首页|芪蛭降糖片联合α-硫辛酸治疗糖尿病周围神经病变临床研究

芪蛭降糖片联合α-硫辛酸治疗糖尿病周围神经病变临床研究

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目的 观察芪蛭降糖片联合α-硫辛酸治疗糖尿病周围神经病变(DPN)疗效.方法 将我院148例DPN患者随机分为治疗组与对照组各74例.对照组服用α-硫辛酸治疗,治疗组服用芪蛭降糖片联合α-硫辛酸.比较两组缓解率、总有效率,检测空腹血浆葡萄糖(FPG)、2 h血浆葡萄糖(2hPG)、糖化血红蛋白(HbA1c)、胰岛素抵抗指数(HOMA-IR)、总胆固醇(TC)、甘油三酯(TG)、高密度脂蛋白(HDL-C)、低密度脂蛋白(LDL-C)、全血高切黏度(WBLSR)、全血低切黏度(WBHSR)、血浆黏度(PV)、红细胞压积(HCT),测定正中神经(MN)、胫神经(TN)、腓总神经(CPN)的运动神经传导速度(MNCV)、感觉神经传导速度(SNCV).结果 治疗后,治疗组缓解率、总有效率高于对照组(P<0.05);两组FPG、2hPG、HbA1c、HOMA-IR、TC、TG、LDL-C、WBLSR、WBHSR、PV、HCT低于治疗前,HDL-C高于治疗前;治疗组FPG、2hPG、HbA1c、HOMA-IR、TC、TG、LDL-C、WBLSR、WBHSR、PV、HCT低于对照组,HDL-C高于对照组(P<0.05);两组MN、TN、CPN的MNCV、SNCV高于治疗前,治疗组MN、TN、CPN的MNCV、SNCV高于对照组(P<0.05).结论 芪蛭降糖片联合α-硫辛酸治疗DPN可有效缓解中医和西医症状,调节糖脂代谢,改善血液流变学,提高神经传导速度.
Clinical efficacy of Qizhi Hypoglycemic Tablets combined with α-lipoic acid in treatment of diabetic peripheral neuropathy
Objective To observe the efficacy of Qizhi Hypoglycemic Tablets combined with α-lipoic acid in treatment of diabetic peripheral neuropathy(DPN).Methods A total of 148 patients with DPN were randomly divided into treatment group and control group,74 cases each.Control group was treated with α-lipoic acid,and treatment group was treated with Qizhi Hypoglycemic Tablets on the basis of control group.The remission rate and total effective rate were compared between the two groups,and fasting plasma glucose(FPG),2-hour plasma glucose(2 hPG),glycosylated hemoglobin(HbA1c),insulin resistance index(HOMA-IR),total cholesterol(TC),triglyceride(TG),high-density lipoprotein(HDL-C),low-density lipoprotein(LDL-C),whole blood high-cut viscosity(WBLSR),whole blood low-cut viscosity(WBHSR),plasma viscosity(PV),and hematocrit(HCT),the median nerve(MN),tibial nerve(TN),common peroneal nerve(CPN),motor nerve conduction velocity(MNCV),sensory nerve conduction velocity(SNCV)were measured.Results After treatment,the remission rate and total effective rate of treatment group were higher than those of control group(P<0.05),and the FPG,2 hPG,HbA1c,HOMA-IR,TC,TG,HDL-C,LDL-C,WBLSR,WBHSR,PV,and were lower in treatment group than control group(P<0.05);HDL-C were increased in both groups,which were higher in observation group than control group(P<0.05),and the MNCV and SNCV of MN,TN and CPN in both groups were higher than those before treatment,and were higher in treatment group than control group(P<0.05).Conclusion Qizhi Hypoglycemic Tablets combined with α-lipoic acid in treatment of DPN can effectively alleviate the symptoms of TCM and Western medicine,regulate glucose and lipid metabolism,improve blood rheology,and increase nerve conduction velocity.

DiabetesPeripheral neuropathyQizhi Hypoglycemic Tabletsα-Lipoic acid

马鸣飞、刘燕、马杉杉、高彦彬

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首都医科大学附属北京安贞医院,北京 100029

中国中医科学院望京医院,北京 100102

首都医科大学中医药学院,北京 100069

糖尿病 周围神经病变 芪蛭降糖片 α-硫辛酸

国家自然科学基金项目

2018YFC1704102

2024

湖北中医药大学学报
湖北中医药大学

湖北中医药大学学报

CSTPCD
影响因子:0.873
ISSN:1008-987X
年,卷(期):2024.26(2)
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