【摘要】：目的:通過(guò)治療前后臨床癥狀改善有效率的比較,研究綜合治療加用低頻脈沖刺激穴位療法是否可以提高DPN患者臨床癥狀的改善程度,同時(shí)比較不同下肢動(dòng)脈狹窄程度對(duì)臨床治療有效率的影響。材料與方法:將符合標(biāo)準(zhǔn)的60例患者分為兩組進(jìn)行試驗(yàn)。所有患者均進(jìn)行基礎(chǔ)糖尿病教育,同時(shí)均給予相同常規(guī)中西醫(yī)結(jié)合降糖方案。治療組在基礎(chǔ)治療上,加用低頻脈沖治療儀刺激穴位治療,兩組療程均為12天。對(duì)患者治療前后的臨床癥狀情況進(jìn)行調(diào)查評(píng)分,并在過(guò)程中觀察患者有無(wú)不良反應(yīng),以判定低頻脈沖治療儀刺激穴位治療的有效性,同時(shí)比較不同下肢動(dòng)脈狹窄程度對(duì)患者臨床癥狀治療有效率的影響。結(jié)果:1治療完成時(shí),治療組總有效率為86.67%,對(duì)照組總有效率為80%,經(jīng)統(tǒng)計(jì)學(xué)比較,得出P0.05,說(shuō)明差異具有統(tǒng)計(jì)學(xué)意義,說(shuō)明低頻脈沖刺激穴位療法在改善DPN氣血兩虛兼血瘀證的臨床癥狀方面優(yōu)于對(duì)照組,提示聯(lián)合該方法治療DPN可明顯提高臨床治療的有效率。2治療結(jié)束后,兩組共60例患者中,伴有下肢血管狹窄者共4例,治療完成后治愈0例,顯效0例,有效1例,無(wú)效3例,總有效率25%;伴有下肢動(dòng)脈可疑狹窄者共23例,治療完成后治愈1例,顯效5例,有效12例,無(wú)效5例,總有效率78.26%;下肢血管無(wú)狹窄者33例,治療完成后治愈2例,顯效13例,有效17例,無(wú)效1例,總有效率96.97%;數(shù)據(jù)經(jīng)過(guò)統(tǒng)計(jì)學(xué)處理后,P0.05,具有統(tǒng)計(jì)學(xué)意義,說(shuō)明下肢動(dòng)脈狹窄程度對(duì)DPN治療的效果有一定的影響。結(jié)論:1.在中西醫(yī)綜合用藥的基礎(chǔ)上加用低頻脈沖穴位治療,可提高DPN患者臨床癥狀的改善程度。2.DPN患者下肢動(dòng)脈狹窄程度對(duì)臨床療效有影響,動(dòng)脈狹窄程度越低,臨床癥狀改善越明顯。
[Abstract]:Objective: to compare the effective rate of clinical symptom improvement before and after treatment, and to study whether combined therapy with low frequency pulse stimulation can improve the clinical symptoms of DPN patients. At the same time, the effect of different degree of arterial stenosis of lower extremity on the effective rate of clinical treatment was compared. Materials and methods: 60 patients were divided into two groups. All patients received basic diabetes education and were given the same routine integrated traditional Chinese and western medicine hypoglycemic program. In the treatment group, the treatment group was treated with low frequency pulse therapy instrument and acupoint stimulation. The course of treatment in both groups was 12 days. The clinical symptoms of the patients before and after treatment were investigated and the adverse reactions were observed in order to determine the effectiveness of acupoint stimulation with low frequency pulse therapy instrument. At the same time, the effect of different degree of arterial stenosis of lower extremity on the effective rate of clinical symptom treatment was compared. Results the total effective rate of the treatment group was 86.67 and the total effective rate of the control group was 80 when the treatment was completed. The difference was statistically significant (P 0.05). The results showed that the low frequency pulse stimulation acupoint therapy was superior to the control group in improving the clinical symptoms of deficiency of both qi and blood stasis in DPN. It was suggested that the combined therapy with this method could significantly improve the effective rate of the treatment of DPN after the end of the treatment. There were 4 cases with vascular stenosis of lower extremity, 0 cases were cured after treatment, 0 cases were effective, 1 case was effective, 3 cases were ineffective, the total effective rate was 25 cases, 23 cases were accompanied with suspected stenosis of lower extremity artery, 1 case was cured after treatment, 5 cases showed remarkable effect. 12 cases were effective, 5 cases were ineffective, the total effective rate was 78.26, 33 cases had no stenosis in lower extremity, 2 cases were cured, 13 cases were effective, 17 cases were effective, 1 case was ineffective, and the total effective rate was 96.97%. It indicated that the degree of lower extremity artery stenosis had certain influence on the effect of DPN. Conclusion 1. The treatment of low frequency pulse acupoints on the basis of comprehensive Chinese and western medicine can improve the degree of improvement of clinical symptoms of DPN patients. 2. The degree of lower extremity artery stenosis in patients with DPN has an effect on the clinical curative effect. The lower the degree of arterial stenosis, the more obvious the improvement of clinical symptoms.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R259

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