论文部分内容阅读
目的探讨α-硫辛酸联合丁苯酞治疗糖尿病周围神经病变(DPN)对患者运动神经传导速度(MCV)和感觉神经传导速度(SCV)及预后的影响,探索其有效性、安全性及可行性。方法回顾性分析2013年12月至2015年12月诊治的120例DPN患者的临床资料,按照不同治疗方式分为两组(各60例):对照组予α-硫辛酸单药治疗,研究组予α-硫辛酸与丁苯酞联合治疗,对比两组临床疗效及预后情况。结果两组治疗后四肢疼痛、麻木、腹胀等主要症状发生率均减小,且研究组各项主要症状改善率明显优于对照组(P<0.05,P<0.01),两组治疗后MCV、SCV均较治疗前提高,研究组提高幅度更显著(P<0.05,P<0.01)。结论α-硫辛酸联合丁苯酞治疗DPN疗效显著,可快速缓解患者症状,改善神经功能;改善患者预后。
Objective To investigate the effects of α-lipoic acid combined with butylphthalide on the patients with diabetic peripheral neuropathy (DPN) on the motor nerve conduction velocity (MCV) and sensory nerve conduction velocity (SCV) and prognosis, to explore its effectiveness, safety and feasibility . Methods The clinical data of 120 patients with DPN diagnosed and treated from December 2013 to December 2015 were retrospectively analyzed. The patients were divided into two groups (60 cases each) according to the different treatment methods: the control group was treated with α-lipoic acid monotherapy, and the study group To α-lipoic acid and butylphthalide treatment, the two groups compared the clinical efficacy and prognosis. Results The incidence of major symptoms such as limb pain, numbness and abdominal distension decreased after treatment in both groups, and the improvement rates of major symptoms in the study group were significantly better than those in the control group (P <0.05, P <0.01) SCV were higher than before treatment, the study group increased more significantly (P <0.05, P <0.01). Conclusion α-lipoic acid and butylphthalide treatment of DPN significant effect, can quickly alleviate the symptoms, improve nerve function and improve prognosis.