Objective To explore the effect of moxibustion of Sanyinjiao acupoints on vascular diseases of patients with 0 grade diabetic foot. Methods The study involved intervention group (n=29) and control group (n=30). Patients in control group received traditional treatment and diabetic foot prevention education and for those in intervention group, in addition to traditional treatment and education, moxibustion was conducted for 15 min per time, 1 time per day, total for 30 d. Clinical symptoms such as limb skin temperature, pain, skin color, intermittent claudication together with ankle brachial index and foot skin temperature were compared in both groups. Results Clinical symptoms of patients in intervention group reduced or disappeared (P<0.05) and ankle brachial index of intervention group indicated statistic significance before and after the treatment (P<0.05) while there was no statistic significance of ankle brachial index of control group (P>0.05). The comparison of ankle brachial index between both groups after the treatment revealed statistic significance (P>0.05). In addition, the comparison of foot skin temperature within group and between two groups showed statistic significance (P<0.05). Conclusion Moxibusting Sanyinjiao is beneficial to improving skin color and foot skin temperature, which in turn prevent diabetic foot.%目的 探讨艾灸三阴交穴对0级糖尿病足血管病变干预的效果.方法 将59例患者随机分为干预组29例和对照组30例.对照组入院接受评估后给予常规治疗和预防糖尿病足的知识教育,干预组在对照组的基础上,每日给予艾灸两足部三阴交,每穴灸15 min,每天1次,10 d为1个疗程,共艾灸3个疗程.对照组则接受常规治疗和健康教育.观察两组治疗前后的肢体皮肤温度、疼痛程度、皮肤色泽、间歇性跛行等临床症状及踝肱指数、足部皮温的变化.结果 干预组治疗后患者临床症状减轻或消失,与对照组比较有统计学意义(P<0.05).干预组治疗前后踝肱指数比较有统计学意义(P<0.05),对照组治疗前后踝肱指数比较无统计学意义(P>0.05),治疗后组间比较无统计学意义(P>0.05).干预组治疗后足部皮肤温度有改善,组内、组间比较差异均有统计学意义(P<0.05).结论 艾灸三阴交穴能改善微循环,增加血流,改善皮肤色泽及足部皮温,可防治糖尿病足.
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