Warm Acupuncture Treatment Of Diabetic Peripheral Neuropathy Evaluation

Objective: Observe the needle warming through moxibustion which the characteristics of TCM therapy . To observe the clinical symptoms and Toronto clinical scoring of the needle warming through moxibustion for diabetic peripheral neuropathy(DPN);and observe the economic benefits and degree of satisfaction of patients on it. Then comprehensive assessed the rationality of the treat of needle warming for DPN were involved in the standard for clinical diagnosis of diabetes and its complications.Method: Based on prospective cohort study design, 60 DPN patients were fit both standard of diagnosis and inclusion criteria then were randomly divided into treatment group and control group. Two groups of patients were use drugs for promoting blood circulation and removing blood stasis after treated by the Western medicine,and on the basis of treatment with needle warming through moxibustion for 2-3 weeks in treatment group. Compare with the change of before and after treatment of fasting and postload glucose,clinical symptoms and Toronto clinical scoring ,and compare with the economic benefits and degree of satisfaction of patients on before and after treatment.Result: The total effective rate was 93.3% in treatment group and 73.3% in control group. Compare with the change of before and after treatment of a range of clinical symptoms and Toronto clinical scoring in the same group ,there are significant difference(P﹤0.05 or P﹤0.01). Compare with the change of before and after treatment of the total symptomatic scores and Toronto clinical scoring ,they are decreased remarkably after treatment in the same group(P<0.01), and there are statistically significant difference was observed between the two groups after the treatment(P<0.05).Compare with the change of fasting and postload glucose after treatment,the treatment group better than the control group(P<0.05). Theratio of cost to result of treatment group is obviously lower than that of control group. Compare with the satisfaction surveys, patient satisfaction were 96.6%in the treatment group and 83.3% in the control group, there are significant difference(P<0.05). Conclusion: 1. The treatment group treated DPN by needle warming through moxibustion better than the control group;2. The treatment group treated DPN by needle warming through moxibustion is much more economical;3. The patients in treatment group is much more satisfied ;4. This method can be choiced in preferred,and it is scientific and rational that the treat of needle warming for DPN were involved in the standard for clinical diagnosis.