中药塌渍治疗联合超声药物导入治疗老年糖尿病周围神经病变的效果观察  

Effect of Traditional Chinese Medicine collapse stains combined with ultrasound drug penetration therapy in the treatment of diabetic peripheral neuropathy in the elderly

作　　者：张圆林 蔡伟伟 李娜 ZHANG Yuanlin;CAI Weiwei;LI Na(Department of Endocrinology,Beijing Royal Integrative Medicine Hospital,Beijing,102209)

机构地区：[1]北京王府中西医结合医院内分泌科,北京102209

出　　处：《中西医结合护理》2023年第7期90-94,共5页Chinese Journal of Integrative Nursing

摘　　要：目的探讨中药塌渍联合超声药物导入治疗老年糖尿病患者周围神经病变(DPN)的效果。方法采用随机数字表将90例老年糖尿病周围神经病变(DPN)患者随机分为观察组(n=45)和对照组(n=45)。对照组给予甲钴胺片口服联合超声药物导入治疗,观察组在对照组的基础上联合中药塌渍进行治疗,两组均以14d为1个疗程,连续治疗2个疗程。评估和对比两组临床总有效率、临床症状积分、治疗前后正中神经和腓总神经的感觉神经传导速度(SNCV)与运动神经传导速度(MNCV)的差异。结果观察组总有效率为93.33%(42/45),高于对照组的77.78%(35/45),差异有统计学意义(P<0.05)。治疗后,两组临床症状总积分较治疗前下降(P<0.01),且观察组临床症状总积分下降幅度较对照组明显,差异有统计学意义(P<0.01)。治疗后,两组患者MNCV和SNCV数值较治疗前升高(P<0.01);与对照组相比,观察组MNCV和SNCV数值升高幅度优于对照组,差异有统计学意义(P<0.01)。结论中药塌渍治疗联合超声药物导入疗法可以有效缓解老年DPN患者临床症状和体征,改善周围神经的运动和感觉传导功能,联合治疗能有效提高临床治疗效果。Objective To investigate the effect of Traditional Chinese Medicine(TCM)col-lapse stains combined with ultrasound drug penetration therapy in the treatment of diabetic periph-eral neuropathy(DPN)in the elderly.Methods Totally 90 elderly patients with DPN were ran-domly divided into observation group(n=45)and control group(n=45).All patients received oral administration of Mecobalamin tablets combined with ultrasound drug penetration therapy,and patients in the observation group were given Traditional Chinese Medicine collapse stains ad-ditionally.Both two groups received 14-day course of treatment.The total clinical effective rate,clinical symptom score,sensory nerve conduction velocity(SNCV)and motor nerve conduction velocity(MNCV)of median nerve and common peroneal nerve were observed and compared be-tween two groups.Results The total effective rate of the control group was 77.78%(35/45),and total clinical effective rate of the treatment group was 93.33%(42/45),with a significant dif-ference(P<0.05).The clinical symptom scores of the two groups were significantly decreased after intervention(P<0.01),and clinical symptom score of the observation group was lower than that of the control group(P<0.01).MCV and SCV values of median nerve and common perone-al nerve in the two groups were significantly increased after intervention(P<0.01),and MNCV and SNCV values in the observation group were higher than those in the control group(P<0.01).Conclusion TCM collapse stains combined with ultrasound drug penetration therapy can effectively relieve the clinical symptoms of elderly patients with DPN,improve the motor and sen-sory conduction function of peripheral nerves,and the combined treatment can effectively im-prove the clinical treatment effect.

关 键 词：中药塌渍 超声药物导入 补阳还五汤 糖尿病周围神经病变 神经传导功能 

分 类 号：R473.5[医药卫生—护理学]