[1]李婉婷,姚伊依,夏联恒,等.电针夹脊穴联合祛风骨痛凝胶膏治疗2型糖尿病足气虚血瘀证临床研究[J].陕西中医,2023,(7):944-948.[doi:DOI:10.3969/j.issn.1000-7369.2023.07.028]
 LI Wanting,YAO Yiyi,XIA Lianheng,et al.Clinical study on treatment of type 2 diabetes foot disease with Qixu Xueyu syndrome by electroacupuncture at Jiaji point combined with Qufeng Gutong gel ointment[J].,2023,(7):944-948.[doi:DOI:10.3969/j.issn.1000-7369.2023.07.028]
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电针夹脊穴联合祛风骨痛凝胶膏治疗2型糖尿病足气虚血瘀证临床研究
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2023年7期
页码:
944-948
栏目:
针灸经络
出版日期:
2023-07-05

文章信息/Info

Title:
Clinical study on treatment of type 2 diabetes foot disease with Qixu Xueyu syndrome by electroacupuncture at Jiaji point combined with Qufeng Gutong gel ointment
作者:
李婉婷1姚伊依1夏联恒1宋美玉2高 杰2
(1.黑龙江中医药大学,黑龙江 哈尔滨 150040; 2.黑龙江中医药大学附属第一医院,黑龙江 哈尔滨 150040)
Author(s):
LI WantingYAO YiyiXIA LianhengSONG MeiyuGAO Jie
(Heilongjiang University of Chinese Medicine,Harbin 150040,China)
关键词:
2型糖尿病足 电针夹脊穴 祛风骨痛凝胶膏 微循环血流 血液流变学 气虚血瘀证
Keywords:
Type 2 diabetes foot disease Electroacupuncture at Jiaji point Qufeng Gutong gel ointment Microcirculation blood flow Hemorheology Qixu Xueyu syndrome
分类号:
R 587.1
DOI:
DOI:10.3969/j.issn.1000-7369.2023.07.028
文献标志码:
A
摘要:
目的:观察电针夹脊穴联合祛风骨痛凝胶膏治疗2型糖尿病足气虚血瘀证患者的临床效果。方法:选择2型糖尿病足气虚血瘀证患者80例,以随机数字表法分为对照组(n=40)、治疗组(n=40)。治疗组采用电针夹脊穴联合祛风骨痛凝胶膏治疗; 对照组应用电针夹脊穴治疗。比较两组患者临床症状积分、血液流变学指标、微循环血流情况。结果:治疗组的总有效率92.50%高于对照组的总有效率87.50%,差异有统计学意义(P<0.05)。治疗4周后,两组患者皮肤温度、疼痛程度、麻木程度、皮肤色泽、间歇性跛行距离的积分均较治疗前降低,且治疗组低于对照组,差异有统计学意义(均P<0.05)。治疗组血液流变学指标低于对照组,两组足背温度、温控血流、阻断后反应性充血、经皮氧分压均高于治疗前,且治疗组高于对照组,差异有统计学意义(均P<0.05)。结论:电针夹脊穴联合祛风骨痛凝胶膏能有效改善2型糖尿病足气虚血瘀证患者的临床症状,降低血液黏度,改善微循环血流状态,临床应用安全、作用持久。
Abstract:
Objective:To observe clinical effect of electroacupuncture at Jiaji point combined with Qufeng Gutong gel ointment on patients with type 2 diabetic foot disease with Qixu Xueyu syndrome.Methods:Eighty patients of type 2 diabetic foot disease with Qixu Xueyu syndrome were randomly divided into control group(n=40)and treatment group(n=40).The treatment group were treated with electroacupuncture at Jiaji point combined with Qufeng Gutong gel ointment.The control group were treated with electroacupuncture at Jiaji point.The clinical symptom score hemorheological indexes and microcirculation blood flow were compared before and after treatment between the two groups.Results:The total effective rate of the treatment group 92.50% was higher than that in the control group 87.50%,difference statistically significant(P<0.05).After 4 weeks of treatment,the clinical symptom scores of skin temperature,pain,numbness,skin color,intermittent claudication distance in the two groups were lower than those before treatment,and the treatment group lower than those in the control group,difference statistically significant(all P<0.05).The hemorheology indexes in the treatment group were lower than those in the control group,and the dorsum temperature,temperature-controlled blood flow,reactive congestion after occlusion,and percutaneous partial oxygen pressure in both groups were higher than before treatment,the treatment group higher than those in the control group,difference statistically significant(all P<0.05).Conclusion:Electroacupuncture at Jiaji point combined with Qufeng Gutong gel ointment can effectively improve clinical symptoms of patients with type 2 diabetic foot disease with Qixu Xueyu syndrome,reducing blood viscosity and improving microcirculation blood flow state,which is safe and lasting in clinical application.

