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温针灸联合穴位埋线治疗糖尿病周围神经病变的效果分析

Effect Analysis of Warm Acupuncture Combined with Acupoint Catgut Embedding in the Treatment of Diabetic Peripheral Neuropathy

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目的 探究糖尿病周围神经病变患者在治疗期间选择温针灸联合穴位埋线治疗的效果.方法 选取2022年1月—2023年6月山东德州陵城区人民医院康复医学科收治的106例糖尿病周围神经病变患者为研究对象,根据不同的治疗方法分为对照组和观察组,各53例.对照组实施常规治疗,观察组实施温针灸联合穴位埋线治疗,比较两组的神经传导速度[腓总神经感觉神经传导速度(sensory nerve conduction velocity,SCV)、腓总神经运动传导速度(motion conduction velocity,MCV)、正中神经MCV、正中神经SCV]、血流动力学(全血黏度、血浆比黏度、纤维蛋白原)、中医证候积分、不良反应发生率、临床疗效.结果 观察组各项神经传导速度均高于对照组,差异有统计学意义(P均<0.05).观察组各项血流动力学指标均低于对照组,差异有统计学意义(P均<0.05).观察组中医证候积分低于对照组,差异有统计学意义(P<0.05).观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05).观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05).结论 温针灸联合穴位埋线治疗糖尿病周围神经病变,可提高患者的神经传导速度,改善其血流动力学指标,降低其不良反应发生率,提高治疗有效率.
Objective To explore the effect of warm acupuncture combined with acupoint catgut embedding in pa-tients with diabetic peripheral neuropathy during treatment.Methods A total of 106 patients with diabetic peripheral neuropathy admitted to the Department of Rehabilitation Medicine,Lingcheng District People's Hospital of Dezhou City,Shandong Province from January 2022 to June 2023 were selected as the study objects and divided into control group and observation group according to different treatment methods,with 53 cases in each group.The control group was treated with routine treatment,and the observation group was treated with warm acupuncture combined with acu-point embedding.The nerve conduction velocity[sensory nerve conduction velocity(SCV)of common peroneal nerve,motion conduction velocity(MCV)of common peroneal nerve,MCV of median nerve,SCV of median nerve],hemody-namics(whole blood viscosity,plasma specific viscosity,fibrinogen),traditional Chinese medicine syndrome score,in-cidence of adverse reactions and clinical efficacy were compared between the two groups.Results The nerve conduc-tion velocities of the observation group were higher than that of the control group,and the differences were statistically significant(all P<0.05).The hemodynamic indexes of the observation group were lower than those of the control group,and the differences were statistically significant(all P<0.05).The traditional Chinese medicine syndrome score of the observation group was lower than that of the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).The total effective rate of the observation group was higher than that of the con-trol group,and the difference was statistically significant(P<0.05).Conclusion Warm acupuncture combined with acu-point catgut embedding therapy for diabetic peripheral neuropathy can improve the nerve conduction velocity of pa-tients,improve their hemodynamic indexes,reduce the incidence of adverse reactions,and improve the effective rate of treatment.

Diabetic peripheral neuropathyCombined therapyAcupoint catgut embeddingWarm acupuncture

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山东德州陵城区人民医院康复医学科,山东 德州 253500

糖尿病周围神经病变 联合疗法 穴位埋线 温针灸

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(13)
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