摘要
目的评价杵针对糖尿病高危足患者足部电流感觉阈值和临床症状的影响。方法选取132例糖尿病高危足患者,随机分为试验组和对照组,每组66例,对照组采用糖尿病常规治疗和护理,试验组在对照组的基础上加用杵针干预,每日1次,共干预4周。两组在干预前、干预4周后采用双足腓浅神经及足踝中部前方(L4/L5/S1)的快速电流感觉阈值(R-CPT)和临床症状积分(CSIT),评价足部感觉神经功能和临床症状的改善效果。结果干预后,两组患者L4/L5/S1区段细有髓鞘(Aδ)和无髓鞘(C)感觉神经纤维的R-CPT及CSIT均下降(P<0.05),且试验组低于对照组,差异有统计学意义(P<0.01)。结论在常规治疗和护理的基础上加用杵针干预能降低糖尿病高危足患者的足部电流感觉阈值,改善足部感觉神经功能,减轻临床症状。
Objective To evaluate the effect of pestle acupuncture on the current perception threshold (CPT) and clinical symptoms of foot in patients with high-risk diabetic foot. Method A total of 132 patients with high-risk diabetic foot were enrolled and randomized into a trial group and a control group, with 66 cases in each group. The control group was intervened by routine treatment and nursing care for diabetes, and the trial group was additionally given pestle acupuncture, once a day for 4 weeks. Before and after 4-week intervention, the rapid current perception threshold (R-CPT) of bilateral superficial peroneal nerves and the anterior middle of ankles (L4/L5/S1) and the clinical symptom integral table (CSIT) were evaluated to determine the improvements in the sensory nerve function and clinical symptoms of foot. Result After intervention, the R-CPT of the fine myelinated (Aδ) and non-myelinated (C) sensory nerve fibers of L4/L5/S1 and CSIT declined in the two groups (P<0.05), and the trial group was significantly lower than the control group (P<0.01). Conclusion Pestle acupuncture in addition to routine treatment and nursing care can reduce the foot CPT, improve the foot sensory nerve function, and mitigate clinical symptoms in patients with high-risk diabetic foot.
作者
张美林
王芳
王婧
王宇
罗云婷
邹宇
巩文花
刘芮寒
覃艳莉
林巧
ZHANG Mei-lin;WANG Fang;WANG Jing;WANG Yu;LUO Yun-ting;ZOU Yu;GONG Wen-hua;LIU Rui-han;QIN Yan-li;LIN Qiao(Sichuan School of Acupuncture-moxibustion, Chengdu 610097, China;Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610072, China;Chengdu University of Traditional Chinese Medicine, Chengdu 610072, China;West China Hospital, Sichuan University, Chengdu 610041, China)
出处
《上海针灸杂志》
2019年第6期623-629,共7页
Shanghai Journal of Acupuncture and Moxibustion
基金
四川省中医药管理局科学技术研究专项项目(2016c016)
