中西医结合治疗湿热下注2型糖尿病周围神经病变

目的：探讨芪归芎芍汤加减联合弥可保治疗湿热下注2型糖尿病周围神经病变的临床疗效。方法：将65例2型糖尿病周围神经病变（湿热下注型）的患者随机分为治疗组33例和对照组32例，各组均予常规的基础治疗，使血糖稳定，在此基础上治疗组应用芪归芎芍汤加减联合弥可保治疗；对照组单用弥可保治疗。结果：治疗组33例中显效11例，有效17例，无效5例，总有效率84.8％；对照组32例中显效6例，有效14例，无效12例，总有效率62.5％，两组比较显著差异有统计学意义（P〈0.05）。结论：芪归芎芍汤加减联合弥可保治疗肝肾阴虚2型糖尿病周围神经病变疗效优于单纯西医治疗。

Treatment for peripheral neuropathy in type 2 diabetes patients due to damp-heat flowing down treated by traditional Chinese medicine combined with western medicine

Objective：To assess the clinical effectiveness of Qigui Xiongshao decoction combined with mecobalamin tablets treatment for peripheral neuropathy in type 2 diabetes patients due to damp-heat flowing down. Methods： 65 patients diagnosed as type 2 diabetes with peripheral neuropathy were randomly assigned to treatment group （33 cases） and control group （32 cases）. All patients were first received regular treatment in which the blood sugar was back to normal level,then the treatment group received Qigui Xiongshao decoction plus mecobalamin,while the control group received only mecobalamin. Results： In treatment group,11 cases had significant improvement, 17 cases improved and 5 cases had no improvement, the total rate of improvement was 84.8%.In control group , 6 cases had significant improvement , 14 cases improved and 12 cases had no improvement , the total rate of improvement was 62.5%.There was statistically significant between the two group （P〈0.05）. Conclusion： The treatment of Qigui Xiongshao decoction combined with mecobalamin has a better therapeutic effect than alone mecobalamin treatment for eripheral neuropathy in type 2 diabetes patients due to yin deficiency of liver and kidney .