中西医结合治疗糖尿病周围神经病变临床研究

目的：观察中西医结合治疗糖尿病周围神经病变的临床疗效。方法：41例患者随机分为治疗组21例和对照组20例，对照组采用西药降糖及对症治疗，治疗组在对照组用药基础上，加用自拟活血通络汤，30d为一疗程，连续观察2个疗程。结果：治疗组有效率80．4％，对照组有效率45．O％；治疗组疗效优于对照组（P〈0．01）。神经传导速度比较，治疗组均优于对照组（P〈0．01或P〈0．05）。治疗组经治疗后FBG有所下降，但无统计学意义；而HbAIc明显下降，有统计学意义（P〈0．01）。结论：活血通络汤配合西药治疗DPN疗效明显优于单用西药治疗者。

Clinical observation of treating diabetic peripheral neuropathy in the integrative medicine

Objective： To observe the clinical effect of treating diabetic peripheral neuropathy in the integrative medicine. Methods： 41 cases were randomly divided into treatment group for 21 cases and control group for 20 cases, in which, control group applying Western medicine hypoglycemic and symptomatic treatment, based on that, treatment group plus Huoxue Tongluo decoction for 30 days as a course, and observed 2 courses. Results： The efficacy rate in treatment group was 80.4%, and control group was 45.0%, which showed that treatment group was better than control group （P〈0.01）. Compared nerve conduction velocity, treatment group was better than control group （P〈0.01 or P〈0.05）. After treatment, FBG decreased in the treatment group, but which had no statistically significant, while HbAIc obviously decreased, which had statistically significant （P〈0.01）. Conclusion： Effects of Huoxue Tongluo decoction plus Western medicine treat DPN was obviously better only Western medicine.