Đánh giá tác dụng của laser châm kết hợp xoa bóp bấm huyệt điều trị biến chứng thần kinh ngoại biên do đái tháo đường type 2

Abstract

Objective: To evaluate the effects of laser acupuncture combined with acupressure in treating lower limb peripheral neuropathy complications due to type 2 diabetes.

Subjects and methods: A controlled clinical intervention study with before-after comparison on 60 patients divided into 2 groups: study group (n=30) treated with Gabapentin 300mg/day combined with laser acupuncture and acupressure; control group (n=30) treated with Gabapentin 300mg/day combined with acupressure. Treatment duration was 21days.

Results: The intervention group showed a significantly greater reduction in pain scores measured by the BPI-DPN compared with the control group (13.06 ± 5.35 vs. 11.10 ± 5.96 points, p<0,05), along with better improvement in quality-of-life scores (10,23 ± 4,58 vs. 6,86 ± 5.34 points, p<0,05). According to traditional medicine criteria, 90% of patients in the intervention group achieved fair effectiveness, significantly higher than in the control group (43,3%, p<0,05). No significant difference was observed between groups in the improvement of neurological impairment assessed by the MDNS (p>0,05).

Conclusions: Laser acupuncture may support pain relief and improve quality of life in patients with diabetic lower-limb peripheral neuropathy, as assessed by the BPI-DPN, but does not significantly improve objective nerve damage measured by the MDNS.