推拿結(jié)合太極拳治療糖尿病周圍神經(jīng)病變TCSS量表改善的臨床療效觀察
發(fā)布時間：2018-09-01 17:17
【摘要】：目的：通過臨床隨機(jī)對照研究,觀察推拿結(jié)合太極拳治療糖尿病周圍神經(jīng)病變的臨床癥狀改善的療效。并對治療前后的TCSS量表評分變化進(jìn)行分析,評價不同方法治療糖尿病周圍神經(jīng)病變的療效差異。方法：以成都中醫(yī)藥大學(xué)附屬醫(yī)院、四川省第四人民醫(yī)院、成都中醫(yī)藥大學(xué)第三附屬醫(yī)院的門診或住院病人中的128例糖尿病周圍神經(jīng)病變病人為研究對象,隨機(jī)將病人分為西藥組、推拿組、太極拳組以及推拿加太極拳組。以推拿手法及二十四式太極拳為主要干預(yù)手段。在原糖尿病治療方案,嚴(yán)格控制血糖的基礎(chǔ)上,分別予甲鈷胺口服治療,推拿手法治療,太極拳練習(xí)和推拿、太極拳二者結(jié)合的方法治療。治療周期為2個月。治療1,2個月后,分別記錄4組患者在治療前后TCSS量表評分改善情況,并于治療結(jié)束1個月后進(jìn)行隨訪,觀察量表波動水平情況。通過對病人治療前后TCSS量表中癥狀、反射、感覺評分及總分的變化情況進(jìn)行觀察對比,分析四組間在治療前后評分變化的差異。結(jié)果：1.西藥組、推拿組、太極拳組、推拿加太極拳組、四組患者經(jīng)兩個月治療后TCSS量表評分均有明顯下降。2.治療1個月后四組間組間對照,各項(xiàng)評分之間的差異(P0.05)。3.治療2個月后組間比較：推拿加太極拳組與西藥組之間對比,癥狀評分,感覺檢測評分及總分明顯優(yōu)于西藥組(P0.05)；推拿組和太極拳組之間對比,推拿組癥狀評分明顯優(yōu)于太極拳組(P0.05),其余評分太極拳組略優(yōu)于推拿組(P0.05)；推拿組與西藥組之間相互比較,癥狀評分明顯優(yōu)于西藥組(P0.05),其余評分情況對比(P0.05)；太極拳組對比西藥組,感覺檢查評分明顯優(yōu)于西藥組(P0.05)；三組之間總分相互比較(P0.05)。4.比較1個月隨訪后的量表得分情況,推拿組和西藥組癥狀評分情況(P0.05),各組組間其余對比,差異性與治療結(jié)束后各組組間對比結(jié)果相同。結(jié)論：1.推拿結(jié)合太極拳治療對糖尿病周圍神經(jīng)病變有明顯的效果,能有效降低TCSS量表評分水平,且方法安全、療效穩(wěn)定；2.西藥口服,推拿治療,太極拳練習(xí)三組治療總體療效類似；但推拿結(jié)合太極拳組,推拿組癥狀評分改善情況優(yōu)于太極拳組、西藥組改善情況,說明推拿治療在改善DPN臨床癥狀上具有較大優(yōu)勢；推拿結(jié)合太極拳組,太極拳組在感覺檢測評分改善情況優(yōu)于西藥組,提示太極拳在改善患者感覺評分上具有一定優(yōu)勢。3.經(jīng)推拿結(jié)合太極拳綜合治療后,能有效將TCSS量表評分控制在較低水平,后期療效穩(wěn)定。
[Abstract]:Objective: to observe the effect of massage combined with Taijiquan in the treatment of diabetic peripheral neuropathy. The changes of TCSS scale before and after treatment were analyzed to evaluate the difference of therapeutic effect between different methods in the treatment of diabetic peripheral neuropathy. Methods: a total of 128 patients with diabetic peripheral neuropathy from the hospital affiliated to Chengdu University of traditional Chinese Medicine, the fourth people's Hospital of Sichuan Province and the third affiliated Hospital of Chengdu University of traditional Chinese Medicine were studied. Patients were randomly divided into western medicine group, massage group, Taijiquan group and massage plus Taijiquan group. Massage and 24 style Taijiquan as the main intervention means. On the basis of the original diabetes treatment scheme and strict control of blood glucose, the patients were treated with oral megalobalamin, massage manipulation, Taijiquan exercise and massage, and Taijiquan combined with Taijiquan. The treatment period was 2 months. After 1 month and 2 months of treatment, the improvement of TCSS scale was recorded before and after treatment, and the fluctuation level of the scale was observed after 1 month of treatment. The changes of symptoms, reflexes, sensory scores and total scores in the TCSS scale before and after treatment were observed and compared, and the differences between the four groups before and after treatment were analyzed. The result is 1: 1. Western medicine group, massage group, Taijiquan group, massage plus Taijiquan group, four groups of patients after two months of treatment, the TCSS scale scores were significantly decreased. 2. After one month of treatment, the difference of scores between the four groups (P0.05). 3. After 2 months of treatment, the comparison between the massage plus Taijiquan group and the western medicine group, the symptom score, sensory test score and total score were significantly better than the western medicine group (P0.05); the comparison between the massage group and the Taijiquan group, The symptom score of massage group was significantly better than that of Taijiquan group (P0.05), the other group was slightly better than that of massage group (P0.05), the symptom score of massage group and western medicine group was significantly better than that of western medicine group (P0.05), the other scores were compared (P0.05). Taijiquan group compared with western medicine group, sensory test score was significantly better than western medicine group (P0.05), the total score between the three groups (P0.05). 4. Compared the scale score after 1 month follow-up, massage group and western medicine group symptom score (P0.05), the rest of the comparison between the groups, the difference was the same as after the end of treatment among the groups. Conclusion 1. Massage combined with Taijiquan has obvious effect on diabetic peripheral neuropathy, which can effectively reduce the score level of TCSS scale, and the method is safe and the curative effect is stable. 2. Western medicine oral, massage treatment, Taijiquan exercise three groups have similar overall efficacy, but the massage combined with Taijiquan group, massage group, the improvement of the symptoms of the group than Taijiquan group, Western medicine group improve the situation, The results showed that massage therapy had a great advantage in improving the clinical symptoms of DPN, while in the combination of massage and Taijiquan group, the improvement of sensory test score in Taijiquan group was better than that in western medicine group, suggesting that Taijiquan had a certain advantage in improving patients' sensory score. 3. After comprehensive treatment with massage and Taijiquan, the TCSS score was controlled to a lower level, and the curative effect was stable in the later stage.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R259;R277.7
