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[目的]观察消痹熏洗液联合西药治疗糖尿病周围神经病变疗效。[方法]使用随机平行对照方法,将120例门诊及住院患者按随机数字表法分为两组。对照组60例常规食疗、口服降糖药和(或)胰岛素控制血糖,甲钴胺片1mg,3次/d。治疗组60例消痹方(细辛、桂枝、桃仁、红花、海风藤、络石藤、牛膝、当归各50g),外用散剂,100g/次,经开水冲泡后,冲调成具有适宜温度的外用熏洗液,1剂/d,取汁至1000mL,熏洗器(自制)36℃恒温熏洗双足20 min,2次/d。西药治疗同对照组。两组均连续治疗15d为1个疗程。观测临床症状、不良反应。连续治疗2疗程,判定疗效。[结果]治疗组显效26例,有效29例,无效5例,总有效率91.70%。对照组显效20例,有效27例,无效13例,总有效率78.34%。治疗组疗效优于对照组(P<0.05)。[结论]中药消痹方熏药法治疗糖尿病周围神经病变,近期症状改善明显,值得推广。
[Objective] To observe the curative effect of Xiaobu Xuan lotion combined with western medicine on diabetic peripheral neuropathy. [Methods] Using randomized parallel method, 120 outpatients and inpatients were divided into two groups according to random number table. Control group, 60 cases of conventional diet, oral hypoglycemic agents and / or insulin control of blood glucose, mecobalamin tablets 1mg, 3 times / d. The treatment group of 60 cases of Bi Bi Fang (asarum, cassia twig, peach kernel, safflower, sea buckthorn vine, Trachelosperras, Achyranthes, Angelica 50g), topical powder, 100g / times, after boiling water, With the appropriate temperature of the external smoked liquid, 1 / d, juice to 1000mL, fumigation (self-made) 36 ℃ constant temperature fumigation feet 20 min, 2 times / d. Western medicine treatment with the control group. Both groups were treated for 15 days for a course of treatment. Observed clinical symptoms, adverse reactions. Continuous treatment of 2 courses to determine the efficacy. [Result] The treatment group was effective in 26 cases, effective in 29 cases, ineffective in 5 cases, the total effective rate was 91.70%. The control group, markedly effective in 20 cases, effective in 27 cases, ineffective in 13 cases, the total effective rate was 78.34%. The treatment group was better than the control group (P <0.05). [Conclusion] Chinese medicine Bi Bi Fang smoked drug treatment of diabetic peripheral neuropathy, recent symptoms improved significantly, it is worth promoting.