摘要
目的 :观察在通过快速强化控制血糖基础上 ,加用中药治疗脾虚型糖尿病伴周围神经病变的疗效。方法 :76例患者主要是 2型糖尿病 ,少部分为成人晚发自体免疫性糖尿病和特殊类型糖尿病并发周围神经病变具有脾虚证的某些特征者 ,随机分为对照组和治疗组。在通过快速强化控制血糖基础上 ,分别给予甲基维生素和黄芪精口服液辅助治疗 ,治疗前后测定空腹血糖、餐后血糖、胰岛素、C肽分泌及周围神经感觉、运动神经传导速度。结果 :两组入院时各神经传导速度差异无显著性意义 ;两组出院时的正中神经、桡神经传导速度差异无显著性意义 ;出院时和治疗 3个月后 ,治疗组腓神经、胫后神经、腓肠神经传导速度比对照组明显加快。结论 :糖尿病发生周围神经病变按脾虚论治是改善糖尿病周围神经病变的一种有效的临床手段 。
Objective:To observe the therapeutic effects of Chinese herb in the treatment of diabetes accompanied with perineuropathy of spleen deficiency syndrome on the basis of controlling blood sugar with quick intensive therapy. Methods: Seventy six patients, mainly type 2 diabetes accompanied with perineuropathy, were randomly divided into control group and treatment group. On the basis of controlling blood sugar with quick intensive therapy, the two groups were subjected to methylvitamin and Huangqijing liquid respectively as assistant treatment. Fasting blood sugar, blood sugar after meal, insulin, C peptide, conduction speed of perisensory nerve and perimotory nerve were measured before and after treatment. Results: The difference of the nerve conduction speed between the two groups was not significant at admission. There was no significant difference in the conduction speed of the medianus nerve and radialis nerve between the two groups when they left the hospital. The conduction speed of peronea nerve, tibialis posterior nerve and gastronemius nerve in the treatment group was significantly faster than in the control group when they left the hospital and 3 months after the treatment. Conclusion: Diabetes accompanied with perineuropathy could be treated according to spleen deficiency syndrome, which was an effective therapy to improve diabetes perineuropathy and could be considered as a routine therapy.
出处
《中国中西医结合消化杂志》
CAS
2003年第1期18-20,21,共4页
Chinese Journal of Integrated Traditional and Western Medicine on Digestion
