独活寄生汤熏蒸治疗糖尿病周围神经病变的疗效研究.docVIP

精品论文 参考文献 独活寄生汤熏蒸治疗糖尿病周围神经病变的疗效研究 1、三峡大学仁和医院内分泌科，湖北 宜昌市 443001 2、三峡大学仁和医院神经外科 3、三峡大学医学院 【摘要】目的：探讨独活寄生汤熏蒸治疗糖尿病周围神经病变的临床疗效。方法：选取90例糖尿病周围神经病变患者，随机分为A组、B组和C组各30例，均按照糖尿病常规治疗方案进行治疗，A组患者加服依帕司他片，B组患者加用独活寄生汤熏蒸治疗，C组患者采用依帕司他内服联合独活寄生汤熏蒸进行治疗，比较临床疗效。结果：经过治疗后，B组、C组TCSS量表评分均显著低于A组（P＜0.05）；C组显著低于B组（P＜0.05）；C组治疗后胫前神经运动神经传导速度、感觉神经传导速度等均显著高于A组和B组（P＜0.05）。结论：独活寄生汤熏蒸治疗可有效改善糖尿病周围神经病变的临床症状，促进患者神经功能的恢复。 【关键词】独活寄生汤；熏蒸治疗；糖尿病周围神经病变 【中图分类号】R948.4【文献标识码】A【文章编号】1001-5213(2016)08-0343-01 Effect of Duhuojisheng Decoction fumigation steaming in the treatment of diabetic peripheral neuropathy JIAN Lei GAO-Ming Jie （Department of Endocrinology China Three Gorges University，Hubei Yichang 443001） Abstract Objective: To evaluate the clinical efficacy of Duhuojisheng soup fumigation treatment of diabetic peripheral neuropathy. Methods: 90 cases of diabetic peripheral neuropathy were randomly divided into group A, group B and group C (30 cases), in accordance with conventional diabetes treatment regimen, patients in group A plus service epalrestat tablets, patients in group B plus with Duhuojisheng fumigation treatment, group C were treated with oral epalrestat joint Duhuojisheng fumigation treatment to compare the clinical efficacy. Results: After treatment, group B, group C TCSS scale scores were significantly lower than in group A (P lt;0.05); group C was significantly lower than group B (P lt;0.05); group C after treatment of the anterior tibial nerve motor nerve conduction speed, etc sensory nerve conduction velocity was significantly higher than that in group a and group B (P lt;0.05). Conclusion: Duhuojisheng fumigation treatment can effectively improve the clinical symptoms of diabetic peripheral neuropathy, and promote the recovery of neurological function. [Key words] Duhuojisheng Decoction; Fumigation treatment; Diabetic peripheral neuropathy 在糖尿病治疗上，主要通过强化血糖控制以及扩血管和营养神经药物的应用以延缓病情的发展[1]。以往治疗发现，中医在该病的治疗中具有重要的应用价值。本研究探讨独活寄生汤熏蒸治疗糖尿病周围神经病变的临床疗效，以提供参考，现报道如下。 1 资料与方法 1.1