基于子午流注理论探讨择时艾灸对糖尿病周围神经病变的影响

Discussion on the Effect of Selective Moxibustion on Diabetic Peripheral Neuropathy Based on Meridian Flow Theory

目的探讨基于子午流注理论指导下的择时艾灸对糖尿病周围神经病变(Diabetic Peripheral Nuropathy,DPN)的临床疗效。方法将符合纳入标准的87例DPN患者随机分为常规治疗组、艾灸组、择时艾灸组各29例,常规治疗组予DPN常规基础治疗与护理,艾灸组在常规治疗组基础上予艾灸治疗,择时艾灸组则在常规治疗组基础上引入子午流注纳子理论择时艾灸,均干预2周后观察比较3组患者临床疗效、多伦多临床症状评分、中医证候积分改善情况。结果 3组患者多伦多临床症状评分、中医证候积分情况均较治疗前有明显改善(P <0.05),组间比较示择时艾灸组临床疗效、多伦多临床症状评分、中医证候积分改善情况最优、艾灸组次之,常规治疗组最差,差异有统计学意义(P <0.05)。结论基于子午流注理论指导下的择时艾灸可有效提高DPN的临床疗效,改善患者临床症状、疗效显著。

Objective To investigate the clinical efficacy of selective moxibustion on diabetic peripheral nuropathy(DPN)under the guidance of meridian flow theory.Methods Eighty-seven patients with DPN who met the inclusion criteria were randomly divided into the conventional treatment group,the moxibustion group and the selective moxibustion group.The conventional treatment group was given routine basic treatment and nursing of DPN.The moxibustion group was based on the conventional treatment group.In the moxibustion treatment,the moxibustion group introduced the meridian flow-injection theory moxibustion on the basis of the conventional treatment group.After 2 weeks of intervention,the clinical efficacy of the three groups of patients,the Toronto clinical symptom score,and the TCM symptom score were compared.Results The clinical symptom scores and TCM syndrome scores of the three groups were significantly improved compared with those before treatment(P<0.05).The clinical efficacy of the moxibustion group,the clinical symptom score of Toronto,and the improvement of TCM syndrome scores were optimal.The moxibustion group was the second,the conventional treatment group was the worst,and the difference was statistically significant(P<0.05).Conclusion Based on the meridian flow theory,the selective moxibustion can effectively improve the clinical efficacy of DPN,the clinical symptoms and curative effect of patients.