足部穴位按摩对0级糖尿病足神经病变干预的临床研究.pdfVIP

2010 3 24 3 (315 ) ·601 · · · 0 1) Clinical study on foot acupoints massage as int ervent ion for pat ients wit h grade 0 diabetic foot neuropathy 杨　莉,王宁玫 Yang Li,Wang Ningmei (TCM Hospital of Jiangsu Province,Jiangsu 210029 China) :[目的]观察常规基础治疗上加足 Abstract 　 bjective:To observe intervention effect of foot acupoints 部穴位按摩对0 级糖尿病足神经病变的 massage based on routine treatment on patients with grade 0 diabeticfoot 干预效果。[方 ] 采用随机对照临床研 neuropathy.Methods:By adopting randomized controlled clinical study, 究, 实验组予糖尿病基础治疗+足部穴 patients in test group were given basic diabetic treatment plus foot acu- 位按摩, 对照组予糖尿病基础治疗, 共治 points massage for 12 weeks.Patients in control group were only received 疗12 周,观察两组临床总疗效、足部感 the basic treatment of diabetes for 12 weeks.Then total clinical efficacy, 觉异常(VAS 评分)及神经传导速度、神 foot paresthesia (VAS score), nerve conduction velocity, and changes of 经诱发电位波幅的变化。[结果] 实验组 amplitude of evoked potential of all cases had been observed.Results:In 在改善肢端麻木感、疼痛感、冷感、感觉 terms of the acral numbness, pain, cold feeling, sensory subsidence and 减退和神经传导速度及诱发电位波幅等 方面明显优于对照组(P0.05 或P nerve conduction velocity and evoked potential amplitude, improvement 0.01), 且临床总有效率(90%)明显高于 of patients in test group were much better than that of control group after treatment (P0.05 or P0.01).The clinical total effective rate of test 对照组(30%, P0.01)。 [结论] 常规 基础治疗+足部穴位按摩对0 级糖尿病 group was 90%remarkably higher than that of 30%in control group ca- 足神经病变有 一定改善作用, 可降低糖 ses (P0.01).Conclusions:Conventional basic treatment in combination 尿病足发生的危险。