中国实用神经疾病杂志
中國實用神經疾病雜誌
중국실용신경질병잡지
Chinese Journal of Practical Nervous Diseases
2015年
20期
14-16
,共3页
糖尿病%周围神经病变%中药
糖尿病%週圍神經病變%中藥
당뇨병%주위신경병변%중약
Diabetes%Peripheral neuropathy%T raditional Chinese medicine
目的：探讨加味黄芪桂枝五物汤治疗糖尿病周围神经病变的临床疗效。方法选取我院收治的164例糖尿病周围神经病变患者为研究对象，根据入院顺序随机分为常规治疗组和综合治疗组各82例。2组入院后均给予甲钴胺针和硫辛酸针治疗，综合治疗组在此基础上加服加味黄芪桂枝五物汤，连续治疗2周。观察2组治疗前后中医症候积分及神经传导速度的变化，并对比较临床疗效进行。结果与常规治疗组相比，治疗后联合治疗组正中神经、腓总神经的M NCV及SNCV明显增高，各项临床症候积分明显降低，临床痊愈率及显效率也显著提高，差异均具有统计学意义（ P＜0.05）。结论加味黄芪桂枝五物汤可有效改善糖尿病周围神经病变的临床症状，加速肢体的神经传导，提高临床疗效。
目的：探討加味黃芪桂枝五物湯治療糖尿病週圍神經病變的臨床療效。方法選取我院收治的164例糖尿病週圍神經病變患者為研究對象，根據入院順序隨機分為常規治療組和綜閤治療組各82例。2組入院後均給予甲鈷胺針和硫辛痠針治療，綜閤治療組在此基礎上加服加味黃芪桂枝五物湯，連續治療2週。觀察2組治療前後中醫癥候積分及神經傳導速度的變化，併對比較臨床療效進行。結果與常規治療組相比，治療後聯閤治療組正中神經、腓總神經的M NCV及SNCV明顯增高，各項臨床癥候積分明顯降低，臨床痊愈率及顯效率也顯著提高，差異均具有統計學意義（ P＜0.05）。結論加味黃芪桂枝五物湯可有效改善糖尿病週圍神經病變的臨床癥狀，加速肢體的神經傳導，提高臨床療效。
목적：탐토가미황기계지오물탕치료당뇨병주위신경병변적림상료효。방법선취아원수치적164례당뇨병주위신경병변환자위연구대상，근거입원순서수궤분위상규치료조화종합치료조각82례。2조입원후균급여갑고알침화류신산침치료，종합치료조재차기출상가복가미황기계지오물탕，련속치료2주。관찰2조치료전후중의증후적분급신경전도속도적변화，병대비교림상료효진행。결과여상규치료조상비，치료후연합치료조정중신경、비총신경적M NCV급SNCV명현증고，각항림상증후적분명현강저，림상전유솔급현효솔야현저제고，차이균구유통계학의의（ P＜0.05）。결론가미황기계지오물탕가유효개선당뇨병주위신경병변적림상증상，가속지체적신경전도，제고림상료효。
Objective To discuss the clinical effect of Huangqi Guizhi Wuwu decoction for patients with diabetic peripheral neuropathy.Methods 164 cases of patients with diabetic peripheral neuropathy in our hospital were selected as the research ob‐jects ,and were randomly divided into conventional treatment group and combined treatment group according to admission or‐der ,each group with 82 cases. Patients in the two groups were given mecobalamine and alpha lipoic acid after admission ,on the basis the patients of comprehensive treatment group were given Huangqi Guizhi Wuwu decoction ,all the patients were treated for 2 weeks. The Chinese medicine symptom integral and the change of the nerve conduction velocity of patients in two groups were observed before and after treatment ,and the clinical curative effect was compared.Results Compared with the conven‐tional treatment group ,the MNCV and SNCV of median nerve and nervus peroneus communis of combined treatment group af‐ter treatment were increased obviously ,the various clinical symptoms were significantly reduced ,and the clinical cure rate and efficiency were also increased significantly ,the differences were statistically significant (P< 0.05). Conclusion Huangqi Guizhi Wuw u decoction can effectively improve the clinical symptoms of diabetic peripheral neuropathy ,accelerate the body of the nerve conduction ,and improve clinical curative effect.
