目的探讨二甲双胍联合低频脉冲刺激穴位疗法对糖尿病足患者神经病变的修复效果。方法选择糖尿病足神经病变患者150例,按照随机数字法分为观察组(n=75)和对照组(n=75),比较2组患者治疗效果、神经传导速度、空腹血糖、饭后2 h血糖、糖化...目的探讨二甲双胍联合低频脉冲刺激穴位疗法对糖尿病足患者神经病变的修复效果。方法选择糖尿病足神经病变患者150例,按照随机数字法分为观察组(n=75)和对照组(n=75),比较2组患者治疗效果、神经传导速度、空腹血糖、饭后2 h血糖、糖化血红蛋白及不良反应。结果观察组患者治疗后总有效率为92.00%,显著高于对照组的76.00%(P<0.05)。治疗后,2组胫神经及腓总神经的感觉神经传导速度(SCV)和运动神经传导速度(MCV)显著增加(P<0.05),且观察组患者胫神经及腓总神经的SCV、MCV显著高于对照组(P<0.05)。治疗后,2组空腹血糖(FBG)、饭后2 h血糖(2 h PBG)、糖化血红蛋白(Hb A1C)水平显著降低(P<0.05),且观察组Hb A1C、FBG、2 h PBG水平显著低于对照组(P<0.05)。观察组总并发症发生率为8.00%,显著低于对照组20.00%(P<0.05)。结论二甲双胍联合低频脉冲刺激穴位疗法治疗糖尿病足患者神经病变效果显著。展开更多
Objective To investigate the clinical efficacy of electroacupuncture for the treatment of Achilles tendonitis. Methods Sixty patients with Achilles tendonitis at the age of 18-55 years old were randomly divided into e...Objective To investigate the clinical efficacy of electroacupuncture for the treatment of Achilles tendonitis. Methods Sixty patients with Achilles tendonitis at the age of 18-55 years old were randomly divided into electroacupuncture group （group A） and low frequency impulse group （group B） according to the random number table with 30 patients in each group. Chengshan （承山 BL 57）, Ashi point, Taixi （太溪 KI 3） and Kunlun （昆仑 BL 60） were selected as main acupoints, local point selection was adopted as main method and distal point selection as supplement. Patients in group A were treated with electroacupuncture and in group B were treated with low frequency impulse therapeutic apparatus. Patients in both groups were treated for 12 times, 3 times per week in the 1st and 2nd weeks, twice a week in the 3rd and 4th weeks, and once a week in the Sth and 6th weeks, with a total of 6 weeks. The heel pain VAS scores, tenderness and efficacy of dysfunction in two groups were comparatively analyzed. Results Pain： there was significant difference in pain scores in group A before and after treatment （1.67±0.71 vs 3.03±1.81, P〈0.01）, and the difference in pain scores was not significant in group B before and after treatment （2.13±1.17 vs 2.87±1.57, P〉0.05）. Tenderness： In group A, 13 patients had mild tenderness, 15 had moderate tenderness and 2 had severe tenderness before treatment. After treatment, 26 patients had mild tenderness, 4 had moderate tenderness and no patients had severe tenderness. In group B, 15 patients had mild tenderness, 14 had moderate tenderness and 1 had severe tenderness before treatment. After treatment, 24 patients had mild tenderness, 5 had moderate tenderness and one patient had severe tenderness. Dysfunction： in group A, 12 patients had mild dysfunction, 16 had moderate dysfunction and 2 had severe dysfunction before treatment. After treatment, 24 patients had mild dysfunction, 6 had moderate dysfunction and no patients had severe dysfunction. In group B, 13 patients had mild dysfunction, 15 had moderate dysfunction and 2 had severe dysfunction before treatment. After treatment, 14 patients had mild dysfunction, 13 had moderate dysfunction and one patient had severe dysfunction. There is significant difference in total effective rate between two groups [100%（30/30） vs 86.67（26/30）, P〈0.05]. Conclusion Electroacupuncture has better therapeutic effect than that low frequency impulse therapy in the treatment of Achilles tendonitis, which can eliminate or improve symptoms, as well as heighten the quality of life for patients.展开更多
