Clinical effect of acupuncture and moxibustion combined with thioctic acid injection and mecobalamin on diabetic peripheral neuropathy

Li Guiyun; Zhang Yaqiong; Liu Panyun; Ma Hongwei; Huang Jiliang

doi:10.3760/j.issn.1673-4777.2018.08.012

Abstract：Objective To investigate the clinical effect of acupuncture and moxibustion combined with thioctic acid injection and mecobalamin on diabetic peripheral neuropathy.Methods Totally 112 cases of diabetic peripheral neuropathy were enrolled from May 2011 to May 2016 at the 251st Hospital of the Chinese People's Liberation Army.The patients were randomly divided into observation group and control group,with 56 cases in each group.The control group was treated with thioctic acid injection and mecobalamin;the observation group was treated with acupuncture and moxibustion combined with thioctic acid injection and mecobalamin.Motor nerve conduction velocity(MNCV) and sensory nerve conduction velocity(SNCV) of median nerve and common peroneal nerve were analyzed before and after treatment.Results Total effective rate in observation group was significantly higher than that in control group [94.6％ (53/56) vs 71.4％ (40/56)] (P ＜ 0.05).There were no significant differences of MNCV and SNCV of median nerve and common peroneal nerve between groups before treatment (P ＞ 0.05).After treatment,MNCV and SNCV of median nerve and common peroneal nerve were significantly higher than those before treatment;the differences in observation group were more significant than those in control group[median nerve:(6.4 ± 1.9)m/s vs (2.8 ±0.6)m/s,(4.3 ±0.5) m/s vs (1.3 ±0.4)m/s;common peronealnerve:(5.2±0.4)m/s vs (1.1 ±0.6)m/s,(4.4 ±0.6)m/s vs (1.3 ±0.5)m/s](P＜0.05).Conclusion Acupuncture and moxibustion combined with thioctic acid injection and mecobalamin treating diabetic peripheral neuropathy can effectively improve median nerve and common peroneal nerve conduction velocity.