复荣通脉胶囊治疗糖尿病周围神经病变的临床疗效

Clinical effect analysis of the Furongtongmai capsule in the treatment of diabetic peripheral neuropathy

目的探讨复荣通脉胶囊治疗糖尿病周围神经病变的临床疗效。方法选择2013年1月至2015年1月医院收治的糖尿病周围神经病变患者97例,将其随机分为观察组49例、对照组48例,对照组采取西医治疗方案,观察组在对照组基础上联合运用复荣通脉胶囊,2组均治疗3个月,比较2组患者临床疗效、治疗前后症状积分、TCSS评分、神经传导速度以及安全性。结果观察组治疗总有效率为83.67%,对照组治疗总有效率为64.58%,2组差异具有统计学意义(P<0.05);2组患者治疗后临床症状积分、TCSS评分均较治疗前显著改善,且观察组改善情况显著优于对照组(P<0.05);2组患者治疗前双侧腓总神经运动神经、感觉神经的传速度无统计学意义(P>0.05),治疗后2组患者神经传导速度均明显改善(P<0.05),且观察组改善情况显著优于对照组(P<0.05)。结论复荣通脉胶囊联合西医营养神经、改善微循环常规方案治疗糖尿病周围神经病变疗效显著,可显著改善患者临床症状以及神经病变,值得临床推广运用。

Objective To investigate the clinical efficacy of Furongtongmai capsule in the treatment of diabetic peripheral neuropathy. Methods 97 cases of patients with diabetic peripheral neuropathy were diagnosed from January 2013 to January 2015, which were randomly divided into observation group（n=49）and control group（n=48）. The control group were treated with western medicine treatment and the observation group were treated with Furongtongmai capsule on the basis of the treatment in the control group.Two sets of treatments were three months. A comparison of the clinical efficacy, symptom score before and after the treatment, TCSS score, nerve conduction velocity and Security in both groups were made. Results The total effective rate in the observation group was 83.67% and that in the control group ws 64.58%, there was a statistical significance（P〈0.05）; after the treatments, the symptom score and TCSS score in both groups were significantly better than that of the before treatment, and the symptom score and TCSS score in the observation group were significantly superior to that of the control group（P〈0.05）. There was no difference in bilateral peroneal nerve motor nerve and sensory nerve of transmission speed before the treatment（P〉0.05）. The NCV in both groups were significantly improved after the treatment（P〉0.05）, and the mend matters in the observation group were significantly superior to the control group（P〈0.05）. Conclusion The clinical efficacy of the Furongtongmai capsule combined with western medicine for nourishing the nerves and improving micro-circulation of conventional scheme is significant, which can significantly improve the clinical symptoms and neuropathy, it is worthy to be popularized and applied.