CAJ | 학술논문

目的:通过神经传导改变的测量评估针灸对于周围神经病变的疗效.方法:评估192例周围神经病变患者一年以上.17例为糖尿病神经病变,其中3例根据海德堡中医规范定义接受传统中医的针灸治疗,所有神经传导检测均得到改善.14例非特异性治疗的患者,3例(21.4%)患者神经传导检测显示改善,其余11例(78.6%)患者神经传导检测显示恶化.全部47例患者符合周围神经病变不明确病因学的标准,21例患者接受针灸治疗,26例患者接受非特异性治疗.所有组别均在治疗前和4月后进行神经传导检测.结果:1)糖尿病神经病变,对照组中3例患者得到改善,11例显示恶化,组间比较有显著差异.2)周围神经病变, 针灸组中16例患者(76.2%)得到改善,而在对照组中只有4例(15.4%)得到改善.针灸组中3例患者(14.3%)显示无变化,2例(9.5%)显示恶化.但是对照组中7例(26.9%)无变化,并有15例(57.7%)显示恶化.具有显著差异.结论:根据神经传导检测,针灸治疗周围神经病变具有积极的疗效.
목적:통과신경전도개변적측량평고침구대우주위신경병변적료효.방법:평고192례주위신경병변환자일년이상.17례위당뇨병신경병변,기중3례근거해덕보중의규범정의접수전통중의적침구치료,소유신경전도검측균득도개선.14례비특이성치료적환자,3례(21.4%)환자신경전도검측현시개선,기여11례(78.6%)환자신경전도검측현시악화.전부47례환자부합주위신경병변불명학병인학적표준,21례환자접수침구치료,26례환자접수비특이성치료.소유조별균재치료전화4월후진행신경전도검측.결과:1)당뇨병신경병변,대조조중3례환자득도개선,11례현시악화,조간비교유현저차이.2)주위신경병변, 침구조중16례환자(76.2%)득도개선,이재대조조중지유4례(15.4%)득도개선.침구조중3례환자(14.3%)현시무변화,2례(9.5%)현시악화.단시대조조중7례(26.9%)무변화,병유15례(57.7%)현시악화.구유현저차이.결론:근거신경전도검측,침구치료주위신경병변구유적겁적료효.
Objective: To evaluate the effect of acupuncture on peripheral neuropathy (PN) as measured by changes in nerve conduction studies (NCS). Methods: 192 patients with PN were evaluated over a period of 1 year. In 17 patients diabetic neuropathy was found. 3 of these patients received acupuncture therapy according to classical Chinese medicine as defined by the Heidelberg model of TCM and all improved in NCS. Of the 14 non-specifically treated patients, 3 (21.4%) presented with improved NCS and 11 (78.6%) aggravated in NCS (P<0.03). An overall of 47 patients met the criteria for PN of undefined aetioiogy, 21 patients received acupuncture therapy, while 26 patients received no specific treatment. All groups were examined by NCS before treatment and 4 months later. Results: 1) Diabetic neuropathy, in the control-group 3 patients improved and 11 showed an aggravation. Comparison of groups was significantly different. 2) PN, 16 patients (76.2%) in the acupuncture group improved, while only 4 patients in the control group (15.4%) did so. 3 patients in the acupuncture group (14.3%) showed no change and 2 patients an aggravation (9.5%), whereas in the control group 7 patients showed no change (26.9%) and 15 an aggravation (57.7%).Comparison of the groups was significantly different. Conclusion: There is a positive effect of acupuncture on PN, as measured by objective parameters (NCS).