中西医结合从瘀论治糖尿病性心脏植物神经病变60例临床观察

Clinical Report of 60 Cases of Diabetic Cardio-Vascular Autonomous Neuropathy by Stasis Removing Treatment of Combined Traditional and Western Medicine

目的：中西医结合从瘀论治糖尿病性心脏植物神经病变。方法：共收治明确诊断为糖尿病性心脏植物神经病变的患者６０例，按随机原则分为２组各３０例：治疗组在采用西医药有效控制血糖水平的基础上，加用具有益气养阴、活血化瘀散结功效的糖心神中药方治疗；对照组则采用单纯西医药治疗，两组均治疗３个月。结果：治疗组有效率７３．３％，对照组有效率３３．３％，经ｘ２检验，Ｐ＜０．００５。结论：对于糖尿病性心脏植物神经病变，采用中西医结合从瘀论治的疗效明显优于采用单纯西医药的疗效。

Objective: To study the treatment of diabetic cardio-vascular autonomous neuropathy(DCVAN) by TCM-WM following the principle of promoting blood circulation to remove blood stasis. Methods:Sixty patients with DCVAN were randomly divided into two groups, the treatment group(30 patients) were treated with combined TCM-WM therapy. Based on the control of blood sugar by WM effectively, then use TCM-Tangxinshen(糖心神, TXS) with the function of supplementing the Qi and nourishing Yin, promoting blood circulation to remove blood stasis. Thirty cases of the control group were treated with WM alone. The course of treatment was three months. Results: The total effective rate of the treatment group and the control group was 77. 3 % and 33. 4 % respectively, which were significantiy different statistically (P < 0. 005 ). Conclusion: The therapeutic effect of TCM-WM was better than that of WM.