摘要
目的:分析白玉灵验散足浴治疗对糖尿病周围神经病变的改善作用。方法: 107例糖尿病周围神经病变患者按照随机数字表法分为观察组( n=53)和对照组(n =54)。两组均予以降糖、营养神经及镇痛等西医常规治疗,观察组在此基础上加用白玉灵验散足浴治疗。比较两组患者治疗后总有效率、临床症状评分、神经传导速度以及糖尿病神经病变积分(MDNS)。结果:观察组总有效率(83.02%)与对照组(60.38%)相比,差异有统计学意义( P <0.05)。治疗后,两组患者肢体疼痛、局部压痛、肢端感觉异常、手足畏寒和腱反射等临床症状评分以及MDNS积分均降低,两组相比差异有统计学意义( P< 0.05);两组患者腓总神经、胫神经和腓浅神经传导速度均升高,两组相比差异有统计学意义(P <0.05)。结论:在西医常规治疗基础上,白玉灵验散足浴治疗能有效改善糖尿病患者周围神经病变症状,促进神经系统的修复,增加神经传导速度,提高治疗有效率,值得推广应用。
Objective: To analyze the neuropathy improvement of diabetic peripheral neuropathy treated with Baiyulingyan Powder foot both. Methods: 107 patients with diabetic peripheral neuropathy were selected.All patients were divided into observation group and control group according to random number table,53 cases in observation group and 54 cases in control group.Both groups were given routine western medicine treatment such as hypoglycemic,neurotrophic and analgesic treatment,while the observation group was additionally treated with Baiyulingyan foot bath on this basis.The total effective rate,clinical symptom score,nerve conduction velocity and diabetes mellitus neuropathy score (MDNS) were compared between the two groups. Results: The total effective rate of the observation group was 83.02 %,significantly higher than that of the control group (60.38 %),with statistical difference ( P <0.05).After treatment,the scores of clinical symptoms such as limb pain,local tenderness,extremity sensory abnormality,hand and foot chills and tendon reflexes and the scores of diabetic lesions in the two groups all decreased,and there was significant difference between the two groups ( P <0.05).The conduction velocity of common peroneal nerve,tibial nerve and superficial peroneal nerve increased in both groups,and there was significant difference between the two groups ( P <0.05). Conclusion: On the basis of routine western medicine treatment,Baiyulingyansan foot bath can effectively improve the clinical symptoms of diabetic peripheral neuropathy,promote the repair of nervous system and increase nerve conduction velocity,and improve the treatment efficiency,which is worthy of promotion and application.
作者
赵乾
冯占荣
孙潇潇
徐铁岩
徐月
ZHAO Qian;FENG Zhan-rong;SUN Xiao-xiao;XU Tie-yan;XU Yue(Department of Endocrinology,Shuyang Affiliated Hospital of Nanjing University of Traditional Chinese Medicine,Shuyang 223600,Jiangsu,China)
出处
《川北医学院学报》
CAS
2019年第4期460-463,共4页
Journal of North Sichuan Medical College
