中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
3期
94-95
,共2页
糖尿病肾病%针刺%中药
糖尿病腎病%針刺%中藥
당뇨병신병%침자%중약
Diabetic nephropathy%Acupuncture%Traditional Chinese medicine
目的：探讨针刺治疗糖尿病肾病的临床效果。方法：2012年12月-2014年4月收治糖尿病肾病患者90例，随机分为中药组、针刺组和针刺加中药组。中药组主要采用解毒通络益肾汤治疗，针刺组主要采用针刺治疗，而针刺加中药组采用中药解毒通络益肾汤联合针刺治疗，比较3组治疗效果。结果：治疗后3组患者 FPG、2hPG、HbAlc、尿微量白蛋白明显下降，与治疗前比较差异均有统计学意义(P＜0.05)。针刺加中药组 FPG、2hPG、HbAlc、尿微量白蛋白等指标变化情况与针刺组、中药组比较，差异均有统计学意义(P＜0.05)。治疗后3组患者症状均较治疗前明显改善。针刺加中药组症状改善明显优于单纯针刺组及单纯中药组。中药组总有效率93.33%，针刺组总有效率90.0%，针刺加中药组总有效率96.67%。结论：针刺加中药治疗糖尿病肾病效果较为显著，同时安全性和可行性好，值得临床推广使用。
目的：探討針刺治療糖尿病腎病的臨床效果。方法：2012年12月-2014年4月收治糖尿病腎病患者90例，隨機分為中藥組、針刺組和針刺加中藥組。中藥組主要採用解毒通絡益腎湯治療，針刺組主要採用針刺治療，而針刺加中藥組採用中藥解毒通絡益腎湯聯閤針刺治療，比較3組治療效果。結果：治療後3組患者 FPG、2hPG、HbAlc、尿微量白蛋白明顯下降，與治療前比較差異均有統計學意義(P＜0.05)。針刺加中藥組 FPG、2hPG、HbAlc、尿微量白蛋白等指標變化情況與針刺組、中藥組比較，差異均有統計學意義(P＜0.05)。治療後3組患者癥狀均較治療前明顯改善。針刺加中藥組癥狀改善明顯優于單純針刺組及單純中藥組。中藥組總有效率93.33%，針刺組總有效率90.0%，針刺加中藥組總有效率96.67%。結論：針刺加中藥治療糖尿病腎病效果較為顯著，同時安全性和可行性好，值得臨床推廣使用。
목적：탐토침자치료당뇨병신병적림상효과。방법：2012년12월-2014년4월수치당뇨병신병환자90례，수궤분위중약조、침자조화침자가중약조。중약조주요채용해독통락익신탕치료，침자조주요채용침자치료，이침자가중약조채용중약해독통락익신탕연합침자치료，비교3조치료효과。결과：치료후3조환자 FPG、2hPG、HbAlc、뇨미량백단백명현하강，여치료전비교차이균유통계학의의(P＜0.05)。침자가중약조 FPG、2hPG、HbAlc、뇨미량백단백등지표변화정황여침자조、중약조비교，차이균유통계학의의(P＜0.05)。치료후3조환자증상균교치료전명현개선。침자가중약조증상개선명현우우단순침자조급단순중약조。중약조총유효솔93.33%，침자조총유효솔90.0%，침자가중약조총유효솔96.67%。결론：침자가중약치료당뇨병신병효과교위현저，동시안전성화가행성호，치득림상추엄사용。
Objective:To explore the clinical effect of acupuncture in treatment of diabetic nephropathy.Methods:90 cases of patients with diabetic nephropathy from December 2012 to April 2014 were randomly divided into the traditional Chinese medicine group,the acupuncture group and the acupuncture plus traditional Chinese medicine group.The traditional Chinese medicine group mainly adopted jiedutongluoyishen decoction;the acupuncture group mainly adopted acupuncture treatment;the acupuncture plus traditional Chinese medicine group adopted jiedutongluoyishen decoction combined with with acupuncture therapy.We compared the therapeutic effects of the three groups.Results:The FPG,2hPG,HbAlcand urine trace albumin of the three groups after the treatment were significantly decreased;compared with before the treatment,the differences were statistically significant(P<0.05).The FPG,2hPG,HbAlcand urine trace albumin of the acupuncture plus traditional Chinese medicine group were different from that of the acupuncture group and traditional Chinese medicine group,and the differences were statistical significant(P<0.05).The symptoms of the three groups improved significantly after the treatment.The symptoms of the acupuncture plus traditional Chinese medicine group improve more significantly than that of the acupuncture group and the traditional Chinese medicine group.The total effective rate of the traditional Chinese medicine group was 93.33% ;that of the acupuncture group was 90.0% ;that of the acupuncture plus traditional Chinese medicine group was 96.67% .Conclusion:Acupuncture plus traditional Chinese medicine in the treatment of diabetic nephropathy has significant effect as well as the feasibility and safety,worthy of clinical promotion.
