摘要
目的 探讨糖尿病周围神经病变中使用单味中药治疗的效果。方法 选取样本对象为60例确诊为糖尿病周围神经病变的患者，根据数据数据原则分为对照组及观察组，对照组接受甲钴胺等西药治疗，观察组则加入了重黄芪单味中药饮片进行治疗，对比两组临床疗效、运动神经传导速度、感觉神经传导速度。结果 观察组的总有效率为93.33%，高于对照组的76.66%；观察组的运动神经传导速度、感觉神经传导速度由于对照组（P＜0.05）。结论 糖尿病周围神经病变治疗中使用单味中药治疗方式一定程度上可以提升临床疗效，临床可根据患者情况参考使用。
关键词： 糖尿病周围神经病变；黄芪饮片；单味重要治疗；临床疗效
Abstract
Objective To explore the effect of single Chinese medicine in the treatment of diabetes peripheral neuropathy. Methods 60 patients with diabetes peripheral neuropathy were selected as the sample subjects, and were divided into the control group and the observation group according to the data principle. Results The total effective rate of the observation group was 93.33%, which was higher than 76.66% of the control group; The motor nerve conduction velocity and sensory nerve conduction velocity of the observation group were lower than those of the control group (P<0.05). Conclusion In the treatment of diabetes peripheral neuropathy, the use of single Chinese medicine can improve the clinical efficacy to a certain extent, which can be used according to the patient's situation.
Key words： Diabetes peripheral neuropathy; Huangqi decoction pieces; Single important treatment; Clinical efficacy
参考文献 References
[1] 李惠贤,罗海钊,叶静文,等 . 前列地尔联合依帕司他对糖尿病周围神经病变患者神经传导速度及氧化应激影响的临床观察 [J].实用糖尿病杂志,2021,17（1）:44-45.
[2] 唐拂晓. 前列腺素E1联合黄芪治疗糖尿病周围神经病变疗效观察[J]. 陕西医学杂志,2007,36(7):880-881.
[3] 吴万军. 黄芪桂枝五物汤治疗糖尿病周围神经病变的临床疗效观察 [J]. 中国现代药物应用,2021,15（02）: 242 -244.
[4] Lin Y, Shen C, Wang F, et al. Network pharmacology and molecular docking study on the potential mechanism of YiQi-Huo-Xue-Tong-Luo formula in treating diabetic peripheral neuropathy[J]. Journal of Diabetes Research, 2021, 2021.
[5] 陈思羽,唐思梦,王颖,等.黄芪多糖对2型糖尿病模型大鼠餐后1 h血糖的影响[J].中药新药与临床药理,2020, 31(4):396-401.
[6] 陈芝燕,刘春红,王府存,等.中药有效成分治疗2型糖尿病胰岛素抵抗的研究进展[J].湖南中医杂志,2019,35 (12):127-129.
[7] 杜广华,徐灿坤,曾少婕,等.冯建华运用大剂量黄芪治疗糖尿病周围神经病变的经验[J].中国临床研究, 2021,13 (16);82-85.