电针与穴位注射治疗糖尿病周围神经病变的时效观察

发布时间：2019-02-20 22:10

【摘要】：目的比较电针与穴位注射对糖尿病周围神经病变患者治疗作用的时效特点。方法 68例患者均在降糖药基础上,按随机数字法分为电针组33例,穴位注射组35例(注入弥可保注射液)。分别于治疗前及治疗后20d、40d、60d分别进行临床症状积分、神经病变积分、总体疗效评定。结果 2组随着治疗时间的延长,症状积分均呈不断下降趋势;电针起效较快,但随着治疗时间的延长出现"平台期"现象,穴位注射法起效迟于电针,但效应维持较持久。治疗20d时电针组的总有效率高于穴位注射组(P0.05),至60d时穴位注射组疗效超过电针组(P0.05)。穴位注射降低麻木症状积分的效果优于电针(P0.05),电针改善疼痛积分的疗效较优(P0.05)。2种方法在神经病变积分改善方面差异未呈现出统计学意义(P0.05)。结论电针与穴位注射疗法在改善本病患者的全身症状、神经病变体征等方面,既有共同的时效规律,同时亦呈现出各自不同的疗效特点。
[Abstract]:Objective to compare the effect of electroacupuncture and acupoint injection on diabetic peripheral neuropathy. Methods Sixty-eight patients were randomly divided into electroacupuncture group (n = 33) and acupoint injection group (n = 35) on the basis of hypoglycemic drugs. The clinical symptom score, neuropathy score and total curative effect were evaluated before and 20 days after treatment. Results with the prolongation of the treatment time, the symptom scores of the two groups showed a downward trend, the effect of electroacupuncture was faster, but with the prolongation of the treatment time, the effect of acupoint injection was later than that of electroacupuncture, but the effect was sustained. The total effective rate of the electroacupuncture group was higher than that of the acupoint injection group at 20 days (P0.05), and the curative effect of the acupoint injection group was higher than that of the electroacupuncture group at 60 days (P0.05). The effect of point injection in reducing numbness symptom score was better than that of electroacupuncture (P0.05), and the effect of electroacupuncture on improving pain score was better (P0.05). There was no significant difference in the improvement of neuropathy score between the two methods (P0.05). Conclusion Electro-acupuncture and acupoint injection therapy can improve the systemic symptoms and signs of neuropathy in patients with this disease.
【作者单位】：南京中医药大学第二临床医学院;南京中医药大学附属医院;
【基金】：江苏省中医药局科技项目(LZ09004)
【分类号】：R246

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