Page 27 - วารสารกรมการแพทย์แผนไทยฯ ปีที่ 10 ฉบับที่ 3
P. 27
«“√ “√°“√·æ∑¬
«“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“߇≈◊Õ°
«“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“߇≈◊Õ°å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“߇≈◊Õ°
«“√ “√°“√·æ∑¬ Journal of Thai Traditional & Alternative Medicine
«“√ “√°“√·æ∑¬å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“߇≈◊Õ°å·ºπ‰∑¬·≈–°“√·æ∑¬å∑“߇≈◊Õ°
ªï∑’Ë 10 ©∫—∫∑’Ë 3 °—𬓬π-∏—𫓧¡ 2555 Vol. 10 No. 3 September-December 2012
π‘æπ∏åμâπ©∫—∫
ª√– ‘∑∏‘º≈¢Õß°“√Ωí߇¢Á¡
√—°…“Õ“°“√™“ª≈“¬‡∑â“„πºŸâªÉ«¬‡∫“À«“π
‡
‡
‡
ÿ«—≤πå ∏π°√πÿ«—≤πå*, Wang Hua , Fu Ping , Li Jiakang ,
‡
‡
‡
Liang Fengxia , Cheng Bangguo , Zhou Zhongyu ,
‡π“«√—μπå ÿà¡μ‘Í∫*, æ‘¡æåπ¿“ ·´à‚´«*, ®‘√¿—≠≠“ ™◊Ëπ„®*, ∑—»π’¬å Œ“´“‰ππå †
∫∑§—¥¬àÕ
°“√«‘®—¬§√—Èßπ’ȇªìπ°“√»÷°…“‡∫◊ÈÕßμâπ‡√◊ËÕߪ√– ‘∑∏‘º≈¢Õß°“√Ωí߇¢Á¡√—°…“Õ“°“√™“ª≈“¬‡∑â“„πºŸâªÉ«¬
‡∫“À«“π ™π‘¥∑’Ë 2 ‚¥¬»÷°…“„πºŸâªÉ«¬‡∫“À«“π¢Õß‚√ß欓∫“≈‡ “‰À⇩≈‘¡æ√–‡°’¬√μ‘ 80 æ√√…“ ®”π«π
48 §π ·∫à߇ªìπ 2 °≈ÿà¡ ‡ª√’¬∫‡∑’¬∫º≈°“√√—°…“√–À«à“ß°≈ÿà¡∑’Ë√—°…“¥â«¬¬“Õ¬à“߇¥’¬« °—∫°≈ÿà¡∑’Ë√—°…“¥â«¬
¬“√à«¡ °—∫°“√Ωí߇¢Á¡ ¬“∑’Ë„™â„π°“√«‘®—¬ ‰¥â·°à Amitriptyline HCl 10 mg/day ·≈–«‘μ“¡‘π ∫’12 ”À√—∫
°“√Ωí߇¢Á¡„™â®ÿ¥Ωí߇¢Á¡À≈—°∑’Ë°”À𥂥¬ºŸâ‡™’ˬ«™“≠®”π«π 7 ®ÿ¥ ‰¥â·°à Quchi (LI 11), Weiwanxianshu
(EX-B3), Shenshu (BL23), Guanyuan (CV 4), Zusanli (ST36), Hegu (LI 4), Sanyinjiao (SP 6) Ωíß
‡¢Á¡ —ª¥“Àå≈– 3 §√—Èß ‡ªìπ‡«≈“ 12 —ª¥“Àå ·≈–μ‘¥μ“¡º≈°“√√—°…“‡¥◊Õπ≈– 1 §√—ÈßÕ’° 2 ‡¥◊Õπ °“√«—¥º≈
°“√√—°…“„™â·∫∫ª√–‡¡‘πÕ“°“√™“ 4 ™π‘¥ ‰¥â·°à Neuropathy Symptom Score (NSS), Score Scale of
