中西医结合治疗糖尿病周围神经病变临床观察

Clinical Observation of Chinese Herbs Orally Taken and Out-washing Combined with Methycobal on Diabetic Peripheral Neuropathy

目的:观察中药复方内服外洗并结合西药甲钴胺中西医结合治疗糖尿病周围神经病变(DNP)的临床疗效。方法:将64例该病患者随机分为2组各32例,对照组在西药常规控制血糖平稳的基础上口服甲钴胺;治疗组在对照组基础上加用中药复方内服外洗治疗,疗程均为4周。结果:总有效率、血糖、血脂等各项指标及神经传导速度等,治疗组与对照组比较差异均有统计学意义(P<0.01或P<0.05)。结论:中西医结合治疗糖尿病周围神经病变的疗效优于常规西药治疗。

Objective： To observe the clinical effect of complex prescription of TCM for oral use and washing combined with methycobal on diabetic peripheral neuropathy. Methods： 64 cases were randomly divided into 2 groups. 32 cases in control group were treated with methycobal on the basis of conventional western medicine to control blood sugar. The other 32 ones in treatment group were treated with complex prescription of TCM for oral use and washing combined with methycobal. One course of treatment included 4 weeks. Results ： There was signif- icant difference between the two groups on the total effective rate, blood glucose, blood lipids and other indicators and nerve conduction velocity （P 〈0.01 or P 〈 0.05 ）. Conclusion： The effect of therapy of integrated traditional Chinese and Western Medicine is superior to conventional therapy of western medicine in the treatment of diabetic peripheral neuropathy.