【摘要】 目的:观察针灸联合西药治疗糖尿病周围神经病变的临床疗效。方法:将62例糖尿病周围神经病变患者随机分成针灸组和对照组,针灸组32例,对照组30例。两组均在常规西医控制血糖血脂治疗的基础上,给予硫辛酸静脉滴注及维生素B1和弥可保口服,同时针灸组加予针刺治疗,治疗2周后比较两组患者的临床治疗效果。结果:针灸组总有效率为87.1%,对照组为60%,针灸组总有效率明显高于对照组(P<0.01)。针灸组和对照组腓总神经的运动神经传导速度和感觉神经传导速度在治疗后均较治疗前有明显改善(P<0.05),并且针灸组神经传导速度改善情况优于对照组(P<0.05)。结论:针灸对改善糖尿病周围神经病变的临床症状及提高神经传导速度均有一定效果。更多还原

【Abstract】 Objective: To compare the differences in the therapeutic effect on diabetic peripheral neuropathy between the combined therapy of acupuncture and western medicine and only medicines. Methods: 62 patients with diabetes peripheral neuropathy were randomly divided into two groups. Under the satisfactory control of blood glucose and blood lipids,all the patients were dripped alpha lipoic acid and took Vitamin B1 and Methylcobalamin orally. In addition,the treatment group was treated by acupuncture. After 2 weeks of treatment,the conduction velocity of peroneus communis nerve was measured before and after treatment in two groups. Results: The effective rates were 87. 1% and 60% in the treatment group and the control group,respectively. There was a statistically significant difference( P < 0. 01). After treatment,the motor nerve conduction velocity( MCV) and sensory nerve conduction velocity( SCV) of peroneus communis nerve were higher in the treatment group and the control group( P <0. 05),and the motor nerve conduction velocity( MNCV) and sensory nerve conduction velocity( SNCV) of peroneus communis nerve in the treatment group were higher than those in the control group( P < 0. 05). Conclusion: Acupuncture has a clinically significant efficacy on diabetic peripheral neuropathy.更多还原