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目的观察α-硫辛酸联合甲钴胺治疗糖尿病周围神经病变的临床疗效。方法 84例糖尿病周围神经病变患者随机分为观察组和对照组各42例,血糖达标后对照组给予甲钴胺静滴;观察组给予α-硫辛酸联合甲钴胺静滴,疗程均为4周。比较两组的神经传导速度、血流动力学。结果观察组的总有效率显著高于对照组(90.5%vs64.3%,P<0.05);治疗后两组的神经传导速度和血流动力学参数均有显著改善,观察组的改善效果优于对照组(P<0.05);治疗过程中不良反应较少。结论α-硫辛酸联合甲钴胺治疗糖尿病周围神经病变疗效显著,不良反应少,值得在临床推广。
Objective To observe the clinical efficacy of α-lipoic acid combined with mecobalamin in the treatment of diabetic peripheral neuropathy. Methods Eighty-four diabetic peripheral neuropathy patients were randomly divided into observation group and control group, with 42 cases in each group. After the blood glucose reached the standard, the control group was given mecobalamin intravenously. The observation group was given α-lipoic acid combined with mecobalamin. The course of treatment was 4 week. Nerve conduction velocity and hemodynamics were compared between the two groups. Results The total effective rate in the observation group was significantly higher than that in the control group (90.5% vs64.3%, P <0.05). The nerve conduction velocity and hemodynamic parameters of the two groups were significantly improved after treatment, and the improvement effect in the observation group was excellent In the control group (P <0.05); less adverse reactions in the course of treatment. Conclusion α-lipoic acid combined with mecobalamin treatment of diabetic peripheral neuropathy significant effect, fewer adverse reactions, it is worth in the clinical promotion.