针灸治疗糖尿病周围神经病变的疗效对比观察

Comparison of therapeutic effects of acupuncture and moxibustion on diabetic peripheral neuropathies

目的观察比较不同针灸疗法对糖尿病周围神经病变的疗效及对神经传导速度的影响。方法将54例患者随机分为基础治疗加针刺组(Ⅰ组)、基础治疗加穴位注射弥可保组(Ⅱ组)、基础治疗加梅花针叩刺组(Ⅲ组)3组进行比较观察。结果Ⅲ组有效率85.71%,Ⅱ组有效率76.47%,Ⅰ组有效率56.25%;Ⅲ组治疗后下肢运动神经传导速度、感觉神经传导速度有明显改善。结论与另外两种方法相比,梅花针叩刺对糖尿病周围神经病变有比较好的疗效。

Objective To observe and compare therapeutic ettects ot acupuncture, acupomt rejection and tapping with plum-blossom needle and its influences on the nerve conduction velocity in the patient of diabetic peripheral neu- ropathies. Methods Fifty-four cases were randomly divided into 3 groups. The group Ⅰ were treated by the basic treatment plus acupuncture, the group Ⅱ by the basic treatment plus acupoint injection of methycobal, and the group Ⅲ by the basic treatment plus tapping with plum-blossom needle. Results The effective rate was 85.71% in the group Ⅲ , 76.47% in the group Ⅱ and 56.25% in the group Ⅰ ; after treatment MCV and SCV improved sig- nificantly in the group Ⅲ. Conclusion The basic treatment plus tapping with plum-blossom needle has a better therapeutic effect on diabetic peripheral neuropathies.