clinical symptom for DPN (SS-DPN), Michigan Diabetes Neuropathy Score (MDNS) ·≈– Neur-
opathy Disability Score (NDS) º≈°“√»÷°…“æ∫«à“ °“√Ωí߇¢Á¡√à«¡°—∫°“√„™â¬“ “¡“√∂™à«¬≈¥Õ“°“√
™“ª≈“¬‡∑Ⓣ¥â¥’°«à“°“√√—∫ª√–∑“π¬“Õ¬à“߇¥’¬«Õ¬à“ß™—¥‡®π (RR Ratio = 0.223, 95% CI = 0.062 -
0.794) °“√ª√–‡¡‘πªØ‘°‘√‘¬“ –∑âÕπ¢ÕߢâÕ‡¢à“, ®ÿ¥√—∫√Ÿâ°“√ –∑âÕ𧫓¡√Ÿâ ÷° —¡º— , °“√√—∫√Ÿâ§«“¡√Ÿâ ÷°‡¬Áπ
æ∫«à“°“√√—°…“‰¥âº≈√âÕ¬≈– 8.32 °≈ÿà¡∑’Ë√—°…“√à«¡°—∫°“√Ωí߇¢Á¡ æ∫«à“ √—°…“‰¥âº≈√âÕ¬≈– 91.52 °“√
ª√–‡¡‘πÕ“°“√™“∫√‘‡«≥¢“ ‡∑â“ Õ“°“√ –¥ÿâßμ◊Ëπ√–À«à“ßπÕπÀ≈—∫ Õ‘√‘¬“∫∂∑’˙૬≈¥Õ“°“√™“ æ∫«à“ „π
°≈ÿà¡∑’Ë√—°…“¥â«¬¬“Õ¬à“߇¥’¬«º≈°“√√—°…“¥’¢÷Èπ√âÕ¬≈– 45.76 °≈ÿà¡Ωí߇¢Á¡√à«¡°—∫°“√„™â¬“æ∫«à“√—°…“‰¥âº≈
¥’¢÷Èπ√âÕ¬≈– 79.04 °“√ª√–‡¡‘πªØ‘°‘√‘¬“°“√√—∫√Ÿâ§«“¡√Ÿâ ÷°∑’ˇ∑â“ §«“¡·¢Áß·√ߢÕß°≈â“¡‡π◊ÈÕ ·≈–
ªØ‘°‘√‘¬“ –∑âÕπ°≈—∫μà“ßÊ æ∫«à“ °≈ÿà¡√—°…“¥â«¬¬“Õ¬à“߇¥’¬«√—°…“‰¡à‰¥âº≈¥’¢÷Èπ∑—ÈßÀ¡¥ §‘¥‡ªìπ√âÕ¬≈– 0
°≈ÿà¡∑’ËΩí߇¢Á¡√à«¡ °—∫°“√„™â¬“‰¥âº≈¥’¢÷Èπ√âÕ¬≈– 95.68 °“√ª√–‡¡‘πÕ“°“√· ¥ßÕÕ°μà“ßÊ ‡™à𠧫“¡√Ÿâ ÷°
°√–À“¬À√◊ÕÕ¬“°πÈ”, Õ“√¡≥å‚¡‚Àßà“¬, À‘«∫àÕ¬, °“√æ—°ºàÕπ, °“√¢—∫∂à“¬, ª√‘¡“≥·≈–§«“¡∂’Ë„π°“√∂à“¬
ªí “«–, °“√√—∫√Ÿâ§«“¡√Ÿâ ÷°√âÕπ∑’ËΩÉ“¡◊Õ ΩÉ“‡∑â“ æ∫«à“ °≈ÿà¡∑’Ë√—°…“¥â«¬¬“‰¥âº≈¥’¢÷Èπ√âÕ¬≈– 37.45 °≈ÿà¡∑’Ë
√—°…“¥â«¬°“√Ωí߇¢Á¡√à«¡°—∫°“√„™â¬“ √—°…“‰¥âº≈¥’¢÷È𧑥‡ªìπ√âÕ¬≈– 91.52 °“√ Õ∫∂“¡„π‡√◊ËÕߧÿ≥¿“æ
™’«‘μ¢ÕߺŸâªÉ«¬∑—Èß 2 °≈ÿà¡æ∫«à“¡’§«“¡æ÷ßæÕ„®„π§ÿ≥¿“æ™’«‘μ„π√–¥—∫‡¥’¬«°—π
§” ”§—≠ : °“√Ωí߇¢Á¡, Õ“°“√™“ª≈“¬‡∑â“, ºŸâªÉ«¬‡∫“À«“π™π‘¥∑’Ë 2
†
*‚√ß欓∫“≈‡ “‰À⇩≈‘¡æ√–‡°’¬√μ‘ 80 æ√√…“, ∂“∫—π°“√·æ∑¬å‰∑¬-®’π ‡Õ‡™’¬μ–«—πÕÕ°‡©’¬ß„μâ,
‡
¡À“«‘∑¬“≈—¬°“√·æ∑¬å·ºπ®’πÀŸ‡ªÉ¬
ºŸâ√—∫º‘¥™Õ∫∫∑§«“¡: ping_suwat@yahoo.com
177