电针结合药物治疗2型糖尿病周围神经病疗效观察

Observations on the Efficacy of Electroacupuncture plus Medication for Peripheral Neuropathy in Type 2 Diabetes

目的观察电针配合口服甲钴胺、依帕司他治疗2型糖尿病周围神经病变的临床疗效,并探讨其治疗机制。方法将符合纳入标准的80例2型糖尿病患者随机分为治疗组和对照组,每组40例。治疗组采用电针配合口服甲钴胺、依帕司他治疗,对照组采用单纯药物治疗。两组患者治疗2个疗程后分别进行神经传导速度测定及疗效评定。结果治疗组治疗后神经传导速度与对照组比较,差异均具有统计学意义(P<0.05)。治疗组痊愈率和总有效率分别为35.0%和87.5%,对照组分别为17.5%和77.5%,两组比较差异均具有统计学意义(P<0.05)。结论电针结合药物是一种治疗2型糖尿病周围神经病的有效方法。

Objective To investigate the clinical efficacy of electroacupuncture plus oral administration of mecobalamin and epalrestat in treating peripheral neuropathy in type 2 diabetes. Methods Eighty patients with type 2 diabetes meeting the inclusion criteria were randomly allocated to treatment and control groups, 40 cases each. The treatment group received electroacupuncture plus oral administration of mecobalamin and epalrestat and the control group, medication alone. Nerve conduction velocity（NCV） was determined and the therapeutic effects were evaluated in the two groups of patients after two courses of treatment. Results There was a statistically significant post-treatment difference in NCV between the treatment and control groups（P〈0.05）. The recovery rate and total efficacy rate were 35.0% and 87.5%, respectively, in the treatment group and 17.5% and 77.5%, respectively, in the control group; there were statistically significant differences in both between the two groups（P〈0.05）. Conclusion Electroacupuncture plus medication is an effective way to treat peripheral neuropathy in type 2 diabetes.