目的：探讨活血祛风除湿中药足浴联合口服甲钴胺片治疗糖尿病周围神经病变(DPN)的临床疗效。方法采用随机数字表法将将65例2型糖尿病患者随机分为2组,均行糖尿病饮食控制、运动及教育,保持既往降糖方案,高血压者予硝苯地平控释片。对照组同时予甲钴胺片口服,治疗组在对照组基础上加用活血祛风除湿中药足浴。治疗12周。观察2组治疗前后临床症状积分、Toronto临床评分变化,测定肢体正中神经、腓总神经的运动传导速度(MNCV)及感觉传导速度(SNCV)。结果2组治疗后临床症状评分、Toronto临床评分及正中神经、腓总神经 MNCV、SNCV 均显著降低(P＜0.05,P＜0.01)。治疗组中医证候疗效总有效率为81.81%(27/33),对照组为65.62%(21/32),2组比较差异有统计学意义(P＜0.05)。治疗组西医疗效总有效率为84.84%(28/33),对照组为62.50%(20/32),2组比较差异有统计学意义(P＜0.05)。结论活血祛风除湿中药足浴联合甲钴胺片口服治疗DPN安全有效。%Objective To observe the clinical efficacy in treatment on diabetic peripheral neuropathy (DPN) by Chinese medicine lavipeditum of blood-activating and Qufengchushi with mecobalamin tablets. Methods 65 diabetic patients were randomly divided into 2 groups. The two groups were both undertaking the diabetes diet control, exercise, diabetes education and maintaining previous hypoglycemic program. The patients with hypertension could take nifedipine GITS. Patients in control group only received mecobalamin tablet. Patients in treatment group received the same medication and also lavipeditum with Blood-activating and Qufengchushi traditional Chinese medicine for 12 weeks. Clinical symptom score, Toronto clinical score, motor nerve conduction velocity (MNCV) and sensory conduction velocity (SNCV) of median nerve and peroneal nerve were performed before and after the study. Results After treatment, the mean values for clinical symptom score, Toronto clinical score, MNCV and SNCV of median nerve and peroneal nerve of the tweo groups were all significantly decreased (P<0.05, P<0.01). The values for TCM clinical syndromes in treatment group was 81.81% (27/33), and that in the control group was 65.62% (21/32), with significant difference (P<0.05). The values for western medcine clinical syndromes in treatment group was 84.84% (28/33), and that in the control group was 62.50%(20/32), with significant difference (P <0.05). Conclusion Chinese medicine lavipeditum of Blood-activating and Qufengchushi with mecobalamin tablets is safet and effective in treating DPN.
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