| 陈苹,魏爱生,王甫能,等.跌打祛风膏贴敷联合温经活血方熏洗对糖尿病痛性神经病变 47例疗效观察[J].安徽医药,2021,25(7):1455-1458. |
| 跌打祛风膏贴敷联合温经活血方熏洗对糖尿病痛性神经病变 47例疗效观察 |
| Observation on the curative effect of Dieda Qufeng plaster combined with Wenjing Huoxue prescription fumigation on diabetic painful neuropathy |
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| DOI：10.3969/j.issn.1009-6469.2021.07.044 |
| 中文关键词: 糖尿病神经病变 经皮贴片 浴疗学 跌打祛风膏 温经活血方 |
| 英文关键词: Diabetic neuropathies Transdermal patch Balneology Dieda Qufeng ointment Wenjing Huoxue prescription |
| 基金项目:2010年广东省中医药局科研项目( 2010003) |
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| 中文摘要: |
| 目的探究跌打祛风膏贴敷联合温经活血方熏洗对糖尿病痛性神经病变病人疗效观察。方法选取 2016年 6月至 2018年 4月佛山市中医院收治的 94例糖尿病痛性神经病变病人，其中 47例给予口服甲钴胺、西洛他唑和阿米替林进行治疗作为对照组， 47例给予跌打祛风膏贴敷联合温经活血方熏洗治疗作为研究组，观察两组病人的疗效、中医证候积分、现存疼痛强度( PPI)评分及神经传导速度情况。结果治疗后，研究组总有效率 87.23%(41/47)高于对照组 70.21%(33/47)(P<0.05)；组病人中医证候积分［( 6.85±1.54)分、(4.65±1.06)分］、 PPI评分［( 2.95±0.67)m/s、(2.33，±0.52)m/s］较治疗前下降［( 7.76±1.77)两分、(7.81±1.79)分、(4.12±0.94)m/s、(4.11±0.93)m/s］(P<0.05)，研究组低于对照组( P<0.05)；胫神经运动神经传导速度(MNCV)、感觉神经传导速度( SNCV)和腓总神经 MNCV、SNCV水平均较治疗前增高( P<0.05)，研究组高于对照组( P<0.05)。结论跌打祛风膏贴敷联合温经活血方熏洗对糖尿病痛性神经病变病人有较好的治疗效果，可有效降低疼痛、提高神经传导速度，且副作用较少，值得推广。 |
| 英文摘要: |
| Objective To explore the therapeutic effect of Dieda Qufeng plaster combined with Wenjing Huoxue prescription fumiga tion on diabetic painful neuropathy.Methods A total of 94 patients with diabetic painful neuropathy admitted to Foshan Hospital of TCM from June 2016 to April 2018 were selected.Among them, 47 patients treated with oral mecobalamin, cilostazole and amitriptylinewere selected as control group, and 47 patients treated with Dieda Qufeng ointment application combined with Wenjing Huoxue prescription fumigation and washing were selected as study group. The curative effect, TCM syndrome score, present pain index (PPI)score and nerve conduction velocity of the two groups were observed.Results After treatment, the total effective rate was 87.23% (41/47) in the study group, which was significantly higher than 70.21% (33/47) in the control group (P < 0.05). The scores of TCM syndromes [(6.85±1.54) score, (4.65±1.06) score] and PPI [(2.95±0.67) m/s, (2.33±0.52) m/s] in the two groups were lower than those before treatment [(7.76±1.77) score, (7.81±1.79) score, (4.12±0.94) m/s, (4.11±0.93) m/s] (P < 0.05), while those in the study group were lower than those in the control group (P < 0.05). The levels of motor nerve conduction velocity (MNCV), sensory nerve conduction velocity (SNCV) in tibial nerve and common peroneal nerve were higher than those before treatment (P < 0.05), and those in the study group were higher than those in the control group (P < 0.05).Conclusions Dieda Qufeng Ointment application combined with Wenjing Huox? ue prescription fumigation and washing has a better therapeutic effect on diabetic painful neuropathy. It can effectively reduce pain andimprove nerve conduction velocity, and has fewer side effects, which is worthy of promoting. |
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