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目的:观察中药足浴配合足部按摩用于糖尿病周围神经病变（DPN）的疗效。方法:选取2018年7月至2019年12月丽水市中医院就诊的DPN患者76例，采用随机数字表法分为联用组与单用组，各38例。两组予饮食和运动控制、药物降血糖、改善微循环及营养神经等治疗，单用组在此基础上加中药足浴，联用组在单用组基础上再加足部按摩，两组均连续治疗4周。比较两组治疗前后多伦多神经病变评分（TCSS）、密歇根糖尿病神经病变评分（MDNS）和足部单项检查及综合评分（CFS）的变化情况，并评估其临床疗效。结果:干预4周后，联用组和单用组患者TCSS评分［（5.82±0.57）分、（7.62±0.89）分］、MDNS评分［（14.92±2.16）分、（18.01±2.87）分］、CFS评分［（3.17±0.49）分、（4.41±0.52）分］均较干预前［（9.84±1.27）分、（9.65±1.21）分，（23.09±4.03）分、（22.81±3.92）分，（5.62±0.85）分、（5.76±0.73）分］明显下降（n t=3.137、2.361、2.952、2.392、3.341、2.427，均n P<0.05），且联用组下降幅度均较单用组更显著（均n P<0.05）；同时，联用组患者临床总有效率（94.74%）较单用组（78.95%）更佳（χ2=4.150，n P<0.05）。n 结论:中药足浴配合足部按摩用于DPN疗效确切，能明显改善其临床症状，促进神经功能恢复。“,”Objective:To investigate the curative effect of Chinese medicine foot bath combined with foot massage on diabetic peripheral neuropathy (DPN).Methods:Seventy-six patients with DPN who received treatment in Lishui Hospital of Traditional Chinese Medicine from July 2018 to December 2019 were included in this study. They were randomly assigned to undergo either Chinese medicine foot bath combined with foot massage (combined treatment group, n n = 38) or Chinese medicine foot bath alone (single treatment group, n n = 38) for 4 successive weeks in addition to diet and exercise management, medication for lowing blood glucose level, microcirculation improvement, and neurotrophic treatment. Before and after treatment, Toronto Clinical Neuropathy Score, Michigan Diabetic Neuropathy Score, and combined foot score were compared between the combined treatment and single treatment groups. The curative effect was also compared between the two groups.n Results:After 4 weeks of treatment, Toronto Clinical Neuropathy Score [(5.82 ± 0.57) points, (7.62 ± 0.89) points], Michigan Diabetic Neuropathy Score [(14.92 ± 2.16) points, (18.01 ± 2.87) points], combined foot score [(3.17 ± 0.49) points, (4.41 ± 0.52) points] in the combined treatment and single treatment groups were significantly lower than those before treatment [(9.84 ± 1.27) points, (9.65 ± 1.21) points, (23.09 ± 4.03) points, (22.81 ± 3.92) points, (5.62 ± 0.85) points, (5.76 ± 0.73) points,n t = 3.137, 2.361, 2.952, 2.392, 3.341, 2.427, all n P < 0.05]. The declines in the combined treatment group were significantly greater than those in the single treatment group (all n P < 0.05). Total effective rate in the combined treatment group was significantly higher than that in the single treatment group (94.74% n vs. 78.95%, n χ2 = 4.150, n P < 0.05).n Conclusion:Chinese medicine foot bath combined with foot massage is effective for DPN, which can significantly improve the clinical symptoms and promote the recovery of neurological function.