摘要
Objective： To observe the clinical efficacy of warm acupuncture in the treatment of diabetic peripheral neuropathy and its effects on the conduction velocity of the tibial nerve and common fibular nerve. Methods： Fifty-two subjects were evenly randomized into two groups and treated by conventional therapy; in addition, the control group was given mecobalamin injection at 500μg, once a day for four weeks, and treatment group was given warm acupuncture, 6 times a week for 4 weeks. The clinical efficacy and the conduction velocity of the tibial nerve and common fibular nerve were observed and compared between the two groups. Results： After four-week treatments, the total effective rate was 88.5% in the treatment group and 61.5% in the control group, with a higher rate in the treatment group than in the control group （P〈0.05）; the conduction velocity of tibial nerve and common fibular nerve was higher in both groups （P〈0.05）, with higher conduction velocity in the treatment group than in the control group （P〈0.05）. Conclusion： Warm acupuncture is quite effective to treat diabetic peripheral neuropathy and to improve nerve velocity.
目的：观察温针治疗糖尿病周围神经病患者的临床疗效及对胫神经和腓总神经传导速度的影响。方法：把52例符合纳入标准的患者随机分为治疗组和对照组，每组26例．两组均在基础治疗上，治疗组采用温针疗法。每日1次，每星期治疗6次，共治疗4星期。对照组肌注弥可保（甲钴胺针）500μg，每日1次，共治疗4星期。检查并记录治疗前后两组患者临床症状及胫神经、腓总神经传导速度，并进行比较。结果：治疗4星期后，治疗组总有效率为88．5％，对照组为61．5％，两组，临床疗效比较治疗组优于对照组（P〈0．05）；神经传导速度比较两组治疗后均优于治疗前，差异有统计学意5Z．（P〈0．05）；治疗后比较治疗组胫神经感觉神经传导速度及腓总神经运动传导速度均优于对照组（P〈0．05）。结论：温针疗法治疗糖尿病周围神经病具有良好的临床疗效，且可以改善神经传导速度，是治疗糖尿病周围神经病变的有效方法之一。
