1.黑龙江中医药大学,哈尔滨 150040
2.黑龙江中医药大学附属第一医院周围血管科,哈尔滨 150040
李响,女,32岁,博士研究生。研究方向:中西医结合治疗周围血管疾病。
高杰,E-mail:13904800073@163.com
收稿:2025-01-24,
纸质出版:2026-03-25
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李响,高杰.电针夹脊穴联合中药治疗气阴两虚兼血瘀型Wagner 0级糖尿病足的临床观察[J].北京中医药,2026,45(3):344-348.
LI Xiang,GAO Jie.Clinical efficacy of electroacupuncture at Jiaji points combined with Chinese herbal medicine for treating Wagner grade 0 diabetic foot with syndrome of qi-yin deficiency and blood stasis[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(03):344-348.
李响,高杰.电针夹脊穴联合中药治疗气阴两虚兼血瘀型Wagner 0级糖尿病足的临床观察[J].北京中医药,2026,45(3):344-348. DOI: 10.16025/j.1674-1307.2026.03.011.
LI Xiang,GAO Jie.Clinical efficacy of electroacupuncture at Jiaji points combined with Chinese herbal medicine for treating Wagner grade 0 diabetic foot with syndrome of qi-yin deficiency and blood stasis[J]. Beijing Journal of Traditional Chinese Medicine,2026,45(03):344-348. DOI: 10.16025/j.1674-1307.2026.03.011.
目的
2
观察电针夹脊穴联合中药治疗气阴两虚兼血瘀型Wagner 0级糖尿病足(DF)的临床疗效。
方法
2
选择2024年6—12月在黑龙江中医药大学附属第一医院周围血管一科就诊的60例Wagner 0级DF患者,采用整体分层区组随机化方法分为观察组和对照组各30例。2组均予糖尿病健康指导,口服降糖药或注射胰岛素。对照组给予前列地尔、注射用红花黄色素静滴,中药汤剂口服;观察组在对照组基础上加电针夹脊穴治疗。2组均以14 d为1个疗程。对比2组疗效,治疗前后症状评分、足背血流动力学指标(足背动脉内径、峰值流速、血流量)、踝肱指数(ABI)、血液流变学指标[全血黏度(高切、低切)、血浆黏度(PV)和纤维蛋白原(FIB)],以及治疗安全性。
结果
2
观察组总有效率高于对照组(
P
<
0.05)。治疗后,2组各项症状评分均较治疗前降低(
P
<
0.05),且观察组各项症状评分均低于对照组(
P
<
0.05)。2组峰值流速、血流量及ABI均较治疗前升高,且观察组峰值流速、血流量及ABI高于对照组(
P
<
0.05);2组治疗前后血管内径比较差异均无统计学意义(
P
>
0.05)。2组全血黏度、血浆黏度及FIB均较治疗前降低(
P
<
0.05),且观察组全血黏度、血浆黏度及FIB低于对照组(
P
<
0.05)。2组治疗前后血、尿常规及肝、肾功能指标均无异常,治疗中均未出现严重不良反应。
结论
2
电针夹脊穴联合中药治疗气阴两虚兼血瘀型Wagner 0级糖尿病足效果良好,可显著改善患者的临床症状、体征,同时对血流动力学、血液流变学均具有一定的调节作用。
Objective
2
To observe the clinical efficacy of electroacupuncture at
Jiaji
points combined with Chinese herbal medicine in treating Wagner grade 0 diabetic foot(DF) with syndrome of
qi-yin
deficiency and blood stasis.
Methods
2
Sixty patients with Wagner grade 0 DF who visited the First Department of Peripheral Vascular Disease at The First Affiliated Hospital of Heilongjiang University of Chinese Medicine from June to December 2024 were selected and randomly divided into an observation group and a control group, with 30 cases in each group, using a stratified block randomization method.The control group was treated with intravenous alprostadil and safflower yellow pigment for injection, combined with oral Chinese herbal decoction. The observation group received additional electroacupuncture at Jiaji points on the basis of the control group's treatment. Both groups were treated for 14 days as one course. Clinical efficacy, symptom scores before and after treatment, dorsal foot hemodynamic indicators (dorsalis pedis artery diameter, peak flow velocity, blood flow volume), ankle-brachial index (ABI), and hemorheological indicators [whole blood viscosity (high-shear and low-shear), plasma viscosity (PV), and fibrinogen (FIB)], as well as treatment safety, were compared between the two groups.
Results
2
The total effective rate in the observation group was higher than that in the control group (
P
<
0.05). After treatment, all symptom scores in both groups were significantly decreased compared with those before treatment (
P
<
0.05), and were lower in the observation group than in the control group (
P
<
0.05). Peak flow velocity, blood flow volume, and ABI in both groups were increased after treatment compared with baseline (
P
<
0.05), and were higher in the observation group than in the control group (
P
<
0.05). No statistically significant differences were found in vascular diameter before and after treatment in either group (
P
>
0.05). Whole blood viscosity, PV, and FIB were decreased after treatment in both groups (
P
<
0.05), and were lower in the observation group than in the control group (
P
<
0.05). No abnormalities were observed in blood routine, urine routine, or liver and kidney function before and after treatment in either group, and no serious adverse reactions occurred during treatment.
Conclusion
2
Electroacupuncture at Jiaji points combined with Chinese herbal medicine shows favorable efficac
y in treating Wagner grade 0 DF with
qi-yin
deficiency and blood stasis. It can significantly improve clinical symptoms and signs and has regulatory effects on both hemodynamic and hemorheological indicators.
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