首页|气阴两虚型消渴病痹症应用补阳还五汤加减治疗的临床效果

气阴两虚型消渴病痹症应用补阳还五汤加减治疗的临床效果

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目的 探讨应用补阳还五汤加减治疗气阴两虚型消渴病痹症的临床价值.方法 单纯随机选取2021年4月—2023年4月潍坊市中医院收治的80例气阴两虚型消渴病痹症患者为研究对象,按照不同治疗方法分为对照组、观察组,每组40例.对照组行针灸治疗,观察组在对照组基础上采用补阳还五汤加减治疗,对比两组患者的中医证候评分、糖尿病周围神经病变程度、治疗有效率以及神经传导速度.结果 治疗后,观察组中医证候评分较对照组更低,两组患者的中医证候评分较用药前均更低,差异有统计学意义(P均<0.05).治疗后,观察组密歇根州糖尿病周围神经病变评分(Michigan Diabetic Neuropathy Score,MDNS)较对照组更低,两组患者的MDNS评分较治疗前均更低,差异有统计学意义(P均<0.05).治疗后,观察组的正中神经、腓总神经的运动传导速度(motor nerve conduction velocity,MNCV)与感觉传导速度(sensory nerve conduction ve-locity,SNCV)较对照组均更高,两组患者的正中神经、腓总神经的MNCV、SNCV较治疗前均更高,差异有统计学意义(P均<0.05).观察组的治疗总有效率[100.00%(40/40)]较对照组[85.00%(34/40)]更高,差异有统计学意义(χ2=4.505,P=0.034).结论 在气阴两虚型消渴病痹症的治疗中,可选择中药方补阳还五汤加减治疗,临床效果显著,可改善神经传导速度,提高疗效.
The Clinical Effect of Using Modified Buyang Huanwu Decoction to Treat Diabetes Arthralgia of Qiyin Deficiency Type
Objective To explore the clinical value of Buyang Huanwu Decoction in the treatment of diabetic arthral-gia with deficiency of both qi and yin.Methods From April 2021 to April 2023,80 patients with diabetes arthralgia of Qiyin deficiency type were simple randomly selected from Weifang Traditional Chinese Medicine Hospital.The pa-tients were divided into control group and observation group by different treatment methods,with 40 cases in each group.The control group was treated with acupuncture and moxibustion.The observation group was treated with Buy-ang Huanwu Decoction on the basis of the control group.The traditional Chinese medicine symptom score,the degree of diabetic peripheral neuropathy,the effective rate of treatment and the nerve conduction velocity were compared be-tween the two groups.Results After treatment,the scores of traditional Chinese medicine syndromes in the observation group were lower than those in the control group,and the scores of traditional Chinese medicine syndromes in the two groups were lower than those before treatment,the differences were statistically significant(all P<0.05).After treat-ment,the Michigan Diabetic Neuropathy Score(MDNS)in the observation group was lower than that in the control group.The MDNS scores of the two groups were lower than those before treatment,and the differences were statistically significant(all P<0.05).After treatment,the motor nerve conduction velocity(MNCV)and sensory nerve conduction velocity(SNCV)of median nerve and common peroneal nerve in the observation group were higher than those in the control group.The MNCV and SNCV of median nerve and common peroneal nerve in the two groups were higher than those before treatment,and the difference was statistically significant(all P<0.05).The total effective rate of treatment in the observation group[100.00%(40/40)]was higher than that in the control group[85.00%(34/40)],and the differ-ence was statistically significant(χ2=4.505,P=0.034).Conclusion In the treatment of diabetes arthralgia with defi-ciency of both qi and yin,Buyang Huanwu Decoction can be selected for treatment.The clinical effect is remarkable,which can improve the nerve conduction velocity and improve the curative effect.

Diabetes ArthralgiaDeficiency of both qi and yinBuyang Huanwu DecoctionAddition and subtraction therapycurative effect

范风亮、夏尚奇

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潍坊市中医院药学部,山东 潍坊 261041

潍坊市中医院制剂科,山东 潍坊 261041

消渴病痹症 气阴两虚型 补阳还五汤 加减治疗 疗效

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(22)