参芪降糖颗粒治疗2型糖尿病周围神经病变临床研究
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R587.2

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Clinical Study on Shenqi Jiangtang Granules for Type 2 Diabetic Peripheral Neuropathy
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    摘要:

    目的:观察参芪降糖颗粒治疗2 型糖尿病周围神经病变(DPN) 的疗效。方法:选取90 例DPN 患者,按随机数字表法分对照组和观察组各45 例。在西医常规治疗的基础上,对照组加用硫辛酸注射液治 疗,观察组在对照组的基础上加用参芪降糖颗粒治疗。2 组均连续治疗4 周。比较2 组临床疗效、糖化血红蛋 白(HbA1c)、空腹血糖(FBG)、餐后2 h 血糖(P2hBG), 以及胫神经、腓总神经的运动神经传导速 度(MNCV)、感觉神经传导速度(SNCV)。结果:观察组总有效率为93.33%,显著高于对照组的75.56%, 2 组比较,差异有统计学意义(P<0.05)。治疗前,2 组FBG、P2hBG、HbA1c 水平比较,差异无统计学意 义(P>0.05);治疗后,2 组FBG、P2hBG、HbA1c 水平均较治疗前明显降低(P<0.05),且观察组上述3 项 指标均低于对照组(P<0.05)。治疗前,2 组胫神经、腓总神经的MNCV、SNCV 比较,差异无统计学意 义(P>0.05);治疗后,2 组胫神经、腓总神经的MNCV、SNCV 均较治疗前明显升高(P>0.05),且观察组 上述各项指标改善较对照组更显著(P<0.05)。结论:参芪降糖颗粒辅助治疗2 型DPN,可进一步改善患者血 糖水平和周围神经病变,提高临床治疗效果。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Shenqi Jiangtang Granules on type 2 diabetic peripheral neuropathy(DPN). Methods: A total of 90 cases of DPN were selected and divided into the control group and the observation group according to the random number table method,with 45 cases in each group. Based on routine western medicine, the control group was additionally given Thioctic Acid Injection,and the observation group was additionally treated with Shenqi Jiangtang Granules based on the treatment of the control group. The two groups were treated continually for four weeks. The clinical effects,hemoglobin A1c(HbA1c),fasting blood glucose(FBG),and postprandial two- hour blood glucose (P2hBG), as well as the motor nerve conduction velocity(MNCV) and sensory nerve conduction velocity (SNCV) of tibial nerve and nervus peroneus communis in the two groups were compared. Results:The total effective rate was 93.33% in the observation group,significantly higher than that of 75.56% in the control group, the difference being significant(P<0.05). Before treatment, there was no significant difference being found in the comparisons of levels of FBG, P2hBG and HbA1c between the two groups(P>0.05); after treatment,the above three levels in both groups were significantly decreased when compared with those before treatment(P<0.05), and the above three levels in the observation group were lower than those in the control group(P<0.05). Before treatment,there was no significant difference being found in the comparisons of MNCV and SNCV of tibial nerve and nervus peroneus communis(P>0.05); after treatment, the MNCV and SNCV of tibial nerve and nervus peroneus communis in both groups were significantly increased when compared with those before treatment(P<0.05), and the improvement in above indexes in the observation group was more significant than that in the control group(P<0.05). Conclusion:Shenqi Jiangtang Granules as the adjuvant treatment for type 2 DPN can further improve the level of blood glucose and peripheral neuropathy of patients and enhance the clinical effect.

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洪挺,胡咏梅.参芪降糖颗粒治疗2型糖尿病周围神经病变临床研究[J].新中医,2023,55(2):81-84

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  • 在线发布日期: 2023-01-29
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