CAJ | 학술논문

目的：观察益气活血化痰法治疗糖尿病周围神经病变患者的临床效果。方法选择110例糖尿病周围神经病变患者作为研究对象,随机分组,中药组56例,对照组54例,对照组予常规治疗基础上加甲钴胺口服,治疗组予常规治疗加益气活血化痰中药,疗程8 w,观察两组患者治疗前后神经传导速度及临床疗效。结果(1)两组间正中神经运动传导速度、腓总神经运动传导速度、正中神经感觉传导速度、腓总神经感觉传导速度治疗前后的差值有显著性差异( P<0.05)；(2)治疗组中显效31例,有效21例,无效4例,总有效率92.9%,明显优于对照组,差异有统计学意义(P<0.05)。结论益气活血化痰法可以增加神经传导速度,改善糖尿病周围神经病变的临床症状,值得临床推广研究。
목적：관찰익기활혈화담법치료당뇨병주위신경병변환자적림상효과。방법선택110례당뇨병주위신경병변환자작위연구대상,수궤분조,중약조56례,대조조54례,대조조여상규치료기출상가갑고알구복,치료조여상규치료가익기활혈화담중약,료정8 w,관찰량조환자치료전후신경전도속도급림상료효。결과(1)량조간정중신경운동전도속도、비총신경운동전도속도、정중신경감각전도속도、비총신경감각전도속도치료전후적차치유현저성차이( P<0.05)；(2)치료조중현효31례,유효21례,무효4례,총유효솔92.9%,명현우우대조조,차이유통계학의의(P<0.05)。결론익기활혈화담법가이증가신경전도속도,개선당뇨병주위신경병변적림상증상,치득림상추엄연구。
Objective To observe the clinical effect of the therapy, supplementing qi and activating blood circulation and resol-ving phlegm, in the treatment of diabetic peripheral neuropathy ( DPN) . Methods 110 DPN patients were selected as research ob-jects and randomly divided into treatment group with 56 cases who were treated with conventional treatment and Chinese traditional medicine to supplement qi, activate blood circulation and resolve phlegm, while the control group with 54 cases were treated with con-ventional treatment and mecobalamin tablets. During 8 weeks of treatment, the nerve conduction velocity and clinical effect of the two groups before and after treatment were observed. Results ( 1 ) The difference of the Median nerve conduction velocity, common peroneal nerve conduction velocity, Median nerve sensory conduction velocity and common peroneal nerve sensory conduction velocity of the two groups before and after treatment was significant (P<0. 05). (2) The total effective rate of treatment group was 92. 9%, 31 cases with marked effect, 21 cases with effect, and 4 cases with no effect, which was significantly higher than that of control group. The difference was statistically significant (P<0. 05). Conclusion Supplementing qi, activating blood circulation and resol-ving phlegm therapy can increase the NCV and improve the clinical symptoms of DPN, which is worth promoting.