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[目的]观察温阳活血散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50例住院患者按抛硬币法随机分为两组。对照组25例维生素B1片,20mg/次,3次/d,口服;甲钴胺注射液,500μg/次,3次/7d,肌注。治疗组25例温阳活血散(附子、黄芪各30g,乳香15g,灸甘草、干姜各10g)。1剂/d,水煎5000mL,外用泡脚。西药治疗同对照组。连续治疗14d为1疗程。观测临床症状、血糖、不良反应。治疗1疗程,判定疗效。[结果]治疗组痊愈14例,好转7例,无效4例,总有效率84.00%。对照组痊愈9例,好转7例,无效9例,总有效率64.00%。治疗组疗效优于对照组(P<0.05)。血糖均有改善(P<0.05),治疗组改善优于对照组(P<0.05)[结论]温阳活血散联合西药治疗糖尿病周围神经病变效果显著,值得推广。
[Objective] To observe the curative effect of Wenyang Huoxue San combined with western medicine on diabetic peripheral neuropathy. [Method] Randomized parallel method was used to divide 50 hospitalized patients into two groups randomly according to the coin tossing method. Control group of 25 cases of vitamin B1 tablets, 20mg / times, 3 times / d, oral; mecobalamin injection, 500μg / time, 3 times / 7d, intramuscular injection. In the treatment group, 25 cases of Wenyang Huoxue San (aconite, astragalus each 30g, frankincense 15g, moxibustion licorice, ginger 10g each). 1 / d, decoction 5000mL, external foot bath. Western medicine treatment with the control group. Continuous treatment 14d for a course of treatment. Observed clinical symptoms, blood sugar, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Results] The treatment group cured 14 cases, improved in 7 cases, 4 cases, the total effective rate 84.00%. The control group recovered 9 cases, improved in 7 cases, ineffective in 9 cases, the total effective rate 64.00%. The treatment group was better than the control group (P <0.05). (P <0.05). The treatment group improved better than the control group (P <0.05) .Conclusion: Wenyang Huoxue San combined with western medicine is effective in treating diabetic peripheral neuropathy, which is worthy of promotion.