温脾祛湿化痰通络法治疗脾肾阳虚型糖尿病周围神经病变疗效观察

Clinical Observation of Warming Spleen and Eliminating Dampness and Phlegm and Dredging Collaterals Therapy on Spleen and Kidney Yang Deficiency Syndrome of Diabetesperipheral Neuropathy

目的观察温脾祛湿化痰通络法治疗糖尿病周围神经病变(DPN)脾肾阳虚型疗效。方法将符合条件的40例患者随机分为2组,对照组予西医常规治疗,治疗组在西医治疗基础上加用温脾祛湿化痰通络法组方治疗。观察治疗前后中医证候积分、多伦多神经病变评分(TCSS)、糖代谢指标的变化。结果治疗组在中医证候积分、TCSS评分方面的疗效均优于对照组(P<0.05),糖代谢指标变化与对照组无显著差异(P>0.05)。结论温脾祛湿化痰通络法能显著提高脾肾阳虚型DPN临床效果。

Objective Observation of warming spleen arid eliminating dampness and phlegm and dredging collaterals therapy on diabetic peripheral neuropathy （DPN） with spleen and kidney yang deficiency syndrome. Method 40 patients were divided randomly into 2 groups, control group received routine treatment of western medicine, treatment group received western medicine plus warming spleen and eliminating dampness and phlegmand dredging collaterals recipe ,before and after treatment, TCM syndrome integral, toronto neuropathy score （TCSS） , changes in glucose metabolism were observed. Result Curative effect ,TCM syndrome score,TCSS score in treatment group were better than the control group, difference was statistically significant （ P 〈 0.05 ）, sugar metabolism changes had no significant difference between two groups （P 〉0.05）. Conclusion Warming spleen and eliminating dampness and phlegm and dredging collaterals can significantly improve the clinical effect of spleen kidney yang deficiency type of DPN.