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目的:探究中药离子导入对气虚血瘀型糖尿病周围神经病变(DPN)患者的应用效果。方法:采用便利抽样法,选取2019年1—6月上海市浦东新区中医医院内分泌科收治的72例气虚血瘀型DPN患者为研究对象。按照随机数字表法将72例气虚血瘀型DPN患者随机分为试验组和对照组,每组36例。对对照组患者施行常规治疗和健康教育,试验组在此基础上给予双侧足三里穴、三阴交穴中药离子导入,干预14 d。采用VAS、多伦多临床评分系统(TCSS)、匹兹堡睡眠质量指数(PSQI)比较两组患者干预前后的肢体疼痛、神经症状、睡眠质量的情况。结果:最终试验组34例患者和对照组35例患者完成研究。干预后两组患者的VAS评分较干预前有所下降,且试验组低于对照组,差异均有统计学意义(n P<0.05)。干预后两组患者的TCSS总分、感觉功能评分、神经症状评分较干预前均有所下降,且试验组低于对照组,差异均有统计学意义(n P<0.05)。干预后两组患者的PSQI均有降低,且试验组低于对照组,差异均有统计学意义(n P<0.05)。n 结论:中药离子导入能减轻气虚血瘀型DPN患者的肢体疼痛,改善患者的感觉功能、神经症状和TCSS评分,改善因肢体疼痛而引起的睡眠问题。“,”Objective:To explore the application effect of traditional Chinese medicine iontophoresis in patients with diabetic peripheral neuropathy (DPN) of Qi deficiency and blood stasis type.Methods:Using the convenient sampling method, a total of 72 patients with DPN of Qi deficiency and blood stasis type who were admitted to Department of Endocrinology of Pudong New Area Hospital of Traditional Chinese Medicine in Shanghai from January to June 2019 were selected as the research objects. According to the random number table method, 72 patients with DPN of Qi deficiency and blood stasis were randomly divided into the experimental group and the control group, with 36 cases in each group. Patients in the control group were given conventional treatment and health education. On this basis, patients in the experimental group were given traditional Chinese medicine iontophoresis at Zusanli and Sanyinjiao points on both sides for 14 days of intervention. Visual Analogue Scale (VAS) , Toronto Clinical Scoring System (TCSS) and Pittsburgh Sleep Quality Index (PSQI) were used to compare the limb pain, neural symptoms and sleep quality of the two groups before and after intervention.Results:Finally, 34 patients in the experimental group and 35 patients in the control group completed the study. After the intervention, VAS scores of the two groups were lower than those before the intervention and that of the experimental group was lower than that of the control group, and the differences were all statistically significant (n P<0.05) . After the intervention, the total scores of TCSS, sensory function scores and neural symptoms scores of the two groups decreased compared with those before the intervention, and those of the experimental group were lower than those of the control group, and the differences were all statistically significant (n P<0.05) . After the intervention, PSQI of the two groups decreased, and that of the experimental group was lower than that of the control group, and the differences were all statistically significant (n P<0.05) .n Conclusions:Traditional Chinese medicine iontophoresis can alleviate the limb pain of patients with DPN of Qi deficiency and blood stasis, improve the sensory function, neural symptoms and TCSS score of them and improve sleep problems caused by limb pain.