现代医药卫生
現代醫藥衛生
현대의약위생
MODERN MEDICINE HEALTH
2014年
11期
1613-1614,1617
,共3页
糖尿病神经病变/中西医结合疗法%周围神经系统疾病/中西医结合疗法%治疗结果
糖尿病神經病變/中西醫結閤療法%週圍神經繫統疾病/中西醫結閤療法%治療結果
당뇨병신경병변/중서의결합요법%주위신경계통질병/중서의결합요법%치료결과
Diabetic neuropathies/zhong xi yi jie he liao fa%Peripheral nervous system diseases/zhong xi yi jie he liao fa%Treatment outcome
目的：探讨中西医结合治疗糖尿病周围神经病变的临床疗效。方法将2009年1月至2013年4月收治的86例糖尿病周围神经病变患者随机分为治疗组和对照组各43例。对照组在控制血糖的基础上给予口服甲钴胺治疗，治疗组在对照组治疗的基础上给予中药经典方剂黄芪桂枝五物汤联合针灸治疗，两组均连续治疗3周为1个疗程，观察比较两组治疗前后临床疗效、临床症候及神经体征评分、神经传导速率等。结果治疗组临床总有效率为93.02%（40/43），对照组为76.74%（33/43），两组比较，差异有统计学意义（P<0.05）；治疗组治疗后临床症候及神经体征评分[（2.9±1.7）、（2.5±1.5）分]均低于对照组[（5.4±2.5）、（3.9±1.7）分]，差异有统计学意义（P<0.05）；治疗组治疗后腓总神经、正中神经传导速度明显优于对照组，差异有统计学意义（P<0.05）。结论糖尿病周围神经病变是糖尿病的常见并发症之一，临床应用中西医结合治疗能明显缓解患者症状和体征，提升神经传导速率，提高患者生活质量，值得在临床推广应用。
目的：探討中西醫結閤治療糖尿病週圍神經病變的臨床療效。方法將2009年1月至2013年4月收治的86例糖尿病週圍神經病變患者隨機分為治療組和對照組各43例。對照組在控製血糖的基礎上給予口服甲鈷胺治療，治療組在對照組治療的基礎上給予中藥經典方劑黃芪桂枝五物湯聯閤針灸治療，兩組均連續治療3週為1箇療程，觀察比較兩組治療前後臨床療效、臨床癥候及神經體徵評分、神經傳導速率等。結果治療組臨床總有效率為93.02%（40/43），對照組為76.74%（33/43），兩組比較，差異有統計學意義（P<0.05）；治療組治療後臨床癥候及神經體徵評分[（2.9±1.7）、（2.5±1.5）分]均低于對照組[（5.4±2.5）、（3.9±1.7）分]，差異有統計學意義（P<0.05）；治療組治療後腓總神經、正中神經傳導速度明顯優于對照組，差異有統計學意義（P<0.05）。結論糖尿病週圍神經病變是糖尿病的常見併髮癥之一，臨床應用中西醫結閤治療能明顯緩解患者癥狀和體徵，提升神經傳導速率，提高患者生活質量，值得在臨床推廣應用。
목적：탐토중서의결합치료당뇨병주위신경병변적림상료효。방법장2009년1월지2013년4월수치적86례당뇨병주위신경병변환자수궤분위치료조화대조조각43례。대조조재공제혈당적기출상급여구복갑고알치료，치료조재대조조치료적기출상급여중약경전방제황기계지오물탕연합침구치료，량조균련속치료3주위1개료정，관찰비교량조치료전후림상료효、림상증후급신경체정평분、신경전도속솔등。결과치료조림상총유효솔위93.02%（40/43），대조조위76.74%（33/43），량조비교，차이유통계학의의（P<0.05）；치료조치료후림상증후급신경체정평분[（2.9±1.7）、（2.5±1.5）분]균저우대조조[（5.4±2.5）、（3.9±1.7）분]，차이유통계학의의（P<0.05）；치료조치료후비총신경、정중신경전도속도명현우우대조조，차이유통계학의의（P<0.05）。결론당뇨병주위신경병변시당뇨병적상견병발증지일，림상응용중서의결합치료능명현완해환자증상화체정，제승신경전도속솔，제고환자생활질량，치득재림상추엄응용。
Objetive To investigate the clinical efficacy of combination therapy of traditional Chinese medicine (TCM) and Western medicine(WM) for diabetic peripheral neuropathy(DPN). Methods Clinical data of 86 patients with DPN,who were received from January 2009 to April 2013 ,were collected and divided into treatment group and control group ,43 cases in each group. The control group was administrated with mecobalamin orally on the basis of glucose control ,while the treatment group was given Huangqi Guizhi Wuwu decoction combined with acupuncture therapy based on the therapy of control group. 3 weeks of continuous treatment in both groups was a course. The clinical efficacy ,nerve conduction velocity (NCV) and so on before and after treatment in both groups were observed and compared. Results The total effective rate was 93.02%(40/43)in the treat-ment group and 76.74%(33/43) in the control group with statistically significant difference(P<0.05). After treatment,the nervus peroneus communis NCV and median NCV in the treatment group were significantly superior to those in the control group (P<0.05). Conclusion DPN is one of common complications of diabetes. The clinical combination therapy of TCM and WM can al-leviate the symptoms and signs,improve nerve conduction velocity and increase the life quality of patients,so,it is worthy of popu-larization and promotion in clinic.
