导引法配合针刺郄穴、原穴治疗气阴两虚夹瘀型2型糖尿病周围神经病变临床观察

Guiding Method Combined with Acupuncture at Cleft Point and Primary Point in the Treatment of Type 2 Diabetic Peripheral Neuropathy of Qi and Yin Deficiency with Blood Stasis Type

目的 观察导引法配合针刺郄穴、原穴对气阴两虚夹瘀型2型糖尿病周围神经病变(DPN)的临床疗效。方法 将2019年1月—2020年9月在秦皇岛中医医院内分泌二科门诊或病房就诊的67例气阴两虚夹瘀型2型DPN患者作为研究对象,随机分为治疗组33例和对照组34例。治疗组在基础治疗的同时加古本易筋经十二势导引后针刺郄穴、原穴,对照组在基础治疗的同时加甲钴胺片口服,比较2组治疗效果。结果 治疗组总有效率为93.9%(31/33),明显高于对照组的64.7%(22/34),差异有统计学意义(P<0.05);治疗后2组患者中医证候积分均较治疗前减少,且治疗组优于对照组,差异有统计学意义(P<0.05);治疗后2组多伦多临床评分均较治疗前减少,且治疗组优于对照组,差异有统计学意义(P<0.05);治疗后2组神经传导速度均较治疗前提高,且治疗组优于对照组,差异有统计学意义(P<0.05);2组在治疗过程中均未出现不良反应。结论 导引法配合针刺郄穴、原穴能够改善气阴两虚夹瘀型2型DPN的临床症状,提高神经传导速度,适合临床推广应用。

Objective To observe the clinical effect of guiding method combined with acupuncture at cleft point and primary point in the treatment of type 2 diabetic peripheral neuropathy(DPN)of qi and yin deficiency with blood stasis type.Methods A total of 67 DPN patients with qi and yin deficiency with blood stasis type who were treated in Qinhuangdao Hospital of Traditional Chinese Medi-cine from January 2019 to September 2020 were selected as the study objects,and randomly divided into the treatment group of 33 cases and the control group of 34 cases.The treatment group received acupuncture at cleft point and primary point with Guben Yijin-jing twelve positions guidance at the same time of basic treatment,and the control group was oral treated with mecobalamine tablets at the same time.The therapeutic effect of the two groups was compared.Results The total effective rate of the treatment group was 93.9%(31/33),which was significantly higher than that of the control group(64.7%,22/34),and the difference was statistically signifi-cant(P<0.05).After treatment,the TCM syndrome scores of 2 groups were lower than before treatment,and the treatment group was better than the control group,and the difference was statistically significant(P<0.05).After treatment,the Toronto clinical scores of the 2 groups were lower than before treatment,and the treatment group was better than the control group,and the difference was statis-tically significant(P<0.05).After treatment,the nerve conduction velocity of the 2 groups was higher than that before treatment,the treatment group was better than the control group,and the difference was statistically significant(P<0.05).There were no adverse reac-tions in both groups during treatment.Conclusion guiding method combined with acupuncture at cleft point and primary point in the treatment of type 2 diabetic DPN of qi and yin deficiency with blood stasis type can improve the clinical symptoms and nerve conduc-tion velocity,and is suitable for clinical application.