| 引用本文:彭静，罗胜.梅花针叩刺治疗脾肾两虚夹瘀型糖尿病周围神经病变的临床观察[J].世界中医药,2020,(12):. |
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| 梅花针叩刺治疗脾肾两虚夹瘀型糖尿病周围神经病变的临床观察 |
| Clinical Observation on Treatment of Diabetic Peripheral Neuropathy with Spleen-kidney Deficiency Complicated by Stasis Type by the Plum-blossom Needle |
| 投稿时间：2019-02-23 |
| DOI：10.3969/j.issn.1673-7202.2020.12.029 |
| 中文关键词: 梅花针叩刺；脾肾两虚夹瘀型；糖尿病周围神经病变；神经功能 临床观察 |
| English Keywords:Plum-blossom needle Spleen-kidney deficiency by stasis type type Diabetic peripheral neuropathy Nerve function Clinical observation |
| 基金项目:广东省中医药局科研项目(20171201)——自血穴位注射疗法治疗慢性阻塞性肺疾病急性加重期及对炎性因子的影响研究 |
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| 中文摘要: |
| 目的：探讨梅花针叩刺治疗脾肾两虚夹瘀型糖尿病周围神经病变(DPN)的临床效果。方法：选取2015年2月至2018年1月广州市番禺区中医院收治的脾肾两虚夹瘀型DPN患者110例作为研究对象，随机分为对照组(n＝50)与观察组(n＝60)。对照组给予硫辛酸+甲钴胺治疗，观察组在对照组治疗的基础上给予梅花针叩刺治疗，2组均治疗观察28 d，记录并观察2组的疗效和预后。结果：观察组的总有效率为98.3%，显著高于对照组的88.0%(P<0.05)。治疗后2组的神经电图潜伏期低于治疗前，且波幅高于治疗前，2组比较差异有统计学意义(P<0.05)。2组治疗后正中神经和腓总神经的MNCV、SNCV高于治疗前，且观察组高于对照组，差异均有统计学意义(P<0.05)。治疗后6个月随访，观察组的复发率为1.7%，显著低于对照组的14.0%，差异有统计学意义(P<0.05)。结论：梅花针叩刺治疗脾肾两虚夹瘀型DPN能改善神经功能指标，提高治疗效果，降低远期复发率。 |
| English Summary: |
| To investigate effects of diabetic peripheral neuropathy (DPN) with spleen-kidney deficiency by stasis type by the plum-blossom needle.Methods:From February 2015 to January 2018，a total of 110 cases of DPN with spleen-kidney deficiency by stasis type in Panyu Hospital of Chinese Medicinewere selected as the research objects and were divided into an observation group (60 cases) and a control group (50 cases) accorded to different treatment methods.The control group were treated with lipoic acid+mecobalamin，and the observation group were given the plum-blossom needle based on the control group.The 2 groups were treated 28 days and the prognosis of the 2 groups were recorded and observed.Results:The total effective rates of the observation group were 98.3%，which were significantly higher than that of the control group (88.0%) (P<0.05).The latency of the electroencephalogram was lower than that before treatment，and the amplitude were higher than that before treatment.The differences was statistically significant (P<0.05).There were also significant difference in the difference compared between the observation group and the control group after treatment (P<0.05).The MNCV and SNCV of the median nerve and common peroneal nerve in the 2 groups after treatment were higher than those before treatment，and the observation group were higher than the control group and differences were statistically significant (P<0.05).The followed-up recurrence rates in the 6 month of the observation group were 1.7%，which were significantly lower than the control group of 14.0% (P<0.05).Conclusion:Plum-blossom needle treatment of DPN with spleen-kidney deficiency by stasis type can improve neurological function，improve treatment effects and reduce long-term recurrence rate. |
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