CAJ | 학술논문

目的：评价新敏灸配合热熨法对2型糖尿病性对称性多神经病变的疗效及安全性。方法选择2型糖尿病性对称性多神经病变96例，随机分成治疗组49例和对照组47例。在严格控制血糖基础上，治疗组采用新敏灸配合中药热熨法治疗；对照组采用常规针灸疗法治疗。两组治疗4周后观察疗效。结果治疗后两组疗效均有改善，治疗组在治疗2、3、4周后总有效率高于对照组（P约0.01）；治疗后治疗组DNE评分较对照组明显降低（P约0.01）；治疗组感觉与运动神经传导速度均高于对照组（P约0.05）。结论新敏灸配合热熨法对2型糖尿病性对称性多神经病变有较好疗效。
목적：평개신민구배합열의법대2형당뇨병성대칭성다신경병변적료효급안전성。방법선택2형당뇨병성대칭성다신경병변96례，수궤분성치료조49례화대조조47례。재엄격공제혈당기출상，치료조채용신민구배합중약열의법치료；대조조채용상규침구요법치료。량조치료4주후관찰료효。결과치료후량조료효균유개선，치료조재치료2、3、4주후총유효솔고우대조조（P약0.01）；치료후치료조DNE평분교대조조명현강저（P약0.01）；치료조감각여운동신경전도속도균고우대조조（P약0.05）。결론신민구배합열의법대2형당뇨병성대칭성다신경병변유교호료효。
Objective To evaluate the safety and efficacy of a novel moxibustion combined with Chinses herb hot compress in treatment of type 2 diabetic symmetric polyneuropathy. Methods Ninety-six patients with type 2 diabetic symmetric polyneuropathy was randomly divided into novel treatment group(treatment group, n=49) and conventional treatment group(control group, n=47). In the condition of strict management of blood glucose, the nov-el treatment group received novel moxibustion combined with Chinese herb hot compress and the conventional treat-ment group was given traditional acupuncture. The efficacy of therapies was evaluated after a 4-week course. Re-sults After treatment, the clinical manifestations in both groups were improved. The total effective rate of treatment group at 2, 3, and 4 weeks was higher than that of control group(P<0.01). Compared with control group, the dia-betic neuropathy examination score was significantly lower in treatment group(P<0.01) and the conduction velocities of sensory and motor nerves were statistically higher in treatment group(P<0.05). Conclusion The novel moxa-moxibustion combined with Chinese herb hot compress has good therapeutic effect on type 2 diabetic symmetric polyneuropathy.