消渴寒痛乐熏洗治疗糖尿病周围神经病变临床观察

Clinical Observation on Xiaoke Hanle Steaming and Washing Therapy for Diabetic Peripheral Neuropathy

目的:观察消渴寒痛乐熏洗治疗糖尿病周围神经病变的临床疗效。方法:选取符合诊断标准的病例160例,随机分为两组,治疗组81例,予消渴寒痛乐浸泡双足,每日1次,1月为1个疗程。对照组79例,口服甲钴铵0.5μg,每日3次,1月为1个疗程。观察两组患者治疗前后症状、体征、神经传导速度的变化,并做出疗效判定。结果:治疗后中药足浴组的症状、体征、神经传导速度均有显著改善,经统计学分析与对照组比有显著性差异(P<0.05)。结论:消渴寒痛乐具有温经通络、活血化瘀的功效,对糖尿病性周围神经病变有较好的治疗作用,使用安全有效,价格低廉,值得推广应用。

Objective ： To observe the effect of Xiaoke Hantongle steaming and washing therapy treating diabetic peripheral neuropathy. Methods ： 160 cases met the diagnosis criterion were selected and randomly divided into two groups ： treatment group （ 81 cases ）were treated with Xiaoke Hantongle steaming and washing therapy once a day and the course was a month ; control group（79 cases） was administrated with vancomin 0.5 μg orally,three times a day, the course was also a month. The symptoms and sings and NCV of the two groups before and after treatment were observed to evaluate the effect. Results ： After treatment, the symptoms and signs and NCV in treatment group were obviously improved and had obvious difference compared with that in control group （P〈0.05）. Conclusion ： Xiaoke Hantongle can warm meridians, dredeg collaterals and activate blood circulation to resolve blood stasis, which has good effect on diabetic peripheral neuropathy. It is safe, effective, cheap and worthy of widely application.