浅析中医治疗糖尿病周围神经病变的临床效果

杨程

[摘要] 目的 对糖尿病周围神经病变患者的中医治疗效果进行研究分析，为临床治疗提供参考依据。 方法 根据2014年1月—2015年1月该院接收的64例糖尿病周围神经病变患者来分析研究，对患者的临床资料进行回顾分析，将患者分成对照组和研究组，对照组使用基础治疗，研究组使用基础治疗和中医治疗，对两组的临床治疗效果进行比较分析。 结果 研究组的正中神经及腓总神经的MNCV、SNCV上升程度和对照组相比差异有统计学意义（P<0.05）；研究组有17例显效，占该组的53.12%，13例有效，占40.63%，2例无效，占6.25%，临床有效率是93.75%；对照组有14例显效，占43.75%，11例有效，占34.37%，无效7例，21.88%，总有效率为78.12%。研究组有效率比对照组高，结果差异有统计学意义。 结论 糖尿病周围神经病变使用中医治疗的效果突出，患者的肢体运动神经功能能够得到改善，生活质量显著提升，临床中应用价值比较高。

[关键词] 中医；治疗；糖尿病周围神经病变；临床疗效

[中图分类号] R25 [文献标识码] A [文章编号] 1672-4062（2017）05（a）-0166-02

Analysis of Clinical Effect of Treatment of Diabetic Peripheral Neuropathy by Traditional Chinese Medicine

YANG Cheng

Traditional Chinese Internal Medicine， Jiamusi Traditional Chinese Medicine Hospital， Jiamusi， Heilongjiang Province， 154002 China

[Abstract] Objective This paper tries to investigate and analyze the effect of TCM treatment on diabetic peripheral neuropathy， and provide reference for its clinical treatment. Methods 64 cases of diabetic peripheral neuropathy admitted in this hospital from January 2014 to January 2015 were studied， the clinical data of the patients were retrospectively analyzed， and the patients were divided into control group and research group. The control group adopted basic treatment， the research group adopted basic treatment and TCM treatment， and then the clinical therapeutic effects of both groups were compared. Results Rising degree of the median nerve and common peroneal nerve MNCV SNCV of both groups was significantly different （P<0.05）； 17 cases in the research group were obviously effective， 13 cases were effective， 2 cases were ineffective， accounting for 53.12%， 40.63%， 6.25% respectively， so the clinical effective rate was 93.75%； 14 cases in the control group were obviously effective， 11 cases were effective， 7 cases ineffective， accounting for 43.75%， 34.37%， 21.88% respectively， and the total effective rate was 78.12%. The efficiency of the research group was higher than that of the control group， and the results were statistically significant. Conclusion The curative effect of diabetic peripheral neuropathy with TCM treatment is prominent， patients limb motor， nerve function and quality of life can be significantly improved. It is worth clinical application.

[Key words] Traditional Chinese medicine； Treatment； Diabetic peripheral neuropathy； Clinical efficacy

糖尿病周圍神经病变（diabetie peripheral neuropathy，DPN）是糖尿病所致神经病变中最常见的一种，主要表现为四肢远端的感觉、运动障碍肢体麻木、挛急疼痛，肌肉无力及萎缩、腱反射减弱或消失。有近60%～90%的糖尿病患者通过神经功能检查，均有不同程度的神经病变，其中30%～40%的人无症状[1]。神经病变可累及感觉神经、运动神经及植物神经，产生疼痛、麻木、运动障碍及自主神经功能障碍，严重地影响了糖尿病患者的生存质量。目前发病机制尚不清楚，多数认为其发生与血管病变、代谢紊乱、神经生长因子减少、遗传因素、自身免疫功能及血液流变性改变等多种因素相互作用有关。近年来，中医药在治疗DPN方面的研究比较活跃，并取得了比较好的疗效。该次研究中该院对中医治疗糖尿病周围神经病变进行了分析研究，现报道如下。endprint

1 资料与方法

1.1 一般资料

2014年1月—2015年1月该院对64例糖尿病周围神经病变患者进行了研究分析，将患者分成两组，对照组和研究组均有32例，对照组男性患者17例，女性患者15例，最小34岁，最大67岁，平均（46±4.38）岁；……