Observation On Therapeutic Effect Of Acupuncture Combined With Medicine In Treating Diabetic Peripheral Neuropathy With Qi And Yin Deficiency And Blood Stasis Type

Objective:To investigate the safety and efficacy of combination of acupuncture andmedicine in the treatment of diabetic peripheral neuropathy(DPN) and find a moreeffective comprehensive therapy for the treatment of diabetic peripheral neuropathy.Methods:Selected60DPN cases of deficiency of both qi and Yin and blood stasis typefrom D Yunnan Province Hospital of traditional Chinese Medicine Hospital during theperiod from October2012to December2013,then divided them into experimentalgroup and control group randomly,30cases in each.The control group usedMecobalamin Injection500ug,once a day, and Breviscapine Injection20mg, once aday.The treatment group added the acupuncture treatment based on the control group,once a day. The two groups were treated for20days.The symptoms，physical signsand nerve reflex were observed.The patients scored by the Toronto clinical scoringsystem (TCSS) and the related data was analyzed.Results:1. The effect of TCSS: the treatment group was86.67%,control group66.67%, twogroups had statistical significance (P>0.05).2. TCSS score: TCSS score of treatment group and control group were reduced incomparison, were statistically significant (P <0.05); after treatment between the twogroups integral comparison, with statistical significance (P<0.05).3. Therapeutic effect of syndrome: the treatment group was93.33%, control group90%, two groups were not statistically significant (P>0.05).4. The syndrome score: symptom scores of treatment group and control group werereduced in comparison, were statistically significant (P <0.05); after treatmentbetween the two groups integral comparison, was not statistically significant (P>0.05).5. Syndrome symptoms: symptom scores before and after treatment in treatmentgroup, there were statistically significant (P <0.05); symptom scores before and aftertreatment were compared, limb numbness, limb pain,lassitude, eat easy to hungry,thirsty and like drinking,skin arm our fault with statistical significance (P <0.05),shortness of breath lazy words, spontaneous perspiration and night sweat, fiveupset hot no statistical significance(P>0.05); after treatment, the symptoms werecompared between groups, limb pain, fatigue, shortness of breath,spontaneousperspiration and night sweat, five upset hot,with statistical significance (P <0.05);numbness, eat easy to hungry, thirsty and like drinking, skin a mistake, no statisticalsignificance (P>0.05).6.Two groups of liver function, renal function, blood pressure, blood, urine, stoolroutine, ECG, coagulation as observation index after treatment groups, compared withbefore treatment, after independent sample T test, which was not statisticallysignificant (P>0.05).Conclusion:The acupuncture treatment is better than the control group on the effect of TCSS,lower TCSS score and improvement of symptoms.In the aspect of therapeutic effectof syndrome and reduce the syndrome score, the two groups are similar.Thetreatments of two groups were safe, no obvious toxic side reaction. Therapy combinedacupuncture with medicine should be further researched and be more promoted.