中医综合疗法辨治糖尿病周围神经病变临床研究

目的:观察中医综合疗法辨治糖尿病周围神经病变的临床疗效。方法:将68例患者随机分为治疗组和对照组,每组各84例。治疗组应用中医结合疗法,对照组应用甲钴胺注射液治疗,治疗2个疗程,应用Toronto临床评分体系评价两组患者治疗前后神经传导速度的变化情况,观察并对比疗效及神经传导速度等。结果:治疗后,两组患者TCSS评分均有所改善,但治疗组改善效果更为优良。治疗后,两组患者运动、感觉神经传导速度均有所提升,但治疗组神经传导速度更快,差异均有统计学意义(P<0.05)。治疗组有效率为96.43%,对照组有效率为73.81%,两组有效率比较,差异具有统计学意义(P<0.05)。结论:中医综合疗法辨证治疗糖尿病周围神经病变疗效显著,对患者神经传导速度及TCSS评分均有良好的改善作用。

TREATMENT OF PRIMARY PALPEBRAL RETRACTION WITH ACUPOINT-INJECTION AND CHINESE MEDICINAL HERBS

In the present paper, the therapeutic effect of combined therapy of acupoint injection and Chinese medicinal herbs was observed in 59 cases of primary palpebral retraction patients. These 59 patients were divided into treatment group (n=38, treated with acupoint injection and Chinese medicinal herbs) and control group (n=21, treated with Chinese medicinal herbs alone). After 3 courses of treatment, of the 38 cases in treatment group, 25 (65.8%) were cured, 8 (21.1%) had marked improvement and 5 (13.2%) had improvement; of the 21 cases in control group, 8 (38.1%) were cured, 9 (42.9%) had marked improvement, 2 (9.5%) had improvement and 2 (9.5%) were ineffective. Statistical analysis showed a significant difference between the two groups in the therapeutic effect. The cure rate of experimental group was apparently higher than that of the control group, i.e. the therapeutic effect of the combined therapy of acupoint injection and Chinese medicinal herbs was superior to that of Chinese medicinal herbs alone.