| 周蒨,董萍,李晗,等.糖尿病周围神经病变综合康复治疗60例疗效观察[J].安徽医药,2018,22(5):865-867. |
| 糖尿病周围神经病变综合康复治疗60例疗效观察 |
| Effect of rehabilitation treatment on diabetic peripheral neuropathy in 60 cases |
| 投稿时间：2017-02-15 |
| DOI： |
| 中文关键词: 糖尿病周围神经病变 红外疗法 高压氧疗法 |
| 英文关键词: diabetic peripheral neuropathy infrared radiation therapy hyperbaric oxygen therapy |
| 基金项目:上海市科学技术委员会资助项目(16DZ1930107;16DZ1930100) 糖尿病周围神经病变综合康复治疗60例疗效观察周蒨,董萍,李晗,毛维维,巩伟伟,韩冬梅,徐蕾,唐海燕 (上海市第一康复医院代谢与肾脏康复科,上海 200090)糖尿病周围神经病变综合康复治疗60例疗效观察周蒨,董萍,李晗,毛维维,巩伟伟,韩冬梅,徐蕾,唐海燕 Effect of rehabilitation treatment on diabetic peripheral neuropathy in 60 cases ZHOU Qian,DONG Ping,LI Han,MAO Weiwei,GONG Weiwei,HAN Dongmei,XU Lei,TANG Haiyan |
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| 中文摘要: |
| 目的 探讨综合康复治疗对于糖尿病周围神经病变的临床疗效。方法 研究纳入120例糖尿病周围神经病变的患者,按照完全随机分组法分为常规治疗组和综合康复治疗组,其中常规治疗组(60例)患者采用常规方法治疗,综合康复治疗组(60例)患者在常规方法之外接受红外线照射和/或高压氧治疗。对比常规治疗组和综合康复治疗组的治疗效果。 结果 治疗1个月后,综合康复治疗组患者的显著有效率(78.56% vs 50.00%)和总有效率(96.67% vs 86.67%)均高于常规治疗组,差异有统计学意义(显著有效率:χ2 =11.868,P=0.001；总有效率:χ2=3.927,P=0.048)。治疗后综合康复组患者腓总神经[(43.5±3.1) vs (37.3±2.9) m·s-1]和胫神经传导速度[(44.5±3.2) vs ( 38.6±2.5) m·s-1]均显著高于常规治疗组患者(腓总神经:t=12.815,P<0.001；胫神经:t=11.102,P<0.001)。 结论 综合康复治疗能够明显改善糖尿病周围神经病变患者症状,提高患者周围神经功能。 |
| 英文摘要: |
| Objective To investigate the clinical therapeutic effect of rehabilitation therapy on diabetic peripheral neuropathy.Methods 120 patients with diabetic peripheral neuropathy were randomly divided into routine therapy group and rehabilitation therapy group.The 60 patients in regular therapy group were treated with routine therapy,while the 60 patients in rehabilitation therapy group were treated with infrared radiation and/or hyperbaric oxygen therapy except routine therapy.The effect of rehabilitation therapy between two group was compared.Results After one month of treatment,both the obvious effective rate (78.56% vs 50.00%) and total effective rate (96.67% vs 86.67%) of rehabilitation therapy group were significantly higher than those of routine therapy group(obvious effective rate:χ2=11.868,P=0.001,total effective rate:χ2=3.927,P=0.048).After treatment,the sensory nerve conduction velocity of peroneal nerve [(43.5±3.1) vs ( 37.3±2.9) m·s-1] and tibial nerve [(44.5±3.2) vs ( 38.6±2.5) m·s-1] in rehabilitation therapy group were significantly higher than those of routine therapy group (peroneal nerve: t=12.815,P<0.001,tibial nerve:t=11.102,P<0.001).Conclusions Rehabilitation therapy can improve the clinical symptoms and enhance the peripheral nervous function in patients with diabetic peripheral neuropathy. |
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