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1、·l2·山西中醫(yī)2014年5月第30卷第5期SHANXIJOFTCMMay2014Vo1.30No.5·臨床論著·芪歸芎芍湯治療肝腎陰虛型2型糖尿病周圍神經(jīng)病變臨床觀察王亨飛張新志鄧瑞黃瑞萍摘要:目的:觀察芪歸芎芍湯治療肝腎陰虛2型糖尿病周圍神經(jīng)病變的臨床療效。方法:將138例一臨床明確診斷為2型糖尿病周圍神經(jīng)病變(肝腎陰虛型)的患者隨機(jī)分為2組。對(duì)照組63例,單獨(dú)服用彌可保治療;治療組65例,應(yīng)用彌可保聯(lián)合芪歸芎芍湯進(jìn)行治療,并隨證加減。3個(gè)月后觀察主要癥狀及體征改善情況、空腹及餐后兩小時(shí)血糖、糖化血紅蛋白及觀測(cè)足部震動(dòng)感覺(jué)閾值。結(jié)果:治療組總有效率86.
2、2%;對(duì)照組總有效率61.9%;兩組臨床療效比較,有顯著性差異(P<0.O1);治療前后兩組主要癥狀及體征改善情況比較,有顯著性差異(P<0.01);vPrr測(cè)定比較,兩組治療前后有明顯差異(P<0.05);HbA。C治療前后有顯著性差異(P<0.01);FPG、2hPG治療前后無(wú)差異(P>0.05)。結(jié)論:芪歸芎芍湯聯(lián)合彌可保治療肝腎陰虛2型糖尿病周圍神經(jīng)病變可明顯改善臨床癥狀,療效明顯優(yōu)于單純西藥內(nèi)服治療。關(guān)鍵詞:2型糖尿??;周圍神經(jīng)病變;肝腎陰虛;芪歸芎芍湯中圖分類號(hào):R587.2文獻(xiàn)標(biāo)識(shí)碼:B文章編號(hào):1000—7156(2014)05—0012—0
3、3ClinicalObservationofQiguiXiongsaoDecoctionon玎,lDeficiencyofLiverandKidneyPa-tientsofType2DiabeteswithPeripheralNeuropathyIⅣGng,ZhangXin—z,DengRui,etal(eAffiliatedHospitalofZhangyeMedicalCollege,Zhangye,734000,China)Abstract:Objective:Toexploretheclinicalefficacyofqiguixiongsaodec
4、oction(芪歸芎芍湯)combinedwithmethycobalintreatingthetypeyindeficiencyofliverkidneyofdiabeticperipheralneuropathy(DPN)intype2diabetes.Methods:138casesdiagnosedasthetypeindeficiencyofliverkidneyDPNintype2diabeteswererandomizeddividedintotwogroup.Methycobalwasgivenalonefor63casesinthecont
5、rolgroup.Andmethycobalcombinedwithqiguixiongsaodecoction,modifiedaccordingtothesymptoms,weregivenfor65casesinthetreat—mentgroup.After3monthstheefficacywasobservedincludingtheimprovementofmainsymptomsandsigns,fast-ingandtwo—hourpostprandialplasmaglucoselevels,glycosylatedhemoglobina
6、ndthevibrationperceptionthresh-oldofthefoot.Results:Inthetreatmentgroup,thetotaleficiencyis86.2%.Inthecontrolgroup,thetotaleffi—ciencyis86.2%.Thecurativeeffectoftreatmentgroupwasbetterthanthecontrolgroup.Therewassignificantdifference(P<0.05)betweentreatmentgroupandcontrolgroupincli
7、nicaleficacy.Comparewiththecontrolgroup,thetreatmentgroupVmeasurementshavesignificantdifferences(P<0.05),HbA1Chaveobviousdifferences(P<0.01),F(xiàn)PG、2hPGhavenodifferences(P>0.05)beforeandaftertreatment.Conclusion:IntreatingthetypeindeficiencyofliverkidneyofDPNintype2diabetesqiguiXiongs
8、aodecoctioncombinedwithmet