Clinical Study On The Treatment Of Diabetic Peripheral Neuropathy Mainly By Acupuncture At Back Shu Points Combined With Point Injection

Objective: To observe the clinical efficacy of acupuncture at back shu points combination with piont injection in treating diabetic peripheral neuropathy(DPN),and to evaluate it objectively.To explore the feasibility of treating DPN with acupuncture at back shu points combined with point injection,and to provide new ideas and methods for the clinical treatment of DPN,so as to improve the quality of life of patients and reduce the disability rate.Methods: 60 case of DPN patients who met the diagnostic criteria and inclusion criteria were randomly divided into the treatment group(30 cases)and the control group(30 cases)according to the random number table,and both groups were treated with diet,exercise and hypoglycemic therapy.During the treatment,there were 1 case of patients fell off in each group,and there were 58 cases with finally completed.In the treatment group,29 cases were treated with acupuncture on back shu points combination with point injection,acupuncture of the back shu points,Feishu,Weishu,Pishu,Ganshu,Shenshu and Weiwanxiashu are the main pionts,select acupoints according to TCM syndrome differentiation,after acupuncture,Vitamin B1 and Vitamin B12 were given to the patients at the selected points of the diseased limbs for point injection therapy.In the control group,29 cases were treated by oral administration of mecobalamine tablets.Both groups were treated for 8weeks,after the course of treatment,statistical analysis of efficacy wasperformed.The scores of TCM symptoms,nerve conduction velocity,Toronto score,numbness and pain symptoms of lower limbs and the clinical efficacy after treatment were analyzed by statistical software before and after treatment,and the conclusions were drawn.To evaluate the clinical effect of treating diabetic peripheral neuropathy mainly by acupuncture at back shu points combined with point injection.Results: A total of 60 patients were included in this study.During the study,1 patient in the treatment group and the control group fell off,and 58 cases were effectively completed.The final statistical results of this study suggest that:(1)After 8 weeks of treatment,The TCM syndrome score,Toronto score,numbness and pain score and nerve conduction velocity before and after treatment in both groups were significant(P<0.05),this indicated that both groups could improve the nerve conduction velocity of DPN patients and improve the scoring performance of TCM syndromes,Toronto and numbness and pain,and the comparison between the two groups of data after treatment(P<0.05)showed that the treatment group was superior to the control group.(2)Comparison of comprehensive efficacy between the two groups after treatment:The total effective rate of the treatment group was89.66%,the total effective rate in the control group was 68.97%.After statistical analysis,the differences between the two groups were statistically significant(P<0.05),indicating that the therapeutic effect of acupuncture at back shu points combined with point injection on DPN was significantly better than that of the control group.Conclusion: The combination of acupuncture at back shu points and point injection can effectively improve the clinical symptoms of DPN patients,improve the nerve conduction velocity of DPN patients,significantly reduce the scores of TCM symptoms and Toronto scores,so as to effectively control the DPN treatment,which is superior to the western medicine group alone.The DPN was effectively treated by acupuncture on back shu points combined with point injection.It indicates that acupuncture on the back shu points combined with point injection for DPN has significant efficacy,high safety and good clinical significance.