocity were compared between the two groups, and the occurrence of complications was observed in the 2-month follow-up. Result The total effective rate approached 92.9% in the observation group, significantly higher than 76.5% in the control group (P<0.05). The test of motor nerve conduction velocity showed that, after the treatment, the left median nerve conduction velocity was (44.2±2.3)m/s in the observation group, significantly higher than (33.4±4.1)m/s in the control group; the left ulnar nerve conduction velocity was (44.3±2.4)m/s in the observation group, significantly higher than (33.9±4.1)m/s in the control group; the right tibial nerve conduction velocity was (37.1±4.3)m/s in the observation group, significantly higher than (31.9±2.6)m/s in the control group; the right peroneal nerve conduction velocity was (36.9±2.5)m/s in the observation group, also significantly higher than (35.8±2.6)m/s inthe control group. In comparing the sensory nerve conduction velocity (SCV), the left median nerve conduction velocity was (44.1±3.2)m/s in the observation group, significantly higher than (33.3±4.1)m/s in the control group; the left ulnar nerve conduction velocity was (43.5±2.6)m/s in the observation group, significantly higher than (33.9±2.7)m/s in the control group; the right superficial peroneal nerve conduction velocity was (35.8±2.6)m/s in the observation group, significantly higher than (30.9±3.8)m/s in the control group (P<0.05). The 2-month follow-up study showed that the occurrence rate of complications was 14.1% in the observation group, significantly lower than 28.2% in the control group (P<0.05). Conclusion Acupuncture-moxibustion produces a significant efficacy in assisting the treatment of DPN. It can markedly accelerate the nerve conduction velocity and reduce the occurrence of complications in advanced stage.