中医综合疗法治疗糖尿病周围神经病变临床观察  

Comprehensive traditional Chinese medicine treatment of diabetic peripheral neuropathy

作　　者：徐融[1] 杨聘[1] 徐精彩[1] 

机构地区：[1]杭州市中医院,浙江杭州310006

出　　处：《中华中医药学刊》2014年第4期860-862,共3页Chinese Archives of Traditional Chinese Medicine

摘　　要：目的:观察中医综合疗法治疗糖尿病性周围神经病变(DPN)的临床疗效。方法:将符合标准的DPN患者60例,随机分为治疗组和对照组两组,每组各30例,在采用相同的基础治疗上,对照组口服甲钴胺片,治疗组采用口服中药汤剂与针刺相结合的方法进行治疗,疗程结合后观察患者临床疗效、神经病变积分(MDNS)、及肌电图的改善情况。结果:治疗组总有效率为96.7%,对照组为60.0%,治疗组明显优于对照组(P<0.05)。两组治疗后症状积分治疗组与对照组比较有显著差异(P<0.05),两组治疗后糖尿病神经病变积分治疗组与对照组比较有显著差异(P<0.05),治疗后治疗组神经传导速度与对照组相比有明显改善,两组相比有显著性差异(P<0.05)。结论:采用口服中药与针刺联合治疗DPN具有较好的临床疗效,充分发挥中医优势,值得推广应用。Objective：To observe the clinical efficacy of the comprehensive traditional Chinese medicine on diabetic peripheral neuropathy （DPN）. Method： 60DPN patients met the standard were randomly divided into a treatment group and a control group, 30 in each group. The control group used the same basic treatment, oral methylcobalamin hydrochlo- ride tablets, and the treatment group were treated with oral medicine decoction treatment with acupuncture method. The combining clinical efficacy in patients was compared by neuropathy Credits （MDNS） and EMG after treatment. Results： The total effective rate was 96.7% in treatment group and 60.0% in the control group. The treatment group was signifi- cantly better than the control group （P 〈 0.05 ）. After treatment, the symptom score of the treatment group compared with control group had significant differences （P 〈 0.05）. The diabetic neuropathy score and nerve conduction velocity had a significant difference （P 〈 0.05 ） in the treatment group compared with those of the control group, and both groups had significant difference （P 〈 0. 05 ）. Conclusion ： The oral administration of traditional Chinese medicine and acupuncture combination therapy has a better clinical effect on DPN and gives full play to the advantages of Chinese medicine, and should be widely applied.

关 键 词：中医综合疗法 辨证论治 针刺治疗 糖尿病周围神经病变 临床观察 

分 类 号：R781.64[医药卫生—口腔医学]