中药内服外用治疗糖尿病周围神经病变临床观察

Clinical Observation of Oral Chinese Drugs Combined with Foot Bath on Diabetic Peripheral Neuropath

目的:观察中药内服外用治疗糖尿病周围神经病变的临床疗效。方法:将确诊为糖尿病周围神经病变的患者70例随机分为两组各35例。两组均予基础降糖治疗,使血糖趋于正常;治疗组用补阳还五汤加减内服并配合益气通络方足浴,均每日1剂;对照组口服甲钴胺(弥可保)和硫辛酸胶囊治疗;疗程均为8周。结果:两组总有效率比较无显著性差异(P>0.05);两组治疗后在神经传导速度、中医证候方面比较,治疗组优于对照组,差异有统计学意义(P<0.05)。结论:中药内外合用可显著改善神经传导速度,改善该病患者临床症状,提高患者生活质量。

Objective ： To observe the clinical effects of oral Chinese drugs with foot bath on diabetic peripheral neuropath. Methods：70 diagnosed patients with diabetic peripheral neuropath were randomly divided into two groups ,35 cases in each group. Two groups were treated with basic hypoglycemic agents to keep blood sugar normal and stable. The treatment group was treated with oral modified buyang huanwu decoction, 1 dose per day, combined with yiqi tongluo decoction foot bath; the control group were treated with mecobalamin and lipoic acid capsule. The treatment cycle was 8 weeks. Results： Compared the total effective rates of two groups, there was no significant difference （ P 〉 0. 05 ）. After treatment, compared nerve conduction velocity and TCM syndromes in two groups, the treatment group was better than the control group, the difference had statistically significance （P 〈 0. 05）. Conclusion： The internal and external application of Chinese medicines can significantly improve nerve conduction velocity, clinical symptoms of patients and the quality of life.