推拿结合太极拳治疗糖尿病周围神经病变TCSS量表改善的临床疗效观察
发布时间：2018-09-01 17:17
【摘要】：目的：通过临床随机对照研究,观察推拿结合太极拳治疗糖尿病周围神经病变的临床症状改善的疗效。并对治疗前后的TCSS量表评分变化进行分析,评价不同方法治疗糖尿病周围神经病变的疗效差异。方法：以成都中医药大学附属医院、四川省第四人民医院、成都中医药大学第三附属医院的门诊或住院病人中的128例糖尿病周围神经病变病人为研究对象,随机将病人分为西药组、推拿组、太极拳组以及推拿加太极拳组。以推拿手法及二十四式太极拳为主要干预手段。在原糖尿病治疗方案,严格控制血糖的基础上,分别予甲钴胺口服治疗,推拿手法治疗,太极拳练习和推拿、太极拳二者结合的方法治疗。治疗周期为2个月。治疗1,2个月后,分别记录4组患者在治疗前后TCSS量表评分改善情况,并于治疗结束1个月后进行随访,观察量表波动水平情况。通过对病人治疗前后TCSS量表中症状、反射、感觉评分及总分的变化情况进行观察对比,分析四组间在治疗前后评分变化的差异。结果：1.西药组、推拿组、太极拳组、推拿加太极拳组、四组患者经两个月治疗后TCSS量表评分均有明显下降。2.治疗1个月后四组间组间对照,各项评分之间的差异(P0.05)。3.治疗2个月后组间比较：推拿加太极拳组与西药组之间对比,症状评分,感觉检测评分及总分明显优于西药组(P0.05)；推拿组和太极拳组之间对比,推拿组症状评分明显优于太极拳组(P0.05),其余评分太极拳组略优于推拿组(P0.05)；推拿组与西药组之间相互比较,症状评分明显优于西药组(P0.05),其余评分情况对比(P0.05)；太极拳组对比西药组,感觉检查评分明显优于西药组(P0.05)；三组之间总分相互比较(P0.05)。4.比较1个月随访后的量表得分情况,推拿组和西药组症状评分情况(P0.05),各组组间其余对比,差异性与治疗结束后各组组间对比结果相同。结论：1.推拿结合太极拳治疗对糖尿病周围神经病变有明显的效果,能有效降低TCSS量表评分水平,且方法安全、疗效稳定；2.西药口服,推拿治疗,太极拳练习三组治疗总体疗效类似；但推拿结合太极拳组,推拿组症状评分改善情况优于太极拳组、西药组改善情况,说明推拿治疗在改善DPN临床症状上具有较大优势；推拿结合太极拳组,太极拳组在感觉检测评分改善情况优于西药组,提示太极拳在改善患者感觉评分上具有一定优势。3.经推拿结合太极拳综合治疗后,能有效将TCSS量表评分控制在较低水平,后期疗效稳定。
[Abstract]:Objective: to observe the effect of massage combined with Taijiquan in the treatment of diabetic peripheral neuropathy. The changes of TCSS scale before and after treatment were analyzed to evaluate the difference of therapeutic effect between different methods in the treatment of diabetic peripheral neuropathy. Methods: a total of 128 patients with diabetic peripheral neuropathy from the hospital affiliated to Chengdu University of traditional Chinese Medicine, the fourth people's Hospital of Sichuan Province and the third affiliated Hospital of Chengdu University of traditional Chinese Medicine were studied. Patients were randomly divided into western medicine group, massage group, Taijiquan group and massage plus Taijiquan group. Massage and 24 style Taijiquan as the main intervention means. On the basis of the original diabetes treatment scheme and strict control of blood glucose, the patients were treated with oral megalobalamin, massage manipulation, Taijiquan exercise and massage, and Taijiquan combined with Taijiquan. The treatment period was 2 months. After 1 month and 2 months of treatment, the improvement of TCSS scale was recorded before and after treatment, and the fluctuation level of the scale was observed after 1 month of treatment. The changes of symptoms, reflexes, sensory scores and total scores in the TCSS scale before and after treatment were observed and compared, and the differences between the four groups before and after treatment were analyzed. The result is 1: 1. Western medicine group, massage group, Taijiquan group, massage plus Taijiquan group, four groups of patients after two months of treatment, the TCSS scale scores were significantly decreased. 2. After one month of treatment, the difference of scores between the four groups (P0.05). 3. After 2 months of treatment, the comparison between the massage plus Taijiquan group and the western medicine group, the symptom score, sensory test score and total score were significantly better than the western medicine group (P0.05); the comparison between the massage group and the Taijiquan group, The symptom score of massage group was significantly better than that of Taijiquan group (P0.05), the other group was slightly better than that of massage group (P0.05), the symptom score of massage group and western medicine group was significantly better than that of western medicine group (P0.05), the other scores were compared (P0.05). Taijiquan group compared with western medicine group, sensory test score was significantly better than western medicine group (P0.05), the total score between the three groups (P0.05). 4. Compared the scale score after 1 month follow-up, massage group and western medicine group symptom score (P0.05), the rest of the comparison between the groups, the difference was the same as after the end of treatment among the groups. Conclusion 1. Massage combined with Taijiquan has obvious effect on diabetic peripheral neuropathy, which can effectively reduce the score level of TCSS scale, and the method is safe and the curative effect is stable. 2. Western medicine oral, massage treatment, Taijiquan exercise three groups have similar overall efficacy, but the massage combined with Taijiquan group, massage group, the improvement of the symptoms of the group than Taijiquan group, Western medicine group improve the situation, The results showed that massage therapy had a great advantage in improving the clinical symptoms of DPN, while in the combination of massage and Taijiquan group, the improvement of sensory test score in Taijiquan group was better than that in western medicine group, suggesting that Taijiquan had a certain advantage in improving patients' sensory score. 3. After comprehensive treatment with massage and Taijiquan, the TCSS score was controlled to a lower level, and the curative effect was stable in the later stage.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259;R277.7
