Observation On The Clinical Effect Of Diabetic Peripheral Neuropathy With Plum-blossom Needle Cooperate With Gentle Moxibustion(Qi Deficiency And Blood Stasis Syndrome)

Objective :By comparing the difference in clinical efficacy between plum-blossom needles with gentle moxibustion and oral mecobalamin tablets alone in the treatment of diabetic peripheral neuropathy with qi deficiency and blood stasis,a safer and more effective protocol for the treatment of diabetic peripheral neuropathy with qi deficiency and blood stasis was sought.Methods:Seventy patients with diabetic peripheral neuropathy of Qi deficiency and blood stasis type who met the inclusion criteria were selected and randomly divided into observation group of 35 cases and control group of 35 cases.Observation group:first of all,select bilateral Geshu,Qihai,Zusanli,Sanyinjiao,and in this order,perform gentle moxibustion until the skin flushes,and then take plum-blossom needle,disinfect the numb area,and give weaker stimulus which cause a slight flushing of the local skin without pain.1 time per day,50 minutes each time,14 days for 1 course of treatment,a total of 2 courses of treatment,with 2 days off during the course.Control group:oral mecobalamin tablets,0.5 mg/time,3 times a day,30 days as a course of treatment,a total of 1 course of treatment.The TCM symptom score,Toronto clinical score,motor nerve conduction velocity of common peroneal nerve,and sensory nerve conduction velocity of sural nerve were collected from patients before and after treatment.Use SPSS22.0 statistical software to analyze all data.Results:1.Before treatment,there was no significant difference in TCM symptom score,Toronto clinical score and nerve conduction velocity between the two groups(P>0.05),and the two groups were comparable.2.TCM symptom score:Compared within the group,the two therapies can reduce the total TCM syndrome score(P<0.05);from the comparison between the groups,we can know the observation group is better than the control group in the improvement of the TCM syndrome total score,and the difference is statistically significant(P<0.05).3.Individual scores of TCM symptoms:from the comparison within the group,we can know the two treatment options can reduce the individual scores of TCM symptoms(P<0.05);we can also know the observation group is better than the control group in im proving the symptoms of fatigue,shortness of breath and lazy speech,and excessive swe ating.The difference is statistically significant(P<0.05),and the other symptoms are not statistically significant(P>0.05).4.Toronto Clinical Score(TCSS):Compared within the group,the two treatment options can reduce the Toronto clinical score(P<0.05);And the observation group is better than the control group in the improvement of the Toronto clinical score,the difference is statistical significance(P<0.05).5.Nerve conduction velocity test results:Compared within the group the two groups showed no significant improvement in the motor nerve conduction velocity of the common peroneal nerve(P>0.05),with no statistical significance.The difference in the sensory nerve conduction velocity of the sural nerve was statistically significant(P<0.05).In comparison between groups,the two treatments had the same effect on improving the motor nerve conduction velocity of the common peroneal nerve and the sensory nerve conduction velocity of the sural nerve,and the difference was not statistically significant(P>0.05).6.Comparison of clinical efficacy: the total effective rate of the observation group was87.50%,and the total effective rate of the control group was 78.79%.There was a statistically significant difference between the two(P<0.05).Conclusion:1.Plum-blossom needles combined with gentle moxibustion has a definite effect intreating diabetic peripheral neuropathy of Qi deficiency and blood stasis type.Compared with oral mecobalamin tablets,it can better improve TCM symptom scores and Toronto clinical scores.Plum-blossom needles combined with gentle moxibustion can improve mental fatigue,shortness of breath,lazy talk more advantageous,which deserves recognition and research.2.Plum-blossom needles combined with gentle moxibustion and oral mecobalamin tablets have the same effect in improving sensory nerve conduction velocity in patients with diabetic peripheral neuropathy of Qi deficiency and blood stasis type,but the improvement in motor nerve conduction velocity is not significant.