耳穴压丸及中药熏洗对糖尿病血管病变的治疗作用的临床观察

Clinical observation on treating diabetic vascular diseases with auricular pill and herbal fumigation

目的通过观察耳穴压豆疗法及中药熏洗法对糖尿病血管的影响,以肯定其临床治疗效果。方法回顾性分析本院2016年9月至2017年9月收治的糖尿病的患者临床资料,选择120例糖尿病并伴有血管病变的患者作为本临床试验的研究对象,采用随机分组、平行对照、自身前后对照的观察方法。将纳入实验的120例患者随机分为治疗组和对照组,每组60例,治疗组给予耳穴压丸疗法及中药熏洗法,对照组给予温水熏洗,以1个月为1个疗程,连续治疗1个疗程,比较分析2组患者糖尿病及血管病变症状、体征及临床疗效的改善情况。结果根据治疗组和对照组在连续治疗1个疗程前、后的症状及体征的改善进行评定,治疗组痊愈31例,显效14例,有效11例,无效4例,总有效率93.3%;对照组痊愈12例,显效15例,有效16例,无效17例,总有效率71.7%,治疗组的总有效率明显优于对照组,差异有统计学意义(P=0.024)。结论耳穴压丸疗法及中药熏洗法能够显著改善糖尿病血管病变患者的临床症状及体征,安全性高,为今后临床推广运用中医护理技术治疗糖尿病血管病变提供依据。

Objective To observe the effects of auricular pressure bean therapy and traditional Chinese medicine fumigation and washing method on the blood vessels of diabetes to confirm its clinical effect. Methods The clinical data of patients with diabetes mellitus admitted from September 2016 to September 2017 in our hospital were retrospectively analyzed. 120 patients with diabetes mellitus and vascular disease were selected as the study subjects. Using random grouping, parallel control, before and after their own control method of observation. The 120 patients included in the experiment were randomly divided into treatment group and control group, 60 cases in each group. The treatment group was treated with Auricular Pill and the traditional Chinese medicine fumigation method. The control group was given warm water fumigation. One month was a course of treatment, Continuous treatment of a course of treatment, comparative analysis of two groups of patients with diabetes and vascular disease symptoms, signs and improvement of clinical efficacy. Results According to the improvement of symptoms and signs of the treatment group and the control group before and after continuous treatment of one course of treatment, the treatment group cured 31 cases, markedly effective in 14 cases, effective in 11 cases, ineffective in 4 cases, the total effective rate was 93.3%; control The group was cured in 12 cases, markedly effective in 15 cases, effective in 16 cases, ineffective in 17 cases, the total effective rate was 71.7%. The total effective rate in the treatment group was significantly better than that in the control group. The difference was statistically significant（P = 0.024）. Conclusion Auricular palliative therapy and traditional Chinese medicine fumigation and washing method can significantly improve the clinical symptoms and signs of diabetic patients with vascular disease, high safety, and provide evidence for clinical promotion of the use of traditional Chinese medicine in the treatment of diabetic vascular disease in the future.