中药热敷联合红光照射治疗气阴两虚夹瘀型糖尿病周围神经病变临床研究
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[关键词］糖尿病周围神经病变；气阴两虚夹瘀型；中药热敷；红光照射；神经传导速度；震动感觉阈值 [中图分类号］R587.2［文献标志码］A ［文章编号]0256-7415（2025）20-0064-06 DOI:10.13457/j.cnki.jncm.2025.20.012
Clinical Study on Combination of Chinese Medicine Hot Compress and Red Light Irradiation for Diabetic Peripheral Neuropathy of Qi-Yin Deficiency Complicated with Blood Stasis Type
WANG Hongying，LI Jun，SHAO Liping Departmentof Endocrinology，Pinghu HospitalofChinese Medicine，Pinghu Zhejiang 3142Oo,China
Abstract:Objective:To observethe clinical effect of the combination of Chinese medicine hot compress and red light irradiationon diabetic peripheral neuropathy（DPN）of qi-yin deficiency complicated with blood stasis type. Methods:A total of 80 DPN patients of qi-yin deficiency complicated with blood stasis typewho were treated in Pinghu Hospitalof Chinese Medicinefrom January 2O23to June 2024 wereselectedand dividedintothe study groupand the control group according to the random number table method，with 4O cases ineach group.Thecontrol group was treated with Epalrestat orally，and the study group was treated with Chinese medicine hotcompresscombined with red lightirradiation.The traditional Chinese medicinesyndrome scores，scores of Toronto Clinical Scoring System（TCS）， levels of blood glucose indexes [fasting blood glucose （FBG）and 2 h postprandial blood glucose (P2hBG)]，nerve conductionvelocity [motor nerve conduction velocity（MCV）and sensory nerve conduction velocity（SCV）of common peronealnerveandtibial nerve]，vibration perception threshold（VPT），hemorheologyindexes，clinical effectsand safety were compared between the two groups.Results:After treatment，the total effective rate was 95.00% （38/40） in the study group and 77.50% （31/40）in the control group，the difference being significant ( P
Keywords:Diabetic peripheral neuropathy；Qi-yin deficiency complicated with blood stasis type；Chinese medicine hot compress；Red light irradiation；Nerve conduction velocity；Vibration perception threshold
糖尿病周围神经病变(DPN)是糖尿病(DM)常见并发症之一，是因高血糖引起外周神经损害的一种疾病，病变部位以下肢多见，临床表现为肢体麻木刺痛、痛温觉与震动觉减退等感觉神经功能障碍，肌无力、腱反射减弱等运动神经功能障碍[I]。（剩余13059字）