文摘目的探讨二甲双胍联合低频脉冲刺激穴位疗法对糖尿病足患者神经病变的修复效果。方法选择糖尿病足神经病变患者150例,按照随机数字法分为观察组(n=75)和对照组(n=75),比较2组患者治疗效果、神经传导速度、空腹血糖、饭后2 h血糖、糖化血红蛋白及不良反应。结果观察组患者治疗后总有效率为92.00%,显著高于对照组的76.00%(P<0.05)。治疗后,2组胫神经及腓总神经的感觉神经传导速度(SCV)和运动神经传导速度(MCV)显著增加(P<0.05),且观察组患者胫神经及腓总神经的SCV、MCV显著高于对照组(P<0.05)。治疗后,2组空腹血糖(FBG)、饭后2 h血糖(2 h PBG)、糖化血红蛋白(Hb A1C)水平显著降低(P<0.05),且观察组Hb A1C、FBG、2 h PBG水平显著低于对照组(P<0.05)。观察组总并发症发生率为8.00%,显著低于对照组20.00%(P<0.05)。结论二甲双胍联合低频脉冲刺激穴位疗法治疗糖尿病足患者神经病变效果显著。
文摘Objective To investigate the clinical efficacy of electroacupuncture for the treatment of Achilles tendonitis. Methods Sixty patients with Achilles tendonitis at the age of 18-55 years old were randomly divided into electroacupuncture group （group A） and low frequency impulse group （group B） according to the random number table with 30 patients in each group. Chengshan （承山 BL 57）, Ashi point, Taixi （太溪 KI 3） and Kunlun （昆仑 BL 60） were selected as main acupoints, local point selection was adopted as main method and distal point selection as supplement. Patients in group A were treated with electroacupuncture and in group B were treated with low frequency impulse therapeutic apparatus. Patients in both groups were treated for 12 times, 3 times per week in the 1st and 2nd weeks, twice a week in the 3rd and 4th weeks, and once a week in the Sth and 6th weeks, with a total of 6 weeks. The heel pain VAS scores, tenderness and efficacy of dysfunction in two groups were comparatively analyzed. Results Pain： there was significant difference in pain scores in group A before and after treatment （1.67±0.71 vs 3.03±1.81, P〈0.01）, and the difference in pain scores was not significant in group B before and after treatment （2.13±1.17 vs 2.87±1.57, P〉0.05）. Tenderness： In group A, 13 patients had mild tenderness, 15 had moderate tenderness and 2 had severe tenderness before treatment. After treatment, 26 patients had mild tenderness, 4 had moderate tenderness and no patients had severe tenderness. In group B, 15 patients had mild tenderness, 14 had moderate tenderness and 1 had severe tenderness before treatment. After treatment, 24 patients had mild tenderness, 5 had moderate tenderness and one patient had severe tenderness. Dysfunction： in group A, 12 patients had mild dysfunction, 16 had moderate dysfunction and 2 had severe dysfunction before treatment. After treatment, 24 patients had mild dysfunction, 6 had moderate dysfunction and no patients had severe dysfunction. In group B, 13 patients had mild dysfunction, 15 had moderate dysfunction and 2 had severe dysfunction before treatment. After treatment, 14 patients had mild dysfunction, 13 had moderate dysfunction and one patient had severe dysfunction. There is significant difference in total effective rate between two groups [100%（30/30） vs 86.67（26/30）, P〈0.05]. Conclusion Electroacupuncture has better therapeutic effect than that low frequency impulse therapy in the treatment of Achilles tendonitis, which can eliminate or improve symptoms, as well as heighten the quality of life for patients.
