穴位按摩联合超声药物导入治疗糖尿病周围神经病变的效果评估

Efficacy evaluation of acupoint massage combined with ultrasonic drug introduction on diabetic peripheral neuropathy

目的探讨穴位按摩联合超声药物导入治疗糖尿病周围神经病变(DPN)患者的效果。方法选取2018年6年至2019年8月内科住院治疗DPN患者78例,随机分为联用组和单用组,每组各39例。两组予饮食调整、适当运动锻炼、药物降血糖、改善微循环和营养神经等基础治疗。单用组在此基础治疗上予穴位按摩治疗,联用组在单用组基础上加超声药物导入治疗,两组均连用4周。观察两组治疗前后多伦多临床评分系统(TCSS)、踝肱指数(ABI)和足部单项检查及综合评分(CFS)的变化,并比较其临床疗效。结果治疗4周后,两组TCSS评分及CFS评分较治疗前明显下降,ABI较治疗前明显上升(P<0.05或P<0.01),且联用组变化幅度较单用组更显著(P<0.05);同时联用组临床总有效率为94.87%,明显高于单用组的79.49%(χ2=4.131,P<0.05)。结论穴位按摩联合超声药物导入治疗DPN患者的效果确切,能促进运动和感觉神经的恢复,缓解临床症状,对DPN患者有较好的治疗作用。

Objective To investigate the efficacy of acupoint massage combined with ultrasonic drug introduction on diabetic peripheral neuropathy(DPN).Methods A total of 78 DPN patients hospitalized in internal medicine from June 2018 to August 2019 were selected and randomly divided into the combined-use group and the single-use group,with 39 cases in each group.Both groups were given basic treatments such as diet control,proper exercise,and drug control of blood glucose,improvement of microcirculation and nutrition of nerves.The single-use group was treated with acupoint massage on the basis of this treatment,and the combined-use group was treated with ultrasonic drug introduction on the basis of the single-use group,both of which was treated for 4 weeks.The changes of Toronto Clinical Score System(TCSS),ankle brachial index(ABI)and foot single examination and comprehensive score(CFS)before and after treatment were observed,and their clinical efficacies were compared.Results After 4 weeks of treatment,TCSS score and CFS score of the two groups decreased significantly,ABI increased significantly(P<0.05 or P<0.01),and the change range of the combined-use group was more significant than that of the single-use group(P<0.05).At the same time,the total clinical efficacy rate of the combined-use group was 94.87%,which was better than 79.49%of the single-use group(χ2=4.131,P<0.05).Conclusion Acupoint massage combined with ultrasonic drug introduction are better than acupoint massage alone in treating DPN patients,which can accelerate the recovery of motor and sensory nerves,improve clinical symptoms and have a better therapeutic efficacy on DPN patients.