摘要
目的 分析探讨腕踝针刺治疗痛性糖尿病周围神经疾病的临床效果。方法 选择我院2024.03～2024.06所接收的30例痛性糖尿病周围神经病变患者为研究对象，平均分为观察组（腕踝针刺治疗）与对照组（西医常规治疗），将两组治疗前后的疼痛度（NRS）、神经功能缺损度（NDS）、神经病变度（TCSS）以及神经筛查评分（五项简单筛查法）进行比较。结果 治疗后观察组NRS评分（3.76±1.11）分，比对照组（5.62±1.74）分低（P<0.05）；NDS评分（1.67±1.23）分，比对照组（3.74±1.12）分低（P<0.05）；TCSS评分（7.46±1.05）分，比对照组（9.87±1.41）分低（P<0.05）；五项简单筛查法评分（3.21±1.16）分，比对照组（6.62±1.23）分低（P<0.05）。结论 腕踝针刺治疗痛性糖尿病周围神经疾病效果明显，值得广泛推广与应用。
关键词： 腕踝针刺；痛性糖尿病周围神经疾病；神经功能
Abstract
Objective To analyze the clinical effect of wrist and ankle acupuncture in the treatment of painful diabetic peripheral nerve diseases. Methods Thirty patients with painful diabetic peripheral neuropathy received in our hospital from 2024.03 to 2024.06 were selected as the study objects, and were evenly divided into observation group (wrist and ankle acupuncture treatment) and control group (conventional Western medicine treatment). The pain degree (NRS), neurological function deficit (NDS), neuropathy degree (TCSS) and neurological screening score (five simple screening methods) before and after treatment were compared between the two groups. Results After treatment, the NRS score of observation group (3.76±1.11) was lower than that of control group (5.62±1.74) (P<0.05). NDS score (1.67±1.23) was lower than that of control group (3.74±1.12) (P<0.05). The TCSS score (7.46±1.05) was lower than that of the control group (9.87±1.41) (P<0.05). The score of five simple screening methods (3.21±1.16) was lower than that of the control group (6.62±1.23) (P<0.05). Conclusion Wrist and ankle acupuncture is effective in the treatment of painful diabetic peripheral nerve diseases, which is worthy of widespread promotion and application.
Key words： Wrist and ankle acupuncture; Painful diabetic peripheral nerve disease; Neural function
参考文献 References
[1] 杨曼,李奕平,杨莹，等.多伦多临床神经病变评分在2型糖尿病周围神经病变筛查中的应用及对临床治疗的评价[J].昆明医科大学学报,2020,41(5):75-79.
[2] 代建成,罗平平,梁键锋，等.2型糖尿病下肢周围神经病变的超声形态参数与密歇根神经病变筛查评分系统的关系研究[J].中国医学工程,2018,26(9):30-33.
[3] 郑玲,胡华龙.依帕司他联合丁苯酞软胶囊对痛性糖尿病周围神经病变患者的影响[J].中外医学研究,2024,22(4): 115-118.
[4] 张馨心,冷锦红.基于络病理论探讨痛性糖尿病周围神经病变的中医诊疗思路[J].中医药临床杂志,2024,36(1):6-9.
[5] 孙仰婷,刘晓英,龙尚丽，等.加巴喷丁联合依帕司他治疗痛性糖尿病周围神经病变的效果[J].西北药学杂志, 2024,39(1):143-146.
[6] 龚雪琳,董胜军,贾中鑫，等.龙虎交战针刺法治疗痛性糖尿病周围神经病变患者的效果及其对神经传导速度及氧化应激水平的影响[J].医学理论与实践,2024, 37(8): 1313-1315.
[7] 付婷婷,赵璐,张珂珂，等.桑皮饮加味和揿针联合西药治疗痛性糖尿病周围神经病变的疗效及对神经功能、睡眠质量的影响[J].中医研究,2023,36(5):39-44.
[8] 朱浩,陈浩.腕踝针针刺对脑梗死后睡眠障碍患者改善睡眠的临床研究[J].内蒙古中医药,2024,43(2):114-115.
[9] 常健菲,吴开明,王顺，等.腕踝针联合中频脉冲治疗仪治疗糖尿病周围神经病变临床研究[J].针灸临床杂志,2020, 36(6):28-31.
[10] 高华,姚发利.腕踝针联合中频脉冲治疗仪治疗糖尿病周围神经病变患者的临床疗效分析[J].中文科技期刊数据库（全文版）医药卫生,2021(5):0051-005153.