中西医治疗糖尿病周围神经病变研究述评  

Clinical Research Progress on the Treatment of Diabetic Peripheral Neuropathy by the Integration of Traditional Chinese Medicine and Western Medicine

作　　者：韩佳妮[1] 汪悦[1] 

机构地区：[1]南京中医药大学,江苏南京210029

出　　处：《中医学报》2012年第6期743-745,共3页Acta Chinese Medicine

摘　　要：目的:探讨中西医在治疗糖尿病周围神经病变(DNP)的研究现状。方法:对近年来关于中西医治疗DNP的文献进行整理、分析。结果:西医治疗多用α-硫辛酸、甲钴胺、胰激肽原酶、前列地尔、依帕司他等治疗。中医学认为本病以气虚、阴虚、阳虚为本,以瘀血、痰浊为标,血瘀贯穿于DPN的始终,采用益气、活血、化瘀等方法治疗。结论:DPN是糖尿病最常见的并发症和主要致残原因之一,目前治疗DPN还没有特效药。笔者认为应对患者进行全面评估,在有效控制血糖的基础上,针对DPN发病机理及患者的症状进行中西医结合治疗,以期改善DPN患者生活质量。Objective：To discuss the research actuality of diabetic peripheral neuropathy （DNP） treated by the integration of traditional Chinese medicine and western medicine. Methods ： Literatures about the treatment of DNP by the integration of Traditional Chinese Medicine and Western Medicine were collected and analyzed. Results：Drugs such as ctLipoie acid, mecobalamin, pancreatic kininogenase, alprostadil, epalrestat, and so On, were used for western medicine treatment. From the perspective of TCM, deficiency of qi, yin and yang were the root causes of this disease, while blood stasis and turbid phlegm were the superficial factors of this disease, and stagnation of blood went throughout the DPN. Therefore, tonifying qi, activating blood and eliminating blood stasis should be used to treat this disease. Conclusion ： DPN is one of the most common complications and the major cause of causing disability of diabetes, but there is no specific drug to cure it at present. We deem that the patients should be evaluated comprehensively. Based on the effective control of blood sugar, therapy of integrating traditional Chinese medicine and western medicine should be used to comprehensively treat this disease with ai ming at the pathogenesis of DPN and series of symptoms of patients ,so as to improve DPN patients＇ quality of life.

关 键 词：糖尿病 周围神经病变 Α-硫辛酸 甲钴胺 胰激肽原酶 益气 活血化瘀 

分 类 号：R259.871[医药卫生—中西医结合]