针刺治疗2型糖尿病并发面神经炎临床研究

Clinical Study on the Acupuncture Treatment of Type 2 Diabetes Associated with Facial Neuritis

目的:观察辨证分型针刺治疗2型糖尿病并发面神经炎的临床疗效。方法:将52例患者,随机分为观察组、对照组各26例。观察组分为风邪外袭证、肝胆湿热证、气滞痰阻证、肾阴不足证,选用相应腧穴施以补泻进行针刺治疗。并辨证取穴:风邪外袭证分为风寒、风热,风寒证加用双侧风池;用泻法,风热证加双侧风池、曲池、内庭;用泻法。肝胆湿热证加用双侧阳陵泉、太冲,用泻法。气滞痰阻证,加用中脘、气海、丰隆、中脘、气海用补法,丰隆用泻法;肾阴不足证加用外关、太溪、行间,太溪用补法,外关、行间用泻法。对照组采用常规电针治疗。疗程结束后,比较两组Sunnybrook面神经功能评分和临床疗效。结果:观察组治疗后Sunnybrook面神经功能评分为(88.92±4.06)分,对照组为(74.27±3.89)分,与治疗前比较,差异均有统计学意义(P<0.05);观察组治疗后明显高于对照组(P<0.05)。观察组痊愈11例,显效9例;对照组痊愈8例,显效5例;观察组痊愈率、显效率均显著高于对照组(P<0.05)。结论:辨证分型针刺治疗2型糖尿病并发面神经炎疗效显著。

Objective： To observe the clinical effect of type 2 diabetes associated with facial neuritis treated with acupuncture by classification of syndrome differentiation. Methods： 52 cases were randomly divided into the observation group and the control group,with 26 cases in each group. The observation group was divided into the different syndrome： superficies attacked by pathogenic wind,dampness-heat of liver and gallbladder,Qi stagnation and phlegm stagnation,deficiency of the kidney Yin,which were accordingly treated with acupuncture by tonification and purgation according to acupoint. The syndrome of superficies attacked by pathogenic wind was divided into wind-cold,wind-heat. The wind-cold syndrome additionally treated with bilateral Fengchi acupoint（ GB20） by purgation method. The wind-heat syndrome treated with bilateral Fengchi acupoint（ GB20）,Quchi acupoint（ LI11）,Neiting acupoint（ ST44） by purgation method. The syndrome of dampness-heat of liver and gallbladder additionally treated with bilateral Yanglingquan acupoint（ GB34）,Taichong acupoint（ LR3） by purgation method. The syndrome of Qi stagnation and phlegm stagnation additionally treated with Zhongwan acupoint（ CV12）,Qihai acupoint（ CV6） by tonification method,Fenglong acupoint（ ST40） by purgation method. The syndrome of deficiency of the kidney Yin additionally treated with Taixi acupoint（ KI3） by tonification method,Waiguan acupoint（ SJ5） and Xingjian（ LR2） acupoint by purgation method. The control group treated with regular electroacupuncture. To compare the Sunnybrook facial nerve function point and clinical curative effect of the two groups after the course of treatment. Results： The Sunnybrook facial nerve function of the observation group get（ 88. 92 ± 4. 06）points,the control group get（ 74. 27 ± 3. 89） points. There were both significantly statistical differences compared with pre-treatment（ P〈0. 05）. The observation group was more significant compared with the control group after treatment（ P〈0. 05）. 11 cases of observation group were cured,9 cases of it were cured excellently. 8 cases of control group were cured,5 cases of it were cured excellently. The cure rate in observation group was superior than in control group（ P〈0. 05）. Conclusion： The acupuncture treatment of type 2 diabetes associated with facial neuritis by classification of syndrome differentiation acquired an excellent cure.