糖尿病周围神经病变的中西医诊治

Diagnosis and treatment of diabetic peripheral neuropathy with Chinese and western medicine

糖尿病周围神经病变(DPN)是糖尿病最为常见的慢性并发症之一,发病率高达60%。DPN的诊断标准国外最新的是2010年多伦多糖尿病神经病变专家组所提出的,而国内的诊断标准尚未正式出台,但多用各种评分标准对DPN进行评价。在DPN的西医治疗方面,一般采用控制血糖、针对发病机制的治疗及对症治疗等治疗方法,在DPN的中医治疗方面,多采用中医辨证论治、外治法及针灸治疗等方法。

Diabetic peripheral neuropathy （DPN） is the most common chronic complication of diabetes, the incidence rate is as high as 60%. The latest foreign diagnostic criteria of DPN is made by the Toronto diabetic neuropathy experts group in 2010, and domestic diagnostic criteria has not been formally introduced, but a variety of scoring criteria are used for the evaluation of diabetic peripheral neuropathy. The ways of western medicine in treating DPN include the general blood glucose control, treatment for pathogenesis and the symptomatic treatment. The methods of Chinese medicine in treating DPN include the syndrome differentiation with traditional Chinese medicine, external treatment and acupuncture treatment, etc.