Objective To investigatethe effect of LED single wave infrared red light irradiation combined with traditional Chinese medicine iontophoresis on diabetic peripheral neuropathy. Methods During May 2017 and January 2015, 120 patients with diabetic peripheral neuropathy in double lower extremities, hospitalized in the department of endocrinology in our hospital, were randomly divided into the control group and the observation group, with 60 cases in each group. The two groups were both treated with conventional interventions including strict control of blood glucose, blood pressure, diet nursing, exercise therapy, foot care and psychological counseling. In addition to the care as done in the control group, the observation group was treated with iontophoresis of traditional Chinese medicine combined with LED single wave infrared red light irradiation for 3 courses, 14 days for each course, The two groups were compared in terms of limb numbness score, dorsal artery blood flow volume, ankle brachial index and score by Toronto clinical scoring symptom before and after intervention. Results The post-treatment score of numbness in the extremities of the observation group was lower than the post-treatment score of the control group as well as the pre-treatment score of the observation group. The post-treatment blood flow of the dorsum of the foot in the observation group was greater than the post-treatment flow in the control group as well as the pre-treatment flow in the observation group and so it is with the ankle brachial index. Conclusions LED single wave infrared red light irradiation combined with traditional Chinese medicine iontophoresis can to a certain extent control and delay the process of diabetic peripheral neuropathy. It can improve the quality of life of patients.%目的 探讨发光二极管(light emitting diode,LED)单波红外红光照射联合中药离子导入治疗糖尿病患者周围神经病变的效果及护理.方法 选择2015 年1 月～2017 年5 月在本院内分泌科住院的糖尿病双下肢周围神经病变患者120 例,按照患者入住的不同病区分为对照组和观察组,每组各60例.两组患者均给予常规糖尿病治疗及护理,观察组在此基础上,给予LED 单波红外红光照射联合中药离子导入治疗,治疗 3 个疗程,每个疗程 14d.比较两组患者治疗后肢体麻木得分、足背动脉血流量情况、踝肱指数以及多伦多临床症状量表(Toronto clinical scoring system,TCSS)评分.结果 两组患者治疗后及观察组患者治疗前后肢体麻木得分、足背动脉血流量、踝肱指数、TCSS 评分比较,均 P＜0.05,差异有统计学意义,观察组患者肢体麻木评分、TCSS 评分低于对照组与治疗前,足背动脉血流量、踝肱指数大于对照组与治疗前.结论 LED 单波红外红光照射联合中药离子导入法治疗糖尿病患者周围神经病变,可在一定程度上控制和延缓糖尿病患者周围神经病变.
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