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联合用药治疗糖尿病痛性神经病病变的临床观察

The clinical effectiveness of alprostadil alliance alpha-lipoic acid in treatment of Diabetic Painful neuropathy
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摘要 目的观察前列地尔联合α-硫辛酸治疗2型糖尿病痛性神经病变的疗效。方法 2型糖尿病痛性神经病变患者40例,随机分为前列地尔联合α-硫辛酸治疗组16例,前列地尔治疗组12例,α-硫辛酸治疗组12例。观察3组治疗前后VAS、踝肱指数(ABI)、运动神经传导速度(MNCV)和感觉神经传导速度(SNCV)的改变。结果3组治疗后临床疗效均有改善,其中前列地尔联合硫辛酸治疗组总有效率为94%,其他2组总有效率分别为75%和83%(P<0.05);与其他2组比较,联合治疗组治疗后VAS显著下降,ABI显著提高,SNCV明显增加(P<0.05)。结论前列地尔联合硫辛酸治疗糖尿病痛性神经病变的是一种有效的治疗方法。 Objective To investigate the clinical effectiveness of alprostadil alliance alpha - lipoic acid in treatment of Diabetic Painful neuropathy. Methods 40 eases were divided randomly into3 groups. The cases of treatment group (16 cases)received treatment of alprostadil alliance alpha -lipoic acid;the other control groups received treatment of only alprostadil( 12 cases) or only alpha - lipoic acid( 12 cases). The changes of VAS ,ABI, MNCV and SNCV of each group were observed before and after treatment. Results After treatment, the clinical effects of three groups all were improved. Total efficiencies of three groups were 94% (alprostadil alliance and alpha -lipoic acid group), 75 % ( alprostadil group) and 83 % ( alpha - lipoic acid group) ( P 〈 0.05 ). Compared with control groups, VAS was decreased, ABI was improved and SNCV was increased significantly in treatment group after treatment( P 〈 0.05 ). Conclusion The combination of alprostadil alliance and alpha - lipoic acid is effectiveness in treating Diabetic Painful Neuropathy.
出处 《延安大学学报(医学科学版)》 2012年第4期6-8,共3页 Journal of Yan'an University:Medical Science Edition
关键词 前列地尔 Α-硫辛酸 糖尿病 痛性神经病变 :Alpha - lipoic acid Alprostadil Diabetic painful neuropathy
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参考文献10

  • 1Ziegler D. Management of painful diabetic neuropathy:what is new or in the pipeline for 2007[J].Current Diabetes Reports,2007,(06):409-415.
  • 2宁光,邹大进,刘伟,刑惠莉,张炜,赵咏桔,鲁瑾,徐华,金杰.神经妥乐平治疗糖尿病神经病变的多中心研究[J].中华医学杂志,2004,84(21):1785-1787. 被引量:39
  • 3李洁,李秀钧.糖尿病痛性神经病变的诊断和处理[J].国外医学(内分泌学分册),2004,24(2):90-92. 被引量:56
  • 4Mizoguchi H,Watanabe C,Yonezawa A. New therapy for neuropathic pain[J].International Review of Neurobiology,2009.249-260.
  • 5Cheng HT,Dauch JR,Hayes JM. Nerve growth factor mediates mechanical allodynia in a mouse model of type 2 diabetes[J].Neuropathol Exp Neural,2009.1229-1243.
  • 6Cauda F,Sacco K,Agata F. Low-frequency BOLD fluctuations demonstrate altered thalamocortical connectivity in diabetic neuropathic pain[J].Bmc Neuroscience,2009.138-140.
  • 7何岩,王亮,马远征,白颖,杨帆,金毅,陈琼,马伟凤.前列地尔治疗男性糖尿病足临床研究[J].山西医科大学学报,2012,43(6):450-452. 被引量:15
  • 8Stevens MJ,Obrosova I,Cao X. Effects of DL alphalipoic acid on peripheral nerve conduction,blood flow,energy metabolism,and oxidative stress in experimental diabetic neuropathy[J].Diabetes,2000.1006-1015.
  • 9Ziegler D,Nowak H,Kempler P. Treatment of symptomatic diabetic polyneuropathy with the antioxidant α-lipoic acid:a meta analysis[J].Diabetic Medicine,2004.114-121.
  • 10Ametor AS,Barinov A,Dyck PJ. The sensory symptoms of diabetic polyneuropathy are improved with alpha-lipoic acid:the SYDNEY trail[J].Diabetes Care,2003.770-776.

二级参考文献26

  • 1荆丹清,马学毅,尹士男,白桦,胡景胜.前列地尔脂微球体治疗糖尿病足近期疗效[J].中国医刊,2006,41(7):34-35. 被引量:18
  • 2Ametor AS,Barinov A,Dyck PJ,et al.The sensory symptoms of diabetic polyneuropathy are improved with alpha-lipoic acid:the SYDNEY trial.Diabetes Care,2003,26:770-776.
  • 3Cotter MA,Jack AM,Camoron NE.Effects of the protein kinase C beta inhibitor LY333531 on neural and vascular function in rats with streptozotocin-induced diabetes.Clin Sci,2002,103:311-321.
  • 4Hotta N,Toyota T,Matsuoka K,et al.Clinical efficacy of fidarestat,a novel aldose reductase inhibitor,for diabetic peripheral neuropathy:a 52-week multicenter placebo-controlled double-blind parallel group study.Diabetes Care,2001,24:1776-1782.
  • 5Lacomis D.Small-fiber neuropathy.Muscle Nerve,2002,26:173-188.
  • 6Gimbel JS,Richards P,Portenoy RK.Controlled-release oxycodone for pain in diabetic neuropathy:a randomized controlled trial.Neurology,2003,60:927-934.
  • 7Hirai A,Yasuda H,Joko M,et al.Evaluation of diabetic neuropathy through the quantitation of cutaneous nerves.J Neurol Sci,2000,172:55-62.
  • 8Watson CP.The treatment of neuropathic pain:antidepressants and opioids.Clin J Pain,2000,16:S49-S55.
  • 9Vinik A,Pittenger G,Barcus NI,et al.Topiramate improves C-fiber neuropathy and dysmetabolic syndrome in diabetes.J Peripher Nerv Syst,2003,8:201.
  • 10Yuen KC,Baker NR,Rayman G.Treatment of chronic painful diabetic neuropathy with isosorbide dinitrate spray:a double-blinded placebo-controlledcross-over study.Diabetes Care,2002,25:1699-1703.

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