摘要
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、2h PG、Hb Alc、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、2h PG、Hb Alc、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。
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,2h PG,Hb Alcand 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,2h PG,Hb Alcand 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.
出处
《中国社区医师》
2015年第3期94-95,共2页
Chinese Community Doctors
关键词
糖尿病肾病
针刺
中药
Diabetic nephropathy
Acupuncture
Traditional Chinese medicine