运动联合穴位按摩治疗糖尿病合并下肢动脉硬化闭塞症效果.docVIP

运动联合穴位按摩治疗糖尿病合并下肢动脉硬化闭塞症效果 　　摘 要 目的：探?运动联合穴位按摩治疗社区糖尿病合并下肢动脉硬化闭塞症患者的效果。方法：选择伴有下肢动脉硬化闭塞症的糖尿病患者150例，随机分为社区管理组和运动干预组各75例。社区管理组进行常规糖尿病管理，运动干预组在社区管理基础上进行运动联合穴位按摩干预。分别比较两组在干预前和干预9、18个月后的跛行距离、动脉硬化指数（AI）、踝肱指数（ABI）、血管多普勒超声表现。结果：干预9个月时，运动干预组患者的跛行距离大于干预前和社区管理组（P0.05）。结论：对于糖尿病合并下肢动脉硬化闭塞患者应在常规社区管理基础上联合运动和穴位按摩进行干预，对患者症状改善和病情控制有积极意义 关键词 下肢动脉硬化闭塞；糖尿病；运动疗法；穴位按摩 中图分类号：R587.1 文献标志码：A 文章编号：1006-1533（2017）02-0027-03 Effect of exercise combined with acupoint massage in the treatment of the diabetes mellitus with lower limb arteriosclerosis obliterans SUN Haifeng1， CHEN Yulan1， HOU Xiaolei2（1.Sichuanbeilu Community Health Service Center of Hongkou District， Shanghai 200080， China； 2.Yueyang Integrated Traditional Chinese and Western Medicine Hospital affiliated to Shanghai TCM University of Shanghai 200437， China） ABSTRACT Objective： To investigate the effect of exercise combined with acupoint massage in the treatment of the diabetes mellitus with lower limb arteriosclerosis obliterans. Methods： One hundred and fifty cases of diabetes mellitus with lower limb arteriosclerosis obliterans were selected and randomly divided into a community management group and an exercise intervention group with 75 cases each. The community management group received the conventional diabetic management， while the exercise intervention group received the exercise combined with acupoint massage on the base of the community management. The claudication distance， atherogenic index（AI）， ankle brachial index（ABI）and expression of vascular Doppler ultrasound were compared on admission， after 9 and 18 months of intervention. Results： After intervention for 9 months， the claudication distance of the exercise intervention group was longer than those before intervention and the community management group（P0.05）. Conclusion： The diabetic patients with lower limb arteriosclerosis obliterans should be intervened by exercise combined with acupoint massage based on the conventional community management， whi