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硫辛酸治疗糖尿病周围神经病变41例疗效观察

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目的 探讨硫辛酸治疗糖尿病周围神经病变的临床疗效。方法 82 例糖尿病周围神经病变患者,将其依据随机数字表法分成对照组和观察组,每组 41 例。对照组给予常规治疗,观察组在常规治疗基础上给予硫辛酸治疗。对比两组治疗效果、不良反应发生率及治疗前后正中与腓总神经的感觉神经传导速度(SCV)、运动神经传导速度(MCV)。结果 治疗结束后,观察组总有效率为 95。12%,对照组为 80。49%;观察组总有效率显著高于对照组(P<0。05)。治疗后,观察组腓总神经MCV、SCV分别为(39。8±4。8)、(45。5±4。0)m/s,对照组分别为(35。6±4。1)、(39。4±3。8)m/s;观察组正中神经MCV、SCV分别为(48。5±4。9)、(46。8±4。5)m/s,对照组分别为(42。4±4。6)、(41。4±4。2)m/s;观察组正中神经、腓总神经的MCV、SCV均高于对照组(P<0。05)。两组治疗期间不良反应发生率对比,无显著差异(P>0。05)。结论 针对糖尿病周围神经病变患者,给予硫辛酸治疗效果好,安全性高,能够有效改善其神经传导速度,临床应用价值突出。
Observation on efficacy of lipoic acid in the treatment of diabetic peripheral neuropathy
Objective To explore the clinical efficacy of lipoic acid in the treatment of diabetic peripheral neuropathy.Methods 82 patients with diabetic peripheral neuropathy were divided into a control group and an observation group according to random number table,each group had 41 cases.The control group received conventional treatment,while the observation group received lipoic acid treatment based on the control group.The therapeutic effect,incidence of adverse reactions,sensory nerve conduction velocity(SCV)and motor nerve conduction velocity(MCV)of median nerve and common peroneal nerve before and after treatment were compared between the two groups.Results After treatment,the total effective rate was 95.12%in the observation group and 80.49%in the control group;the observation group had significantly higher total effective rate than the control group(P<0.05).After treatment,the MCV and SCV of common peroneal nerve were(39.8±4.8)and(45.5±4.0)m/s in the observation group,and those were(35.6±4.1)and(39.4±3.8)m/s in the control group;the MCV and SCV of median nerve were(48.5±4.9)and(46.8±4.5)m/s in the observation group,and those were(42.4±4.6)and(41.4±4.2)m/s in the control group.The MCV and SCV of median nerve and common peroneal nerve in the observation group were higher than those in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Lipoic acid is effective and safe in treating diabetic peripheral neuropathy.It can effectively improve nerve conduction velocity and has prominent clinical value.

Diabetic peripheral neuropathyLipoic acidNerve conduction velocity

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121000 锦州市中心医院内分泌科

糖尿病周围神经病变 硫辛酸 神经传导速度

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(7)
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