电子灸治疗糖尿病周围神经病变疗效观察

Observations on the Therapeutic Effect of Electronic Moxibustion on Diabetic Peripheral Neuropathy

目的观察电子灸治疗糖尿病周围神经病变(肝肾亏虚型)的临床疗效。方法将90例糖尿病周围神经病变(肝肾亏虚型)患者随机分为治疗组44例和对照组46例。治疗组采用电子灸治疗,对照组采用中药熏洗足部治疗。两组均治疗10次为1个疗程,共治疗3个疗程。观察两组治疗前后中医症状总积分及密歇根神经筛查量表(MNSI)评分的变化情况,并比较两组临床疗效。结果两组治疗1、2、3个疗程后中医症状总积分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后中医症状总积分改善率为(60.9±16.7)%,对照组为(56.6±19.2)%,两组比较差异具有统计学意义(P<0.01)。治疗组总有效率为97.7%,对照组为95.7%,两组比较差异无统计学意义(P>0.05)。治疗组治疗后MNSI评分差值为(2.98±3.66)分,对照组为(0.78±2.92)分,两组比较差异具有统计学意义(P<0.01)。结论电子灸是一种治疗糖尿病周围神经病变的有效方法,其疗效略优于中药熏洗。

Objective To investigate the clinical efficacy of electronic moxibustion in treating diabetic peripheral neuropathy （liver-kidney deficiency type）. Methods Ninety patients with diabetic peripheral neuropathy （liver-kidney deficiency type） were randomized to a treatment group （44 cases） and a control group （46 cases）. The treatment group received electronic moxibustion and the control group, Chinese herbal fumigation of feet. Both groups were treated 10 times as a course for a total of three courses. The TCM symptom total score and the Michigan Neuropathy Screening Instrument （MNSI） score were recorded in the two groups before and after treatment. The clinical therapeutic effects were compared between the two groups. Results There was a statistically significant pre-/post-treatment difference in the TCM symptom total score in both groups after one, two and three courses of treatment （P〈0.01）. The TCM symptom total score improvement rate was （60.9±16.7）% in the treatment group and （56.6±19.2）% in the control group; there was a statistically significant difference between the two groups （P〈0.01）. The total efficacy rate was 97.7% in the treatment group and 95.7% in the control group; there was no statistically significant difference between the two groups （P〉0.05）. The pre-/post-treatment MNSI score difference value was （2.98±3.66） in the treatment group and （0.78±2.92） in the control group; there was a statistically significant difference between the two groups （P〈0.01）. Conclusions Electronic moxibustion is an effective way to treat diabetic peripheral neuropathy. Its therapeutic effect is slightly better than that of Chinese herbal fumigation.