中西医结合治疗糖尿病周围神经病变机制研究  

Treatment with combine traditional Chinese and western medicine of diabetic peripheral neuropathy

作　　者：杜丽坤[1] 孙宇[2] 徐洪涛[1] 王冰梅[1] 

机构地区：[1]黑龙江中医药大学附属第一医院,哈尔滨150040 [2]黑龙江中医药大学,哈尔滨150040

出　　处：《吉林中医药》2014年第4期334-336,共3页Jilin Journal of Chinese Medicine

基　　金：教育部春晖计划资助项目(Z2009-1-15012)

摘　　要：现代医学对糖尿病周围神经病变发病机制尚未明确,多认为代谢紊乱与微血管损害在病变中起着重要作用,与神经营养因子、自身免疫功能及遗传因素等有密切联系,治疗方法局限,以对症治疗为主。中医学认为,日久耗气伤阴,肝肾亏虚,瘀血内阻,脉络不通为本病病因病机。本虚为肝肾气阴亏虚,标实为燥热内盛、瘀血阻络。根据其临床表现,辨为肝肾亏虚,脉络瘀阻证,治疗以补益肝肾、化瘀通络为法,疗效较好。In Western medicine part,the deficiency on the theoretical system of DPN causes and mechanism,and the limitation of clinical application on theories; traditional Chinese medicine according to the clinical manifestations of DPN,inducing this syndrome differentiation is deficiency of liver and kidney and blood stasis. Therefore,the article put forward the important principle of treatment for DPN,which is tonifying the liver and kidney,removing blood stasis. The author summarized the causes and mechanism of DPN,providing the theories and the clinical efficacy for this disease.

关 键 词：糖尿病 糖尿病周围神经病变 微血管损害 脉络瘀阻 

分 类 号：R255.4[医药卫生—中医内科学]