综合治疗糖尿病痛性神经病变临床观察

目的：观察综合疗法治疗糖尿病痛性神经病变的疗效.方法：采用随机分组方法将100例病例分为两组,治疗组给予针、罐、熏、药四合疗法治疗,连续5周；对照组给予甲钴胺注射液1 000 μg静脉缓推,1次/d,连续5周.结果：治疗组显效20例,有效20例,无效10例,总有效率80.0％.对照组显效9例,有效21例,无效20例,总有效率60.0％.两组临床疗效及视觉模拟评分VAS均有显著差异（P＜0.05）,治疗组优于对照组.结论：中医针灸、拔罐、熏蒸、药物四合疗法治疗糖尿病痛性神经病变,疗效明显优于甲钴胺组.

Clinical Observation of Combined Therapy on Aching Diabetic Neuropathy

Objective： To observe the curative effect of combined therapy on the treatment of aching diabetic neuropathy. Methods： 100 cases were randomly divided into two groups. Treatment group was given to four thera- py treatment of acupuncture, caddy, fumigating and medicine for 5 weeks, control group was given to mecobal- amin injection 1 000 g with intravenous push, 1 times/d, for 5 consecutive weeks. Results ： In treatment group 20 cases excellent, 20 ones effective, and 10 ones ineffective. The total effective rate was 80.0%. In control group 9 cases excellent, 21 ones effective, and 20 ones ineffective. The total effective rate was 60.0%. There was signifi- cant difference between the two groups on clinical effect and visual simulation score （VAS） , and treatment group was better than control group. Conclusion ： Combined therapy of acupuncture, caddy, fumigating and medicine has obviously better effect on aching diabetic neuropathy than mecobalamin.