足三里穴位注射治疗糖尿病下肢神经病变的临床观察
发布时间：2018-10-24 21:45
【摘要】：目的：本课题研究用足三里穴位注射维生素B1、维生素B6的方法治疗糖尿病下肢神经病变患者,并观察患者治疗前后下肢神经传导速度及症状、体征的改善情况,以证实足三里穴位注射治疗糖尿病下肢周围神经病变的疗效,为治疗糖尿病下肢神经病变提供可靠的方法。方法：选取符合纳入标准的糖尿病下肢神经病变患者120例,采用随机数字表法,将患者随机分为A、B、C、D四组各30例,A组给予基础治疗,B组给予基础治疗和甲钴胺肌肉注射,C组给予基础治疗和维生素B1、B6肌肉注射,D组给予基础治疗和足三里穴位注射维生素B 1、B6。四组患者均治疗2周。观察中医证候积分、双下肢胫神经传导速度(NCV)改变情况,收集数据,经统计分析得出结果。结果：1.中医证候积分比较中,治疗后组间比较可知,D组与其他三组比较,差异均具有统计学意义(P0.05),B组与A、C两组比较,均具有统计学意义(P0.05)；组内比较可知,B组与D组治疗前后比较,均具有统计学意义(P0.05)。2.有效率比较,足三里穴位注射维生素B1、B6组患者总有效率为86.67%,与其他组比较,P0.05,均具有统计学意义3.神经传导速度比较,治疗后组间比较可知,D组与其他三组比较,差异均具有统计学意义(P0.05),B组和C组分别与A组比较,均具有统计学意义(P0.05),B组和C组比较,差异无统计学意义(P0.05)。组内治疗前后比较,B组、C组和D组治疗前后比较,均具有统计学意义(P0.05)。结论：1.足三里穴位注射维生素B1、B6能够明显改善糖尿病下肢神经病变血瘀脉阻型患者的症状和体征。2.足三里穴位注射维生素B1、B6能够明显提高糖尿病下肢神经病变血瘀脉阻型患者双下肢胫神经传导速度水平。
[Abstract]:Objective: to study the treatment of diabetic patients with lower extremity neuropathy by injecting vitamin B1 and vitamin B6 at Zusanli acupoint, and observe the improvement of nerve conduction velocity, symptoms and signs of lower extremities before and after treatment. To confirm the therapeutic effect of Zusanli acupoint injection on diabetic peripheral neuropathy of lower extremity, and to provide a reliable method for the treatment of diabetic lower extremity neuropathy. Methods: 120 patients with diabetic lower extremity neuropathy who met the inclusion criteria were selected. The patients were randomly divided into four groups: group A (30 cases), group B (30 cases) basic treatment, group B ( All the patients in the four groups were treated for 2 weeks. Observe TCM syndromes integral, change of tibial nerve conduction velocity (NCV) of lower extremity, collect data, and get the result by statistical analysis. The result is 1: 1. In the comparison of TCM syndromes score, the comparison between group D and the other three groups showed that the difference was statistically significant (P0.05) between), B group and Agna C group (P0.05); intra-group comparison showed that group B and group D were compared before and after treatment, the difference between group D and group D was significant before and after treatment (P0.05), and the difference between group D and group D was significant before and after treatment (P0.05). All had statistical significance (P0.05). Compared with other groups, the total effective rate of B6 group was 86.67, compared with other groups, P0.05, all had statistical significance. The comparison of nerve conduction velocity after treatment showed that the difference between group D and other three groups was statistically significant (P0.05), B group and C group were compared with group A, respectively). There was no significant difference between group D and group C (P0.05), B and group C, P0.05). Group B, group C and group D were compared before and after treatment, with statistical significance (P0.05). Conclusion 1. Injection of vitamin B1 and B6 at Zusanli acupoint can significantly improve the symptoms and signs of patients with diabetic lower extremity neuropathy with blood stasis and pulse obstruction. 2. Injection of vitamin B1 and B6 at Zusanli acupoint could significantly improve the tibial nerve conduction velocity in patients with diabetic lower extremity neuropathy with blood stasis and pulse obstruction.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R587.2
本文编号：2292646
[Abstract]:Objective: to study the treatment of diabetic patients with lower extremity neuropathy by injecting vitamin B1 and vitamin B6 at Zusanli acupoint, and observe the improvement of nerve conduction velocity, symptoms and signs of lower extremities before and after treatment. To confirm the therapeutic effect of Zusanli acupoint injection on diabetic peripheral neuropathy of lower extremity, and to provide a reliable method for the treatment of diabetic lower extremity neuropathy. Methods: 120 patients with diabetic lower extremity neuropathy who met the inclusion criteria were selected. The patients were randomly divided into four groups: group A (30 cases), group B (30 cases) basic treatment, group B ( All the patients in the four groups were treated for 2 weeks. Observe TCM syndromes integral, change of tibial nerve conduction velocity (NCV) of lower extremity, collect data, and get the result by statistical analysis. The result is 1: 1. In the comparison of TCM syndromes score, the comparison between group D and the other three groups showed that the difference was statistically significant (P0.05) between), B group and Agna C group (P0.05); intra-group comparison showed that group B and group D were compared before and after treatment, the difference between group D and group D was significant before and after treatment (P0.05), and the difference between group D and group D was significant before and after treatment (P0.05). All had statistical significance (P0.05). Compared with other groups, the total effective rate of B6 group was 86.67, compared with other groups, P0.05, all had statistical significance. The comparison of nerve conduction velocity after treatment showed that the difference between group D and other three groups was statistically significant (P0.05), B group and C group were compared with group A, respectively). There was no significant difference between group D and group C (P0.05), B and group C, P0.05). Group B, group C and group D were compared before and after treatment, with statistical significance (P0.05). Conclusion 1. Injection of vitamin B1 and B6 at Zusanli acupoint can significantly improve the symptoms and signs of patients with diabetic lower extremity neuropathy with blood stasis and pulse obstruction. 2. Injection of vitamin B1 and B6 at Zusanli acupoint could significantly improve the tibial nerve conduction velocity in patients with diabetic lower extremity neuropathy with blood stasis and pulse obstruction.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R587.2
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