文章摘要
芪椒通络洗剂干预气阴两虚型糖尿病周围神经病变的疗效观察
Effect of Qijiao Tongluo lotion on diabetes peripheral neuropathy of Qi Yin deficiency syndrome
投稿时间:2024-08-06  
DOI:10.3969/j.issn.1000-0399.2025.06.014
中文关键词: 糖尿病周围神经病变|芪椒通络洗剂|中药足浴|气阴两虚|疗效|中医外治
英文关键词: Diabetic peripheral neuropathy|Qijiao Tongluo lotion|Traditional Chinese Medicine foot bath|Qi Yin deficiency syndrome|Curative effect|Traditional Chinese Medicine external treatment
基金项目:安徽省重大疑难疾病中西医协同攻关项目计划(编号:[2021]70号-6);中华中医药学会护理学科发展专项课题(编号:HLKT-CACM-2022-4-5);国家自然科学基金资助项目(编号:8217140926)
作者单位E-mail
杨国芳 230031 安徽合肥 安徽中医药大学第一附属医院内分泌科  
方朝晖 230031 安徽合肥 安徽中医药大学第一附属医院内分泌科  
王静 230031 安徽合肥 安徽中医药大学第一附属医院内分泌科  
赵进东 230031 安徽合肥 安徽中医药大学第一附属医院内分泌科  
张静娴 230031 安徽合肥 安徽中医药大学第一附属医院内分泌科  
黄鹏 230031 安徽合肥 安徽中医药大学第一附属医院脑病三科  
管玉香 230031 安徽合肥 安徽中医药大学护理学院 897213643@qq.com 
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中文摘要:
      目的 观察芪椒通络洗剂足浴应用于气阴两虚型糖尿病周围神经病变(DPN)患者的效果及安全性。方法 选取2022年8月至2024年3月在安徽省中医院住院的64例被诊断为气阴两虚型DPN的患者作为研究对象,按随机数字表法分为对照组(常规治疗)32例、干预组(在对照组基础上加用中药芪椒通络洗剂足浴)32例。比较两组干预前后中医证候积分(主症肢端疼痛、四肢发凉、肢体麻木、感觉减退,次症腰膝酸软、肌肉萎缩、倦怠乏力、失眠)、多伦多临床评分系统(TCSS)、治疗效果及不良反应差异。结果 两组患者干预后TCSS各项评分、各项中医证候积分较干预前下降,且干预组TCSS评分(感觉评分、症状评分)及各项中医证候积分下降更明显(P<0.05);干预组治疗前后各项中医证候积分、TCSS评分差值均高于对照组(P<0.05)。干预组总有效率(90.6%)优于对照组(61.3%),TCSS积分有效率(90.6%)优于对照组(51.6%),差异均有统计学意义(P<0.05)。两组患者治疗过程中均未出现明显不良反应。结论 芪椒通络洗剂足浴干预气阴两虚型DPN效果确切,能显著改善患者临床症状,提高疗效,安全性高。
英文摘要:
      Objective To observe the effect and safety of Qijiao Tongluo lotion foot bath in patients with diabetes peripheral neuropathy(DPN) of Qi Yin deficiency syndrome. Methods A total of 64 patients diagnosed with Qi Yin deficiency syndrome DPN admitted to Anhui Provincial Traditional Chinese Medicine Hospital from August 2022 to March 2024 were selected as the research subjects. They were randomly divided into an intervention group of 32 cases and a control group of 32 cases using a random number table method. The control group received routine treatment, while the intervention group received foot baths with traditional Chinese medicine Qijiao Tongluo lotion on the basis of the control group.The TCM syndrome scores(main symptoms include limb pain, limb coldness, limb numbness, and sensory decline;secondary symptoms include soreness, muscle atrophy, fatigue, and insomnia), Toronto Clinical System Score(TCSS), therapeutic effect, and adverse reactions were compared between the two groups before and after intervention. Results After the intervention, the TCSS scores and TCM syndrome scores in both groups decreased compared to those before the intervention, and the TCSS scores(sensory scores, symptom scores) and TCM syndrome scores in the intervention group decreased more significantly(P<0.05). The difference in scores of various traditional Chinese medicine syndromes and TCSS scores before and after treatment in the intervention group was more apparent than that in the control group(P<0.05). The total effective rate of the intervention group(90.6%) was higher than that of the control group(61.3%)(P<0.05);The effective rate of TCSS score in the intervention group(90.6%) was higher than that in the control group(51.6%)(P<0.05); There were no significant adverse reactions observed in the two groups of patients during treatment. Conclusion Qijiao Tongluo lotion foot bath intervention has a definite effect on DPN of Qi Yin deficiency syndrome, which can significantly improve patients’ clinical symptoms, enhance efficacy, and have high safety.
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