本文編號：2217853
[Abstract]:Objective: to observe the effect of massage combined with Taijiquan in the treatment of diabetic peripheral neuropathy. The changes of TCSS scale before and after treatment were analyzed to evaluate the difference of therapeutic effect between different methods in the treatment of diabetic peripheral neuropathy. Methods: a total of 128 patients with diabetic peripheral neuropathy from the hospital affiliated to Chengdu University of traditional Chinese Medicine, the fourth people's Hospital of Sichuan Province and the third affiliated Hospital of Chengdu University of traditional Chinese Medicine were studied. Patients were randomly divided into western medicine group, massage group, Taijiquan group and massage plus Taijiquan group. Massage and 24 style Taijiquan as the main intervention means. On the basis of the original diabetes treatment scheme and strict control of blood glucose, the patients were treated with oral megalobalamin, massage manipulation, Taijiquan exercise and massage, and Taijiquan combined with Taijiquan. The treatment period was 2 months. After 1 month and 2 months of treatment, the improvement of TCSS scale was recorded before and after treatment, and the fluctuation level of the scale was observed after 1 month of treatment. The changes of symptoms, reflexes, sensory scores and total scores in the TCSS scale before and after treatment were observed and compared, and the differences between the four groups before and after treatment were analyzed. The result is 1: 1. Western medicine group, massage group, Taijiquan group, massage plus Taijiquan group, four groups of patients after two months of treatment, the TCSS scale scores were significantly decreased. 2. After one month of treatment, the difference of scores between the four groups (P0.05). 3. After 2 months of treatment, the comparison between the massage plus Taijiquan group and the western medicine group, the symptom score, sensory test score and total score were significantly better than the western medicine group (P0.05); the comparison between the massage group and the Taijiquan group, The symptom score of massage group was significantly better than that of Taijiquan group (P0.05), the other group was slightly better than that of massage group (P0.05), the symptom score of massage group and western medicine group was significantly better than that of western medicine group (P0.05), the other scores were compared (P0.05). Taijiquan group compared with western medicine group, sensory test score was significantly better than western medicine group (P0.05), the total score between the three groups (P0.05). 4. Compared the scale score after 1 month follow-up, massage group and western medicine group symptom score (P0.05), the rest of the comparison between the groups, the difference was the same as after the end of treatment among the groups. Conclusion 1. Massage combined with Taijiquan has obvious effect on diabetic peripheral neuropathy, which can effectively reduce the score level of TCSS scale, and the method is safe and the curative effect is stable. 2. Western medicine oral, massage treatment, Taijiquan exercise three groups have similar overall efficacy, but the massage combined with Taijiquan group, massage group, the improvement of the symptoms of the group than Taijiquan group, Western medicine group improve the situation, The results showed that massage therapy had a great advantage in improving the clinical symptoms of DPN, while in the combination of massage and Taijiquan group, the improvement of sensory test score in Taijiquan group was better than that in western medicine group, suggesting that Taijiquan had a certain advantage in improving patients' sensory score. 3. After comprehensive treatment with massage and Taijiquan, the TCSS score was controlled to a lower level, and the curative effect was stable in the later stage.
【學(xué)位授予單位】：成都中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R259;R277.7
【引證文獻(xiàn)】
相關(guān)期刊論文 前1條
1 林琴;彭德忠;包銳;杜正強(qiáng);王可天;石江龍;;推拿療法治療2型糖尿病研究進(jìn)展[J];中國療養(yǎng)醫(yī)學(xué);2017年10期
，本文編號：2217853
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