首页|高压氧辅助前列地尔对糖尿病周围神经病变患者腓肠肌神经阈值、运动和感觉神经传导速度的影响

高压氧辅助前列地尔对糖尿病周围神经病变患者腓肠肌神经阈值、运动和感觉神经传导速度的影响

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目的 探究高压氧辅助前列地尔对糖尿病周围神经病变(DPN)患者腓肠肌神经阈值、运动和感觉神经传导速度的影响.方法 选取临沂市中医医院 2020 年 9 月—2023 年 9 月收治的 82 例DPN患者为研究对象,按随机数字表法将其分为对照组与观察组,各 41 例.对照组采用前列地尔治疗,观察组在对照组基础上联合高压氧治疗,于治疗20d后评估.比较两组的临床疗效、腓肠肌神经阈值、运动和感觉神经传导速度、不良反应发生率.结果 观察组治疗总有效率较对照组高,差异有统计学意义(P<0.05).治疗前,两组腓肠肌神经阈值、运动和感觉神经传导速度比较,组间差异无统计学意义(P>0.05);治疗后,观察组左侧、右侧腓肠肌神经阈值均较对照组低,运动及感觉神经传导速度均较对照组快,组间差异有统计学意义(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 高压氧辅助前列地尔治疗DPN患者可有效降低腓肠肌神经阈值,加快神经传导速度,且安全性高.
Effects of Hyperbaric Oxygen Assisted Alprostadil on Gastrocnemius Nerve Threshold,Motor and Sensory Nerve Conduction Velocity in Patients with Diabetes Peripheral Neuropathy
Objective To explore the effect of hyperbaric oxygen assisted alprostadil on gastrocnemius nerve threshold,motor and sensory nerve conduction velocity in patients with diabetes peripheral neuropathy(DPN).Methods A total of 82 patients with DPN admitted to Linyi Traditional Chinese Medicine Hospital from September 2020 to September 2023 were selected as the research objects and were divided into a control group and an observation group according to random number table method,with 41 patients in each group.The control group was treated with alprostadil,while the observation group was treated with a combination of hyperbaric oxygen therapy on the basis of the control group and evaluated 20 days later.Compare the clinical efficacy,gastrocnemius nerve threshold,motor and sensory nerve conduction velocity,and adverse reactions between two groups.Results The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the nerve threshold,motor and sensory nerve conduction velocity of the gastrocnemius muscle between the two groups before treatment(P>0.05);after treatment,the left and right gastrocnemius nerve thresholds in the observation group were lower than those in the control group,and the motor and sensory nerve conduction velocities were higher than those in the control group,with statistical significance(P<0.05).There was no statistically significant difference in adverse reactions between the two groups(P>0.05).Conclusion Hyperbaric oxygen assisted alprostadil therapy can effectively reduce the gastrocnemius nerve threshold,accelerate nerve conduction velocity,and has high safety in DPN patients.

Diabetes peripheral neuropathyHyperbaric oxygenAlprostadilGastrocnemius nerve thresholdMotor and sensory nerve conduction velocity

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临沂市中医医院高压氧科,山东临沂 276000

糖尿病周围神经病变 高压氧 前列地尔 腓肠肌神经阈值 运动和感觉神经传导速度

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(17)