参考文献/References:

[1] Noor S,Zubair M,Ahmad J.Diabetic foot ulcer:A review on pathophysiology classification and microbial etiology[J].Diabetes Metab Syndr,2015,9(3):192-199.
[2] Fu XL,Ding H,Miao WW,et al.Global recurrence rates in diabetic foot ulcers:A systematic review and meta-analysis[J].Diabetes Metab Res Rev,2019,35(6):3160.
[3] 罗晓燕.中药熏洗方联合穴位艾灸治疗早期糖尿病足临床研究[J].陕西中医,2018,39(8):1077-1079.
[4] 李婉婷,姚伊依,陈嘉兴,等.电针夹脊穴联合芪参通脉饮1号治疗Fontaine Ⅱ期下肢动脉硬化闭塞症临床观察[J].北京中医药,2021,40(10):1126-1129.
[5] 中华医学会糖尿病学分会.中国2型糖尿病防治指南[J].国际内分泌代谢杂志,2021,41(5):482-548.
[6] 国家中医药管理局.中医病证诊断疗效标准[M].北京:中国中医药出版社,2017:143.
[7] 陈红风.中医外科学[M].北京:中国中医药出版社,2005:318-320.
[8] 李晓强,胡 楠.糖尿病足下肢缺血血管外科治疗进展与评价[J].中华血管外科杂志,2020,5(4):5.
[9] 中国老年2型糖尿病防治临床指南编写组,中国老年医学学会老年内分泌代谢分会,中国老年保健医学研究会老年内分泌与代谢分会,等.中国老年2型糖尿病防治临床指南[J].中华内科杂志,2022,61(1):12-50.
[10] 董 芳,张德生.补阳还五汤联合复荣通脉胶囊治疗糖尿病周围血管病变临床研究[J].陕西中医,2017,38(12):1714-1716.
[11] 谢晓亮,Bissombolo MR,樊天佑,等.电针华佗夹脊穴与椎间孔镜治疗腰椎间盘突出症比较研究[J].陕西中医,2022,43(6):789-792.
[12] 李婉婷.电针夹脊穴联合芪参通脉饮Ⅰ号治疗下肢动脉硬化闭塞症的临床观察[D].哈尔滨:黑龙江中医药大学,2021.
[13] Rock AK,Truong H,Park YL,et al.Spinal cord stimulation[J].Neurosurg Clin N Am,2019,30(2):169-194.
[14] 高 杰,吴明远,秦 朝,等.脊髓刺激引起下肢血管扩张的效应及机理研究[J].中国中西医结合外科杂志,2008,14(5):510-512.
[15] 高 杰,夏联恒,张 雅,等.电针夹脊穴治疗周围血管缺血性疾病临床操作规范[J].中国老年学杂志,2016,36(8):2035-2036.
[16] 高 杰,张 茜,夏联恒,等.电针夹脊穴治疗下肢动脉硬化闭塞症的临床疗效[J].中国老年学杂志,2016,36(10):2460-2461.
[17] 林伟弟,杨 松,王瑞安,等.电针颈夹脊穴对神经根型颈椎病神经病理性疼痛模型大鼠脊髓背角CX3CL1、AC3、CGRP和SP物质表达的影响[J].湖南中医药大学学报,2023,43(4):705-711.
