中药湿敷结合蜡疗法对糖尿病周围神经病变患者临床疗效的研究
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四川省教育厅重点项目(17ZA0142),四川省中医药管理局课题(2016C025)


Clinical efficacy of traditional chinese medicine liquid external application combined with wax therapy for diabetic peripheral neuropathy patients
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    【摘要】 目的 探讨中药湿敷结合蜡疗法对糖尿病周围神经病变(DPN)患者临床症状体征缓解程度的影响。方法 将94例DPN患者随机分为对照组(n=33)和蜡疗组(n=31)和中药湿敷结合蜡疗组(湿蜡组,n=30),对照组进行DPN常规治疗和护理;蜡疗组在对照组的基础上按照中医护理操作规程中对蜡疗的操作规范,实施普通蜡饼蜡疗;中药湿敷结合蜡疗组在对照组基础上实施中药湿敷结合蜡疗法。干预前及干预4周后采用多伦多临床症状评分量表(TCSS)、密歇根神经体征评分量表(MNSI)、糖尿病生活质量量表修订版中的满意度调查对3组干预方案对患者临床症状、体征缓解程度和满意程度进行评价。结果 干预后3组患者TCSS、MNSI评分及满意度得分比较差异均有统计学意义(P<0.05)。结论 中药湿敷结合蜡疗法有助于改善糖尿病周围神经病变患者的临床症状和体征,提高患者满意度,效果优于蜡疗组和对照组。

    Abstract:

    【Abstract】 Objectives To explore the relief of signs and symptoms and improvement of satisfaction in the patients with diabetic peripheral neuropathy with traditional Chinese medicine liquid external application combined with wax therapy. Methods 94 patients with diabetic peripheral neuropathy were randomly divided into the control group (n=33), wax therapy group (n=31) and traditional Chinese medicine liquid external application combined with wax therapy group(n=30). Patients in the control group were received only normal routine therapy and nursing methods for diabetic peripheral neuropathy, patients in the wax therapy group were given additional wax therapy as well as the normal routine therapy, and patients in the traditional Chinese medicine liquid external application combined with wax therapy group were given the traditional Chinese medicine liquid external application combined with wax therapy and the normal routine therapy. The effects of these three regimens in each group were evaluated before and after the 4week intervention with TCSS, MNSI and satisfaction dimension of DMQS. Results Among the three groups, the differences of TCSS, MNSI and satisfaction dimension of DMQS were statistically significant before and after the intervention (P<0.05). Within the same group, the differences of TCSS, MNSI and satisfaction dimension of DMQS in each group were statistically significant before and after the intervention (P<0.05). Conclusion Traditional Chinese medicine liquid external application combined with wax therapy was effective and helpful in relieving signs and symptoms and improving satisfaction in the patients with diabetic peripheral neuropathy.

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  • 在线发布日期: 2017-07-19
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