| ObjectiveTo intervene in the patient who suffer from diabetic peripheral neuropathy and has physical pain by using low frequency pulse acupoint stimulation,and observing the pain diary,simple McGill Pain Questionnaire(SF-MPQ),Toronto Cinical Neuropathy Score(TCSS),Pittsburgh Sleep Quality Index(PSQI),Diabetes Specificity Determination of Quality of Life Scale(A-DQOL),FPG.The aim is to provide a more effective clinical basis for the treatment and nursing of the patients.MethodTaking the patients who with diabetic peripheral neuropathy body pain and check in the Department of endocrinology of the People's Hospital,which affiliated to Fujian University of traditional Chinese medicine,from March 2016 to November 2016 as the main research objects,and randomly dividing70 patients cases into control group and experimental group equally by using the random number table and each group has 35 cases.The control group is treated with conventional basic treatment and nursing,on the basis of control group,the experimental group is added with low frequency pulse acupoint stimulation in Yongquan point and Sanyinjiao point.Once a day about 15 minutes each time and two weeks of followed-up.The pain diary,SF-MPQ,TCSS,PSQI,A-DQOL,FPG were recorded before and after the intervention.Result1 The comparison of baselineThe comparisons of basic status for the two groups of patents before the experiment,such as age,gender,height,weight,BMI,disease course,Types of complications,medications,HbAlc,history of smoking and drinking,etc,and they were no statistical significant between control group and experimental group(P>0.05).The score of the pain diary,SF-MPQ,TCSS,PSQI,A-DQOL,FPGbefore the intervention also had no significant(P>0.05)and had comparability.2 The score of the pain diaryAfter the experiment,it is treated with repeated measurement variance analysis and comparison in some periods,such as before the intervention,the 7th.day and the 14th day for"24h max:imum pain","24h pain duration","the level at night" in the pain diary.The effects of time with all factors in two groups had statistical significance(P<0.05);expect "the level at night",the treatment effects all had statistically different(P<0.05).And the interaction effect between group and time had statistical significance(P<0.05).3 The curative effect evaluation for SF-MPQComparison between groups:The experimental group was significantly improved than the control group in total score of SF-MPQ,PRI,VAS after the experiment,the difference had statistical significance(P<0.05).The difference of PPI had no statistical significance(P>0.05).After two weeks of the experiment,the experimental group had 16 cases with significant effect,8 cases with effect,7 cases with no effect and 1 worsen.The control group had 3 cases significant effect,5 cases with effect,21 cases with no effect and 4 worsen.Comparison within groups:The experimental group was improved than before,after two weeks intervention(P<0.05);while the control group had no significant difference(P>0.05).4 TCSSComparison between groups:After the intervention,the experimental group patients all had lower scores than control group in total of TCSS,neurological deficit,sensation function had statistical significance(P<0.05);while the score of the neural re:flex had no significant difference(P>0.05).Comparison within groups:After two weeks of intervention,experimental group,the total of TCSS,neurological deficit,sensation function,had statistical significance(P<0.05);while the score of the neural reflex had no significant difference(P>0.05).However,control group had no significant difference between before and after intervention(P>0.05).5 PSQIAfter two weeks of intervention and two weeks of follow-up,the experimental group had lower PSQI index than the control group,the difference had statistical significance(P<0.05).The experimental group and the control group of two patients and their scores before the test scores declined slightly,P<0.05,the difference was statistically significant.6 A-DQOLAfter intervention,experimental group had no significant difference compared withcontrol group in total of A-DQOL,degree of satisfaction,incidence,anxiety degree I,anxiety degree II,(P>0.05).In experimental group,excepted the total and anxiety degree?(P>0.05),had no significant difference(P>0.05).The control group had no significant difference(P>0.05).7 FPGAfter intervention,the test group compared with the control FPG and experimental group,no significant improvement,no significant difference(P>0.05).The patients in the experimental group before and after the test to compare the group,the difference was statistically significant(P<0.05);the control group before and after experiment were compared within the group,the difference was statistically significant(P<0.05).Conclusions1 Low frequency pulse acupoint stimulation can improve the clinical symptoms of diabetic peripheral neuropathy patients with limb pain,reduce the degree of pain and pain of 24h and the duration of 24h pain.2 Low frequency pulse acupoint stimulation can improve the TCSS score of patients with diabetic peripheral neuropathy,effectively improve the patient's neurological symptoms and sensory function,relieve the pain of patients.3 Low frequency pulse acupoint stimulation can improve the quality of sleep in patients with diabetic peripheral neuropathy.4 Low frequency pulse acupoint stimulation cannot improve the quality of life and blood glucose in patients with diabetic peripheral neuropathy. |
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