补阳还五汤加味治疗糖尿病性周围神经炎疗效观察与肌电图分析

Curatvie Effect of Buyang Huanwutang Jiawei for Diabetic Peripheral Neuritis and Analysis of Electromyogram

目的:观察补阳还五汤加味治疗糖尿病性周围神经炎的临床疗效。方法:对23例糖尿病性周围神经炎患者采用补阳还五汤加味治疗,同时用肌电图观察治疗前后运动神经传导速度和F波传导速度的改变。结果:经2月治疗后,总有效率为82.6％,尺神经和腓神经运动神经传导速度和F波传导速度均明显提高,与治疗前比较,差异有显著性意义（P<0.05）或非常显著性意义（P<0.01）。结论:以补阳还五汤加味治疗糖尿病性周围神经炎,可使周围神经节段性脱失的髓鞘较好地修复、再生,改善其传导功能。

ve: To observe the curative effect of Buyang Huanwutang Jiawei(BHJ) for diabetic peripheral neuritis (DPN). Methods: 23 cases of DPN were treated by BHJ, and the conduction velocity of motor nerve and F wave before and after treatment was detected by electromyogram. Results: After 2 months of treatment, the total effective rate was 82. 6%. The conduction velocity of ulnar nerve and peroneal nerve and F wave was markedly increased after treatment ( P < 0.05 or P< 0.01) .Conclusion: In TCM, the pathogenesis of the disease is the deficiency of qi and yin, and stagnation of blood in the collaterals. BHJ can repair the segmental demyelination of the myelin sheath of peripheral nerve, and promote its regeneration and improve its conductive function.