Clinical Study On Warming Acupuncture Combined With Abdominal Acupuncture In Treating Diabetes Peripheral Neuropathy Of Qi Deficiency And Blood Stasis Type

Objective:Objective To observe the clinical efficacy of Warm acupuncture combined with abdominal acupuncture on diabetic peripheral neuropathy(DPN)with Qi deficiency and blood stasis,and its specific effects on nerve conduction velocity,symptom reflex and TCM syndromes.To explore whether Warm acupuncture combined with abdominal acupuncture for clinical treatment of qi deficiency and blood stasis type DPN can be performed in order to provide better treatment,cost-effective and safer treatment for clinical DPN treatment.Methods:According to the method of random number table,60 patients with DPN of qi deficiency and blood stasis type who met the standard were divided into observation group(Warm acupuncture combined with abdominal acupuncture)and control group(Common acupuncture),with 30 cases in each group.Warm acupuncture treatment is carried out once a day,repeated moxibustion for three Zhuang,continuous moxibustion for 6 days,and then rest for one day for 4 weeks;Abdominal acupuncture treatment shall be carried out once a day.After acupuncture,the needle shall be kept for 40 minutes.After continuous treatment for 6 days,it shall rest for 1 day for 4 weeks.Before and after treatment,the motor conduction velocity(MCV)and sensory conduction velocity(SCV)of median nerve and common peroneal nerve,the score of Toronto clinical scoring system(TCSS)and the score of traditional Chinese medicine syndrome integral table were measured respectively.All the data were recorded and sorted out and used in spss26 0 software analysis,and then evaluate the curative effect of the two groups.Results:1.Electromyography was examined after 4 weeks of treatment.The results showed that the MCV and SCV of median nerve and common peroneal nerve in the observation group and the control group were significantly higher than those before treatment,and the improvement in the observation group was more prominent(P < 0.05).2.After 4 weeks of treatment,the TCSs score and TCM syndrome score of the observation group and the control group decreased compared with those before treatment,and the observation group decreased more,P < 0.05,which was statistically significant.3.After 4 weeks of treatment,28 cases were effective in the observation group,and the total effective rate was 93.3% in all 30 cases.The effective patients in the control group accounted for 2 / 3 of the whole group,and the total effective rate was 66.7%.The difference between the two groups was statistically significant(P < 0.05).Conclusion:1.The observation group(Warm acupuncture combined with abdominal acupuncture)and the control group(Common acupuncture)are effective in the treatment of DPN of qi deficiency and blood stasis type,and the total effective rate of Warm acupuncture combined with abdominal acupuncture is higher and the curative effect is more significant.2.Both groups can reduce the TCSs score and TCM syndrome score of patients with DPN of qi deficiency and blood stasis type,accelerate the MCV and SCV of median and common peroneal nerves,and the changes in the observation group(Warm acupuncture combined with abdominal acupuncture)are more obvious.3.Warm acupuncture combined with abdominal acupuncture has significant effect in the treatment of DPN of qi deficiency and blood stasis type,with low operation risk coefficient and no obvious adverse reactions.It can be further widely used in clinical diagnosis and treatment.