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中西医治疗糖尿病周围神经病变研究进展
引用本文:缪鋆鋆,葛静.中西医治疗糖尿病周围神经病变研究进展[J].河南中医,2017,37(4).
作者姓名:缪鋆鋆  葛静
作者单位:江苏省中医院,江苏南京,221100
摘    要:对于糖尿病周围神经病变的治疗,中医以"络以通为用"为治疗原则,在改善临床症状,阻止DPN进一步恶化,减少截肢率方面,都有很好的疗效。西医可以有效控制血糖、血压,弥补了中药不能快速降糖降压之不足,对防止DPN的发生和发展起了重要作用。中西医结合治疗具有一定互补优势,疗效确切,但其作用机制尚不明确,需进一步加强实验研究,明确中医药作用机理,提高临床疗效。

关 键 词:糖尿病周围神经病变  基础治疗  血管活性药物  抗氧化剂  神经营养药物  辨证治疗  专方治疗  针灸治疗  中药熏洗治疗

Research Progress of Diabetic Peripheral Neuropathy Treated by Integrative Chinese and Western Medicine
MIAO Jun-jun,GE Jing.Research Progress of Diabetic Peripheral Neuropathy Treated by Integrative Chinese and Western Medicine[J].Henan Traditional Chinese Medicine,2017,37(4).
Authors:MIAO Jun-jun  GE Jing
Abstract:For the treatment of diabetic peripheral neuropathy (DPN),traditional Chinese medicine (TCM) takes "dredging the collaterals" as the therapeutic principle,which has great effect of improving the clinical symptoms,preventing further deterioration of DPN and reducing the amputation rate.Western medicine can effectivelv control blood sugar and blood pressure,which covers the shortage of TCM in this aspect and plays a great role in preventing the occurrence and development of DPN.Integrative Chinese and western medicine has certain complementary advantage and is with definite efficacy;however,the action mechanism of this therapy is not clear and needs further experimental research to identify and thus to enhance the clinical effect.
Keywords:diabetic peripheral neuropathy (DPN)  basic treatment  vasoactive agent  antioxidant  neurotrophic drug  syndrome differentiation and treatment  treated by specific formula  acupuncture treatment  TCM fumigating-washing therapy
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