腹针疗法联合阳明经排刺治疗糖尿病周围神经病变的临床观察及对神经反射情况的影响OA
Clinical Observation of Abdominal Acupuncture Combined with Yangming Meridian Row Needling in Treating Diabetic Peripheral Neuropathy and Its Effect on Neurological Reflexes
目的:探讨腹针疗法联合阳明经排刺治疗糖尿病周围神经病变临床观察及对神经反射情况的影响.方法:选取邢台市中医医院中医科2022 年8 月—2024 年6 月126 例糖尿病周围神经病变患者,随机数字表法分为对照组和试验组,每组63 例.对照组予以常规药物+阳明经排刺治疗,试验组在对照组治疗的基础上加用腹针疗法,比较两组临床疗效,评估患者症状缓解程度、神经传导速度测定检查情况、神经反射情况等.结果:试验组63 例患者剔除1 例、脱落2 例,最终纳入60 例;对照组63 例患者剔除1 例、脱落1 例,最终纳入61 例.试验组总有效率高于对照组(P<0.05);两组治疗前症状积分、胃排空及 BRU 测定结果、VPT 及下肢 NCV 比较,差异无统计学意义(P>0.05),试验组治疗后症状积分(肢体麻木、疼痛等)及 T1/2、BRU、VPT 数值均低于对照组(P<0.01),其腓神经及腓总神经的 MNCV、SNCV值显著高于对照组(P<0.01);两组治疗前神经反射各项评分比较,差异无统计学意义(P>0.05);试验组治疗后 MDNS、NSS 及 MNSI 评分均低于对照组(P<0.01).结论:腹针疗法联合阳明经排刺方案能够有效缓解糖尿病周围神经病变患者临床症状,改善其胃排空功能及膀胱功能,并提升患者下肢神经传导速度,合理优化其神经反射情况.
Objective:To explore the clinical observation and effect of abdominal acupuncture therapy combined with Yangming meridian puncture in the treatment of diabetic peripheral neuropathy and nerve reflexes.Methods:Selected 126 patients with diabetic peripheral neuropathy in the Department of Traditional Chinese Medicine,Xingtai Hospital of Traditional Chinese Medicine,from August 2022 to June 2024,grouped by the random number table method,63 patients in the control group were treated with conventional medication+Yangming meridian rows of puncture therapy,and 63 patients in the experimental group were applied with abdominal acupuncture on the basis of the treatment in the control group,comparing the clinical effects of the two groups,evaluating the degree of symptomatic relief of the patients,the examination of the nerve conduction velocity determination,and the nerve reflexes.and nerve reflexes.Results:In this study,1 case of 63 patients in the experimental group was excluded,2 cases were shed,and 60 cases were finally included;1 case of 63 patients in the control group was excluded,1 case was shed,and 61 cases were finally included.The total effect rate of the experimental group was higher than that of the control group(P<0.05);there was no significant difference in the comparison of symptom scores,gastric emptying and BRU measurements,VPT and NCV of the lower limbs between the two groups before treatment(P>0.05),and the symptom scores(limb numbness,pain,etc.)and the values of T1/2,BRU,and VPT were lower than those of the control group after the treatment of the experimental group(P<0.01),and the values of the peroneal nerve and the peroneal nerve's MNCV and SNCV were significantly higher than those of the control group(P>0.05).The MNCV and SNCV values of peroneal nerve and common peroneal nerve were significantly higher than those of the control group(P<0.01);there was no significant difference in the scores of nerve reflexes before treatment between the two groups(P>0.05);MDNS,NSS and MNSI scores of the experimental group were lower than those of the control group(P<0.01).Conclusion:The abdominal acupuncture therapy combined with the Yangming meridian puncture programme can effectively alleviate the clinical symptoms of patients with diabetic peripheral neuropathy,improve their gastric emptying function and bladder function,and enhance the nerve conduction velocity of the lower limbs of the patients,and reasonably optimize their nerve reflexes.
宗耀华;张增建;刘炫;张琳琳;吕云博;杜杨;郭倩倩;闫巍
邢台市中医医院,河北 邢台 054000邢台市中医医院,河北 邢台 054000邢台市中医医院,河北 邢台 054000邢台市中医医院,河北 邢台 054000广宗县中医医院,河北 邢台 054600邢台市中医医院,河北 邢台 054000邢台市中医医院,河北 邢台 054000邢台市中医医院,河北 邢台 054000
医药卫生
腹针疗法阳明经排刺糖尿病周围神经病变神经反射下肢感觉传导速度
Abdominal acupuncture therapyYangming meridian punctureDiabetic peripheral neuropathyNerve reflexesLower limb sensory conduction velocity
《中医药学报》 2026 (4)
79-83,5
邢台市市级科技计划项目(2024ZC239)
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