补气活血法治疗糖尿病周围神经病变的临床观察

Clinical Observation on Treatment of Diabetic Peripheral Neuropathy with Qi-supplementing and Blood-acti- vating Therapy

目的:观察补气活血法治疗糖尿病周围神经病变(DPN)的临床疗效。方法:选取气虚血瘀的2型糖尿病住院患者68例,随机分为两组(各34例),两组均用西医常规处理,治疗组同时加用补气活血中药,疗程均2个月,并分别测定两组治疗前后血糖、甘油三酯、总胆固醇、神经传导速度(NCV)。结果:治疗组治疗后空腹血糖、餐后2h血糖、甘油三酯、总胆固醇及NCV均有显著改善(P<0.05),且优于对照组(P<0.05)。对照组仅空腹血糖及NCV治疗后有显著改善(P<0.05)。结论:补气活血法治疗DPN不仅能改善其临床症状,同时能显著提高其NCV。

Objective: To observe the clinical efficacy of Qi-supplementing and blood-activating (QSBA) in treating diabetic peripheral nephropathy (DPN). Methods: Sixty-eight type 2 diabetes mellitus patients with Qi deficiency-blood stasis Syndrome were randomly divided into two groups, the neurotrophic agents were used in both groups, while QSBA herbs were used in the treated group additionally. The treatment course was 2 months. Blood glucose (BG), triglyceride (TG), total cholesterol (TC) and nerve conduction velocity (NCV) were detected before and after treatment. Results: After treatment, the BG, blood lipid, NCV were improved significantly (P<0.05) in both groups, but the improvement was more significant in the QSBA treated group than in the control group (P<0.05). Conclusion: QSBA, in treating DPN, can not only improve its symptoms, but also ameliorate the NCV.