针刺结合刺络放血对糖尿病周围神经病的临床疗效观察

发布时间：2018-03-04 07:33

本文选题：糖尿病周围神经病变　切入点：刺络放血　出处：《黑龙江中医药大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:观察针刺结合刺络放血对糖尿病周围神经病的临床疗效,评价此疗法的有效性。方法:将60例符合纳入标准的DPN患者,按照入院先后随机分为两组,治疗组30例,对照组30例。两组进行相同的基础治疗,治疗组针刺配合三棱针井穴刺络放血,针刺选穴为:双侧八邪、丘墟、足临泣、京骨、八风等穴;对照组单纯针刺,选穴同治疗组。观察治疗前后,DPN患者的中医症候积分和MNSI积分的对比,同时对比治疗前后胫神经等神经传导速度的数据变化,通过对统计数据的处理得出结论。结果:1.两组总有效率分别为86.7%和63.3%,治疗组优于对照组(P0.05);2.两组症状均有缓解,对照组组中医症候积分高于治疗组(P0.01);3.MNSI积分均有下降,治疗后对照组MNSI积分减少不及治疗组(P0.01);4.治疗后治疗组胫神经和腓总神经的运动神经传导速度较对照组均有显著提升(P0.05);5.治疗后治疗组腓肠神经的感觉神经传导速度提升高于对照组(P0.05)结论:1.针刺结合刺络放血疗法治疗糖尿病性周围神经病有一定疗效。2.针刺结合刺络放血疗法比单纯针刺效果更佳。
[Abstract]:Objective: to observe the clinical effect of acupuncture combined with pricking and bleeding on diabetic peripheral neuropathy and to evaluate the effectiveness of this therapy. Methods: 60 DPN patients who met the criteria were randomly divided into two groups according to the admission order, the treatment group (30 cases), and the control group (30 cases). 30 cases in the control group were treated with the same basic treatment. The acupuncture in the treatment group combined with the acupoints of Sanleng needle to prick the collaterals and bloodletting, the acupuncture points were as follows: bilateral eight evil, Qiu market, foot sobbing, Jing Gu, Bafeng, etc. The control group was treated only with acupuncture, and the patients in the control group were treated only with acupuncture. In the same treatment group, we observed the comparison of TCM symptom score and MNSI score before and after treatment, and compared the data changes of tibial nerve conduction velocity before and after treatment. Results the total effective rates of the two groups were 86.7% and 63.3 respectively, and the treatment group was superior to the control group (P0.05) 2.The symptoms of the two groups were relieved, and the TCM symptom score of the control group was higher than that of the treatment group, and the MNSI score of the treatment group was lower than that of the control group. After treatment, the MNSI score of the control group decreased less than that of the treatment group (P 0.01). The motor nerve conduction velocity of tibial nerve and common peroneal nerve in the treatment group was significantly higher than that in the control group. The sensory nerve conduction velocity of the sural nerve in the treatment group after treatment was significantly higher than that in the control group. ConclusionAcupuncture combined with pricking and bloodletting therapy is effective in the treatment of diabetic peripheral neuropathy. 2. Acupuncture combined with pricking bloodletting therapy is more effective than simple acupuncture therapy in the treatment of diabetic peripheral neuropathy.
【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】：2017
【分类号】：R246

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