摘要
【目的】基于从脾论治理论,观察调理脾胃针刺法结合眼周针刺法治疗非增殖性糖尿病视网膜病变的临床疗效。【方法】将68例糖尿病视网膜病变患者随机分为观察组和对照组,每组各34例。观察组采用调理脾胃针刺法结合眼周针刺法,对照组采用单纯眼周针刺法,每周治疗3次,4周为1个疗程,共治疗3个疗程。记录治疗前后2组患者糖化血红蛋白、视力及眼底情况,并评价其临床疗效。【结果】(1)研究过程中,观察组失访1例,对照组失访2例。最终观察组33例、对照组32例纳入疗效统计。(2)治疗后,2组患者的糖化血红蛋白及视力水平均较治疗前明显改善(P<0.05),且观察组的改善作用优于对照组,差异有统计学意义(P<0.05)。(3)治疗后,观察组和对照组治疗微血管瘤总有效率分别为3.03%和3.12%,2组比较差异无统计学意义(P>0.05)。(4)治疗后,观察组和对照组治疗眼底出血总有效率分别为45.45%和18.75%,观察组疗效明显优于对照组,差异有统计学意义(P<0.05)。(5)观察组和对照组治疗眼底渗出总有效率分别为60.61%和34.38%,观察组疗效明显优于对照组,差异有统计学意义(P<0.05)。【结论】调理脾胃针刺法结合眼周针刺法是治疗非增殖性糖尿病视网膜病变的一种有效方法。
Objective To observe the clinical efficacy of spleen-and stomach-regulating acupuncture therapy combined with periocular acupuncture therapy in treating non-proliferative diabetic retinopathy based on regulating spleen.Methods Sixty-eight patients with diabetic retinopathy were randomly divided into observation group and control group,34 cases in each group.The observation group received the spleen-and stomach-regulating acupuncture therapy combined with periocular acupuncture therapy,and the control group received the periocular acupuncture therapy alone,3 times once week,4 weeks constituting one course,the treatment covering 3 courses.The glycosylated hemoglobin level,and the changes of vision and fundus oculi in the two groups were recorded before and after treatment,and the clinical efficacy was evaluated.Results(1)During the trial,one case from the observation group and 2 cases from the control group were lost to follow-up,and the final included case number of the observation group and control group was 33,32,respectively.(2)After treatment,the level of glycosylated hemoglobin and vision were improved(P<0.05 compared with those before treatment),and the improvement of the observation group was superior to that of the control group,the difference being statistically significant(P<0.05).(3)After treatment,the total effective rate for fundus microhemangioma in the observation group and control group was 3.03%,3.12%,the difference being statistically insignificant(P>0.05).(4)After treatment,the total effective rate for fundus hemorrhage in the observation group(45.45%)was higher than that in the control group(18.75%),the difference being statistically significant(P<0.05).(5)After treatment,the total effective rate for fundus exudation in the observation group(60.61%)was higher than that in the control group(34.38%),the difference being statistically significant(P<0.05).Conclusion The spleen-and stomachregulating acupuncture therapy combined with periocular acupuncture therapy is effective for non-proliferative d
作者
丁鹂瑶
于海波
刘永锋
陈伊镕
黄杏贤
胡梨雨
兰凯
DING Li-Yao;YU Hai-Bo;LIU Yong-Feng;CHEN Yi-Rong;HUANG Xing-Xian;HU Li-Yu;LAN Kai(The Fourth Clinical Medical School of Guangzhou University of Chinese Medicine,Shenzhen 518000 Guangdong,China;Shenzhen Traditional Chinese Medicine Hospital,Shenzhen 518000 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2019年第9期1372-1376,共5页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
中国中医科学院刘保延首席研究员中医针灸临床评价方法创新团队项目（编号：SZSM201612001）
关键词
从脾论治
糖尿病视网膜病变
针刺
临床疗效
treatment based on regulating spleen
diabetic retinopathy
acupuncture
clinical efficacy