本文编号：2217853
[Abstract]:Objective: to observe the effect of massage combined with Taijiquan in the treatment of diabetic peripheral neuropathy. The changes of TCSS scale before and after treatment were analyzed to evaluate the difference of therapeutic effect between different methods in the treatment of diabetic peripheral neuropathy. Methods: a total of 128 patients with diabetic peripheral neuropathy from the hospital affiliated to Chengdu University of traditional Chinese Medicine, the fourth people's Hospital of Sichuan Province and the third affiliated Hospital of Chengdu University of traditional Chinese Medicine were studied. Patients were randomly divided into western medicine group, massage group, Taijiquan group and massage plus Taijiquan group. Massage and 24 style Taijiquan as the main intervention means. On the basis of the original diabetes treatment scheme and strict control of blood glucose, the patients were treated with oral megalobalamin, massage manipulation, Taijiquan exercise and massage, and Taijiquan combined with Taijiquan. The treatment period was 2 months. After 1 month and 2 months of treatment, the improvement of TCSS scale was recorded before and after treatment, and the fluctuation level of the scale was observed after 1 month of treatment. The changes of symptoms, reflexes, sensory scores and total scores in the TCSS scale before and after treatment were observed and compared, and the differences between the four groups before and after treatment were analyzed. The result is 1: 1. Western medicine group, massage group, Taijiquan group, massage plus Taijiquan group, four groups of patients after two months of treatment, the TCSS scale scores were significantly decreased. 2. After one month of treatment, the difference of scores between the four groups (P0.05). 3. After 2 months of treatment, the comparison between the massage plus Taijiquan group and the western medicine group, the symptom score, sensory test score and total score were significantly better than the western medicine group (P0.05); the comparison between the massage group and the Taijiquan group, The symptom score of massage group was significantly better than that of Taijiquan group (P0.05), the other group was slightly better than that of massage group (P0.05), the symptom score of massage group and western medicine group was significantly better than that of western medicine group (P0.05), the other scores were compared (P0.05). Taijiquan group compared with western medicine group, sensory test score was significantly better than western medicine group (P0.05), the total score between the three groups (P0.05). 4. Compared the scale score after 1 month follow-up, massage group and western medicine group symptom score (P0.05), the rest of the comparison between the groups, the difference was the same as after the end of treatment among the groups. Conclusion 1. Massage combined with Taijiquan has obvious effect on diabetic peripheral neuropathy, which can effectively reduce the score level of TCSS scale, and the method is safe and the curative effect is stable. 2. Western medicine oral, massage treatment, Taijiquan exercise three groups have similar overall efficacy, but the massage combined with Taijiquan group, massage group, the improvement of the symptoms of the group than Taijiquan group, Western medicine group improve the situation, The results showed that massage therapy had a great advantage in improving the clinical symptoms of DPN, while in the combination of massage and Taijiquan group, the improvement of sensory test score in Taijiquan group was better than that in western medicine group, suggesting that Taijiquan had a certain advantage in improving patients' sensory score. 3. After comprehensive treatment with massage and Taijiquan, the TCSS score was controlled to a lower level, and the curative effect was stable in the later stage.
【学位授予单位】：成都中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R259;R277.7
【引证文献】
相关期刊论文 前1条
1 林琴;彭德忠;包锐;杜正强;王可天;石江龙;;推拿疗法治疗2型糖尿病研究进展[J];中国疗养医学;2017年10期
，本文编号：2217853
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