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平衡针结合柴胡疏肝散治疗糖尿病痛性周围神经病变临床疗效分析
Clinical efficacy analysis of balance needle combined with Chaihu Shugan Powder in the treatment of diabetic peripheral neuropathy

内科 201813卷04期 页码:592-595

作者机构:甘肃省定西市第二人民医院,定西市743000

基金信息:

DOI:DOI:10.16121/j.cnki.cn45-1347/r.2018.04.16

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目的探讨平衡针结合柴胡疏肝散治疗糖尿病痛性周围神经病变的临床疗效及对患者血糖水平和神经传导速度的影响。方法选取2017年2月至2018年3月我院收治的糖尿病痛性周围神经病变患者82例,随机分为观察组和对照组,每组41例。两组患者均给予基础治疗,在此基础上,对照组患者采取柴胡疏肝散治疗;观察组患者在对照组治疗基础上应用平衡针治疗。比较两组患者的临床疗效、血糖水平、神经传导速度。结果治疗2个月,观察组患者的治疗总有效率(95.1%)显著高于对照组(78.1%),临床疗效显著优于对照组,差异有统计学意义(P<0.05);观察组患者的空腹血糖(FBG)、餐后2h血糖(2hPBG)、糖化血红蛋白水平(HbA1c)水平显著低于对照组,差异有统计学意义(P<0.05);观察组患者正中神经、腓总神经、胫神经的运动神经传导速度(MCV)与感觉神经传导速度(SCV)显著高于对照组,差异有统计学意义(P<0.05)。结论平衡针与柴胡疏肝散联合治疗糖尿病痛性周围神经病变患者临床疗效显著,可明显缓解临床症状,有效调控血糖水平,有效修复神经功能,值得推广应用。
ObjectiveTo explore the clinical efficacy of balance needle combined with Chaihu Shugan Powder in treatment of diabetic peripheral neuropathy and its influences on blood glucose level and nerve conduction velocity. MethodsA total of 82 patients with diabetic peripheral neuropathy treated in our hospital from February 2017 to March 2018 were randomly divided into observation group and control group,with 41 cases in each group.The two groups were given basic treatment,On this basis, the control group was treated with Chaihu Shugan Powder,while the observation group was treated with balance needle on the basis of the therapeutic method of control group.The clinical efficacy,blood glucose level and nerve conduction velocity were compared between two groups. ResultAfter 2 mouths treatment,the total effective rate of observation group (95.12%) was higher than control group (78.05%),with statistical significance (P<0.05).The fasting blood glucose (FBG), postprandial 2h blood glucose (2hPBG) and glycosylated hemoglobin (HbA1c) in observation group were significantly lower than those in control group (P<0.05).The nerve conduction velocities (MCV) of nervus medianus,nervus peroneus communis,nervus tibialis and the sensory nerve conduction velocity (SCV) of observation group were all significantly higher than those in control group,with statistical significance (P<0.05). ConclusionThe balance needle combined with Chaihu Shugan Powder in the treatment of diabetic peripheral neuropathy has a good effect,it can significantly relieve clinical symptoms,effectively reduce blood glucose level and enhance the nerve conduction velocity,which is worthy of promoting.

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