中药浴配合手足按摩治疗糖尿病周围神经病变效果分析(1)
[摘要] 目的 探讨和研究中药浴配合手足部穴位按摩对糖尿病性周围神经病变(DPN)的治疗效果。方法 将60例糖尿病性周围神经病变患者平均分成两组，对照组使用常规药物进行治疗，实验组在使用常规药物进行治疗的基础上，使用中药浴配合手足部穴位按摩法进行治疗12周，并将两组治疗效果进行比较。 结果 在总有效率上，实验组为90.0%，优于对照组(66.7%，P<0.05)；对照组和实验组的神经传导速度在治疗后全部得到明显改善(P<0.05)，且实验组患者的神经传导速度改善程度明显优于对照组(P<0.05)，组间差异有统计学意义。结论 使用中药浴配合手足部穴位按摩手法，促进糖尿病性周围神经病变治疗效果，明显好于使用单纯的西药治疗方法，值得临床推广。
[关键词] 糖尿病性周围神经病变；中药浴；手足穴位按摩
[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062(2016)01(b)-0082-03
Effect of Traditional Chinese Medicine Bath Combined with Hand Foot Massage on Diabetic Peripheral Neuropathy
QIU Yu
Department of Rehabilitation， Changchun City Central Hospital，Changchun，Jilin Province，130000 China
[Abstraot] Objective To investigate the therapeutic effect of acupoint massage on diabetic peripheral neuropathy (DPN) in the treatment of diabetic peripheral neuropathy. Methods 60 patients with diabetic peripheral neuropathy were divided into two groups， the control group was treated with conventional drugs， the experimental group was treated with conventional drugs， and the treatment of 12 weeks， and the two groups were compared with the traditional Chinese medicine bath with hand and foot massage. Results In total effective rate， the experimental group was 90%， better than the control group (66.7%， P<0.05)； the nerve conduction velocity in the control group and the experimental group were significantly improved (P<0.05)， and the nerve conduction velocity in the experimental group was significantly better than the control group (P<0.05)， the difference was statistically significant. Conclusion Using traditional Chinese medicine bath with hand foot and foot massage to promote the treatment effect of diabetic peripheral neuropathy， significantly better than the use of simple western medicine treatment， it is worthy of clinical promotion.
[Key words] Diabetic peripheral nerve disease； Traditional Chinese medicine bath； Hand foot acupoint massage
糖尿病性周围神经病变(DPN)是糖尿病患者较为常见的并发症之一，该并发症的发生率高达50%以上。该病的发生是多因素的，发病机理较为复杂，目前尚未完全阐明，但普遍认为是在糖尿病状态下微血管受损及血流动力学异常、代谢紊乱、神经营养因子减少等多种因素共同作用[1]。该院对2013年8月—2015年7月对相关糖尿病性周围神经病变患者，采用药物进行一般治疗的基础上，使用中药浴配合手足部穴位按摩，来治疗糖尿病性周围神经病变患者30例，取得了较为显著的效果，现报道如下。
1 资料与方法
1.1 一般资料
选择在该院收治的2型糖尿病患者共计60例作为研究对象。全部满足世界卫生组织对糖尿病的诊断标准，全部患者都存在手足麻木、疼痛等症状，且伴有浅感觉明显减退现象，肌电图显示神经传导存在障碍，确诊为糖尿病周围神经病变。将60例糖尿病周围神经病变患者按入住该院的先后顺序随机平均分成两组，对照组患者共计30例，男性患者17例，女性患者13例；年龄范围为35～72岁，平均年龄(53.7±4.3)岁；该组患者糖尿病病程0.7～25年，平均病程(6.42±2.8)年；糖尿病周围神经病变的病程0.5～5.2年，平均病程(4.2±1.2)年。实验组患者共计30例，男性患者共计19例，女性患者共计11例；年龄范围为32～76岁，平均年龄(51.4±5.8)岁；该组患者糖尿病病程1.7～19年，平均病程(7.3±2.6)年；糖尿病周围神经病变的病程0.3～7.2年，平均病程(3.4±2.1)年。实验组与对照组患者资料对比差异无统计学意义(P>0.05)，存在可比性。, http://www.100md.com(邱瑜)
[关键词] 糖尿病性周围神经病变；中药浴；手足穴位按摩
[中图分类号] R587.1 [文献标识码] A [文章编号] 1672-4062(2016)01(b)-0082-03
Effect of Traditional Chinese Medicine Bath Combined with Hand Foot Massage on Diabetic Peripheral Neuropathy
QIU Yu
Department of Rehabilitation， Changchun City Central Hospital，Changchun，Jilin Province，130000 China
[Abstraot] Objective To investigate the therapeutic effect of acupoint massage on diabetic peripheral neuropathy (DPN) in the treatment of diabetic peripheral neuropathy. Methods 60 patients with diabetic peripheral neuropathy were divided into two groups， the control group was treated with conventional drugs， the experimental group was treated with conventional drugs， and the treatment of 12 weeks， and the two groups were compared with the traditional Chinese medicine bath with hand and foot massage. Results In total effective rate， the experimental group was 90%， better than the control group (66.7%， P<0.05)； the nerve conduction velocity in the control group and the experimental group were significantly improved (P<0.05)， and the nerve conduction velocity in the experimental group was significantly better than the control group (P<0.05)， the difference was statistically significant. Conclusion Using traditional Chinese medicine bath with hand foot and foot massage to promote the treatment effect of diabetic peripheral neuropathy， significantly better than the use of simple western medicine treatment， it is worthy of clinical promotion.
[Key words] Diabetic peripheral nerve disease； Traditional Chinese medicine bath； Hand foot acupoint massage
糖尿病性周围神经病变(DPN)是糖尿病患者较为常见的并发症之一，该并发症的发生率高达50%以上。该病的发生是多因素的，发病机理较为复杂，目前尚未完全阐明，但普遍认为是在糖尿病状态下微血管受损及血流动力学异常、代谢紊乱、神经营养因子减少等多种因素共同作用[1]。该院对2013年8月—2015年7月对相关糖尿病性周围神经病变患者，采用药物进行一般治疗的基础上，使用中药浴配合手足部穴位按摩，来治疗糖尿病性周围神经病变患者30例，取得了较为显著的效果，现报道如下。
1 资料与方法
1.1 一般资料
选择在该院收治的2型糖尿病患者共计60例作为研究对象。全部满足世界卫生组织对糖尿病的诊断标准，全部患者都存在手足麻木、疼痛等症状，且伴有浅感觉明显减退现象，肌电图显示神经传导存在障碍，确诊为糖尿病周围神经病变。将60例糖尿病周围神经病变患者按入住该院的先后顺序随机平均分成两组，对照组患者共计30例，男性患者17例，女性患者13例；年龄范围为35～72岁，平均年龄(53.7±4.3)岁；该组患者糖尿病病程0.7～25年，平均病程(6.42±2.8)年；糖尿病周围神经病变的病程0.5～5.2年，平均病程(4.2±1.2)年。实验组患者共计30例，男性患者共计19例，女性患者共计11例；年龄范围为32～76岁，平均年龄(51.4±5.8)岁；该组患者糖尿病病程1.7～19年，平均病程(7.3±2.6)年；糖尿病周围神经病变的病程0.3～7.2年，平均病程(3.4±2.1)年。实验组与对照组患者资料对比差异无统计学意义(P>0.05)，存在可比性。, http://www.100md.com(邱瑜)