铺灸疗法治疗糖尿病周围神经病变70例临床观察

摘要

Objective To investigate the effectiveness and safety of spread moxibustion in the treatment of diabetic peripheral neuropathy,to provide reference for clinical treatment.Methods 140 patients with diabetic peripheral neuropathy admitted to Qinhuangdao Hospital of Traditional Chinese Medicine from January 2014 to December 2016 were selected as the subjects,according to random number table,all the patients were divided into two groups,with 70 cases in each group.Both groups were treated with the conventional therapy,the control group was treated with Mecobalamin,based on the treatment of control group,the observation group was treated with spread moxibustion.After 2 courses of treatment,the clinical efficacy,symptom score,nerve conduction and adverse reaction rate were compared between the two groups.Results After 2 courses of treatment,the total effective rate of the observation group was 90.00％,which was significantly higher than that in the control group (71.43％),the difference was statistically significant (P ＜ 0.05);the improvement of cold foot,numbness of lower limb,lower limb pain and sense like ants climbing in the observation group were significantly better than those in the control group,the differences were statistically significant (P ＜ 0.05);the symptom scores in the observation group were significantly lower than those in the control group,the difference was statistically significant (P ＜ 0.05);the nerve conduction velocity of the observation group was significantly higher than that of the control group,the difference was statistically significant (P ＜ 0.05);there was no significant difference in the incidence of adverse reactions between the two groups (P ＞ 0.05).Conclusion Compared with conventional western medicine treatment,moxibustion therapy can significantly improve the clinical curative effect of diabetic peripheral neuropathy,which can significantly improve the clinical symptoms and nerve conduction velocity,with no obvious adverse reactions,it is worthy of clinical attention.%目的 探讨铺灸疗法治疗糖尿病周围神经病变的有效性与安全性,旨在为临床治疗提供参考依据.方法 选取2014年1月～2016年12月秦皇岛市中医医院收治的140例糖尿病周围神经病变患者作为研究对象,按照随机数字表法分为两组,各70例.两组均给予常规治疗,对照组给予甲钴胺治疗,观察组在对照组治疗的基础上给予铺灸疗法治疗.治疗2个疗程后,比较两组患者的临床疗效、症状积分、神经传导及不良反应发生率.结果 治疗2个疗程后,观察组总有效率为90.00％,明显高于对照组的71.43％,差异有统计学意义(P＜0.05);观察组足部发凉、下肢麻木、刺痛、蚁行改善效果明显优于对照组,差异有统计学意义(P＜0.05);观察组症状积分明显低于对照组,差异有统计学意义(P＜0.05);观察组神经传导速度明显高于对照组,差异有统计学意义(P＜0.05);两组患者不良反应发生率比较差异无统计学意义(P＞0.05).结论 相较于西医常规治疗,铺灸疗法明显提高了糖尿病周围神经病变的临床疗效,明显改善了患者临床症状及神经传导速度,且无明显不良反应发生,值得临床重视.