[18] 刘会洋,张 鹏,杨俊勇,等.电针夹脊穴联合散寒活血止痛方中药外敷治疗腰椎间盘突出症的疗效及对凝血功能、血小板的影响[J].血栓与止血学,2020,26(5):756-758.
[19] 余文英,李瑜芝,黄明愉,等.电针夹脊穴对坐骨神经慢性压迫性损伤模型大鼠针刺镇痛的后效应研究[J].福建中医药,2019,50(1):60-63.
[20] 钟青华,杨 松,孟 灵,等.电针颈夹脊穴对神经病理性疼痛大鼠脊髓背角谷氨酸受体及趋化因子受体表达水平的影响[J].陕西中医,2022,43(5):564-570.
[21] 林璐璐,王丽琼,杨静雯,等.针刺时效关系研究进展[J].中国针灸,2019,39(5):565-570.
[22] 朱 骏.玄白冰散穴位贴敷配合电针夹脊穴治疗带状疱疹后遗神经痛的临床研究[D].武汉:湖北中医药大学,2018.
[23] 赵舒梅,龚晓燕,胡 骏,等.基于血清代谢组学与网络药理学研究咳喘停穴位贴敷治疗哮喘的效应物质与作用机制[J].中国中药杂志,2022,47(24):6780-6793.
[24] 刘淑萍,王 田,李晓菲,等. 芒针深刺联合穴位贴敷治疗卒中后排便障碍的效果及对肠道SCFAs的影响[J].湖南中医药大学学报,2023,43(2):343-348.
[25] 国家卫生健康委能力建设和继续教育中心疼痛病诊疗专项能力培训项目专家组,刘堂华,刘 庆,等.慢性腰背痛康复中国疼痛科专家共识[J].中华疼痛学杂志,2021,17(6):570-579.
[26] 孟祥伟,师 悦,关如东.注射用己酮可可碱联合前列地尔对糖尿病足慢性创面血管内皮生长因子表达的影响[J].中国处方药,2021,19(8):135-137.
[27] 刘 畅,邱新萍,马万千.加减消痹汤配合针刺对糖尿病周围神经病变炎症因子和血液流变学指标的影响研究[J].中华中医药学刊,2021,39(12):117-120.
[28] 蔡冰冰,郭 勇,杨自更.活血通络清脑饮对老年短暂性脑缺血发作患者血液流变学、血液黏度及脑血流动力学的影响[J].现代中西医结合杂志,2017,26(8):854-856.
[29] 金泉伟,邹兴菊.氯吡格雷联合奥扎格雷钠治疗后循环脑梗死对患者血液流变学、NIHSS评分、Barthel指数及血清炎症因子的影响[J].陕西医学杂志,2021,50(2):225-228,232.
[30] 庄 晖,李利波,梁梅珍,等.妊娠期糖尿病孕妇胎儿脐动脉频谱血流收缩期最大血流速度与舒张期血流速度比值对胎儿宫内窘迫的预测价值[J].陕西医学杂志,2017,46(6):715-717.
[31] 董 俊,杨 莉,杨 蓓,等.前列地尔联合硫辛酸对糖尿病足患者纤维酶活性、抗氧化酶活性、血流动力学及血清炎症细胞因子的影响[J].中国老年学杂志,2022,42(3):550-553.
[32] 高 杰,张 雅,夏联恒,等.激光多普勒血流仪评估电针夹脊穴对糖尿病足微循环的影响[J].中国老年学杂志,2016,36(9):2097-2099.
[33] 陆凤华,杜兆霖,章 容.红光照射联合下肢肌力训练对糖尿病周围神经病变患者下肢运动功能、TCSS评分及SOD水平的影响[J].昆明医科大学学报,2023,44(1):163-167.
[34] 徐国玲,颜晓东,玉颜庆.经皮氧分压和踝肱指数测定对糖尿病足下肢动脉病变诊断的意义[J].中国临床新医学,2017,10(8):743-747.

备注/Memo

备注/Memo:
基金项目:黑龙江省自然科学基金联合引导项目(LH2022H075)
更新日期/Last Update: 2023-07-10