CAJ | 학술논문

目的：探讨中西医结合治疗糖尿病并发眼肌麻痹的效果。方法将60例糖尿病并发眼肌麻痹患者根据随机抽签原则分为治疗组与对照组各30例，对照组给予基础治疗、维生素B1和注射用腺苷钴胺治疗，治疗组在对照组治疗的基础上给予针灸治疗，治疗周期为30 d。比较两组的临床疗效及治疗前后的症状积分。结果治疗后治疗组与对照组的总有效率分别为96.7%和80.0%，治疗组的疗效明显好于对照组(P<0.05)。治疗后两组的症状积分呈明显下降的趋势，积分均明显低于治疗前(P<0.05)，且治疗组的积分明显低于对照组(P<0.05)。结论糖尿病并发眼肌麻痹是一种多因素致病的眼病，中西医结合治疗能有效改善临床症状，从而改善预后。
목적：탐토중서의결합치료당뇨병병발안기마비적효과。방법장60례당뇨병병발안기마비환자근거수궤추첨원칙분위치료조여대조조각30례，대조조급여기출치료、유생소B1화주사용선감고알치료，치료조재대조조치료적기출상급여침구치료，치료주기위30 d。비교량조적림상료효급치료전후적증상적분。결과치료후치료조여대조조적총유효솔분별위96.7%화80.0%，치료조적료효명현호우대조조(P<0.05)。치료후량조적증상적분정명현하강적추세，적분균명현저우치료전(P<0.05)，차치료조적적분명현저우대조조(P<0.05)。결론당뇨병병발안기마비시일충다인소치병적안병，중서의결합치료능유효개선림상증상，종이개선예후。
Objective To explore the effect of integration of traditional Chinese and western medicine on treating dia-betes mellitus with ophthalmoplegia. Methods Sixty patients with diabetes mellitus and ophthalmoplegia were evenly divided into treatment group and control group by drawing lots.The basic treatment,Vitamin B1,and cobamamide for in-jection were given to the control group,while acupuncture and moxibustion therapy was added to the treatment group on the basis of the control group.The course of treatment lasted 30 days.The clinical efficacy and symptoms score before and after treatment were observed. Results After treatment,the total effective rate in the treatment group and control group was 96.7%and 80.0%respectively,and the effect in the treatment group was better than that in the control group (P<0.05).The symptoms score in the two groups after treatment indicated remarkable descending tendencies,and were both lower in comparison with pretreatment (P<0.05),and the treatment group was lower than that in the control group (P<0.05). Conclusion Diabetes mellitus with ophthalmoplegia is a multi-factor eye disease.Integration of traditional Chinese and western medicine can effectively improve clinical symptoms and thereby improve prognosis.