摘要
目的观察针刺配合药物治疗糖尿病性外展神经麻痹的临床疗效。方法将23例糖尿病性外展神经麻痹患者随机分为治疗组12例和对照组11例。两组均采用复方樟柳碱颞浅动脉旁注射治疗,治疗组在此基础上采用眼部内刺眼外肌穴配合体穴针刺治疗,对照组在此基础上采用地塞米松外直肌止点旁结膜下注射治疗。观察两组治疗前后空腹血糖的变化情况,并测定眼球运动度及复像,以统计疗效。结果两组治疗后空腹血糖组内及组间比较,差异均无统计学意义(P>0.05)。治疗组总有效率为91.7%,对照组为54.5%,两组比较差异具有统计学意义(P<0.05)。结论针刺配合药物是一种治疗糖尿病性外展神经麻痹的有效方法。
Objective To observe the clinical efficacy of acupuncture plus medication in treating diabetic abducens nerve palsy. Method Twenty-three cases of diabetic abducens nerve palsy were randomized into a treatment group of 12 cases and a control group of 11 cases. The two groups both were intervened by Compound anisodine hydrobromide via para-temporal-superficial-artery injection, based on which, the treatment group received acupuncture at extraocular muscles and body acupoints, while the control group received subconjunctival injection of Dexamethasone beside the endpoint of rectus lateralis. The fasting blood glucose, eye movement and diplopia were observed before and after the intervention for the two groups to evaluate the therapeutic efficacy. Result After the intervention, the two groups didn’t show significant intra-group or inter-group differences in fasting blood glucose （P〉0.05）. The total effective rate was 91.7% in the treatment group versus 54.5% in the control group, and the between-group difference was statistically significant （P〈0.05）. Conclusion Acupuncture plus medication is an effective method in treating diabetic abducens nerve palsy.
出处
《上海针灸杂志》
2018年第1期33-36,共4页
Shanghai Journal of Acupuncture and Moxibustion
关键词
针刺疗法
外展神经疾病
糖尿病并发症
针药并用
空腹血糖
糖尿病神经病变
Acupuncture therapy
Abducens nerve diseases
Diabetic complications
Acupuncture medication combined
Fasting blood glucose
Diabetic neuropathies
