下肢间歇气压对糖尿病周围神经病变的作用

THE EFFICACY OF INTERMITTENT PNEUMATIC COMPRESSION IN TREATING THE PATIENTS WITH DIABETIC PERIPHERAL NEUROPATHY

目的探讨下肢间歇气压疗法(IPC)对糖尿病周围神经病变的作用。方法选择2型糖尿病并发周围神经病变患者,分别给予弥可保、下肢IPC以及二者联合治疗。以尺神经、正中神经和腓总神经传导速度及"神经病变主觉症状问卷"(TSS)评分为观察指标进行相关分析研究。结果 IPC组治疗后运动神经传导速度(MNCV)和感觉神经传导速度(SNCV)均明显高于治疗前(P<0.05),且TSS各项评分较治疗前均改善(P<0.05),疗效与弥可保组相当,联合治疗组效果更为显著(P<0.05)。治疗过程中未发现不良反应。结论下肢间歇气压治疗糖尿病周围神经病变具有疗效。*

Objective To detect the efficacy of intermittent pneumatic compression（IPC）on patients with diabetic peripheral neuropathy（DPN）.Methods Type II diabetes complicated with DPN were treated with methycobal alone,lower limbs IPC and combination IPC with methycobal,respectively.The conduction velocity of ulnar nerve,median nerve and peroneal nerve and the neuropathy Lord Sleep symptoms questionnaire（TSS） score as the observing indexes had been analyzed.Results The symptoms of DPN were improved and nerve conduction velocity was accelerated in MNCV and SNCV（P0.05）.The various TSS score was improved than before treatment（P0.05）.The efficacy of IPC was similar to that of methycobal.The efficacy of combination IPC and methycobal was more significant than any single therapy（P0.05）.There was no adverse effects during the treatment.Conclusion IPC shows a good effect in treatment of DPN.