資源描述：
《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.pdf》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在行業(yè)資料-天天文庫(kù)。
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
