中西医结合治疗糖尿病周围神经病变疗效的临床探讨

Clinical Observation on the Effect of Treating Diabetic Peripheral Neuropathy with Integrated Chinese and Western Medicine

目的观察和比较单纯西医治疗和中西医结合治疗糖尿病周围神经病变的效果。方法随机选择到慢性病门诊中诊治的具有可比性两组各40例糖尿病周围神经病变患者为研究对象,对照组在合理的饮食和运动治疗的同时采用血糖控制联合甲钴胺治疗法,研究组在对照组治疗方法的基础上辨证分型应用中药方剂治疗的方法,观察治疗前后疼痛、麻木及神经传导速度变化,并按标准判定和比较两组患者的疗效。结果两组患者经过8周的治疗后,对照组40例患者中,11例患者符合显效标准,19例患者符合有效标准,10例患者符合无效标准,总有效率为75.00%;研究组40例患者中,15例患者符合显效标准,21例患者符合有效标准,4例患者符合无效标准,总有效率为90.00%,两组患者的疗效和总有效率之间的差异均有统计学意义(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单用西药组,值得推广应用。

Objective To observe and compare the effect of treating diabetic peripheral neuropathy with western medicine and Western medicine. Methods Randomly selected to chronic disease outpatient treatment with ratio of each group 40 cas-es of diabetic peripheral neuropathy patients as the research object, the control group in the reasonable diet and exercise therapy at the same time with glucose control combined with methylcobalamin treatment method, study group in the control treatment group method based on syndrome differentiation type application of traditional Chinese medicine prescription treatment method observed before and after treatment, the pain, numbness, and changes in nerve conduction velocity, and according to the criteria and compared between the two groups of patients with curative effect. Results Two groups of pa-tients after 8 weeks of treatment, the control group of 40 patients, 11 patients with effective criteria, 19 patients with effec-tive criteria, 10 patients with invalid standard, the total effective rate was 15; 40 patients in the study group, 21 patients with effective standards, 4 patients with invalid standard, the total effective rate was two, the total effective rate of 90%groups were statistically significant （P〈0.05）. Conclusion Combined Chinese and Western medicine treatment of diabetic peripheral neuropathy is better than the single use of Western medicine, it is worthy of promotion and application.