河北医科大学学报

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高压氧联合普瑞巴林治疗痛性糖尿病周围神经病变的临床研究

  

  1. 1.冀中能源峰峰集团总医院神经内科,河北 邯郸 056200;2.河北省易县中医院外科,河北 易县 074200;
    3.河北省邯郸市峰峰矿区妇幼保健院妇产科,河北 邯郸 056200;4.冀中能源峰峰集团总医院康复科,河北 邯郸 056200;5.冀中能源峰峰集团总医院心内科,河北 邯郸 056200
  • 出版日期:2016-11-25 发布日期:2016-12-14
  • 作者简介:刘宪红( 1972- ),女,河南安阳人,冀中能源峰峰集团总医院主任医师,医学学士,从事周围神经疾病诊治研究。
  • 基金资助:
    河北省医学科学研究重点课题( ZL20140077 )

Clinicalstudyofhyperbaricoxygencombinedwithpregabalininthetreatmentof#br# painfuldiabeticperipheralneuropathy

  1. 1.Department of Internal MedicineNeurology, General Hospital of Hebei Central Energy Group, Hebei 
    Handan 056200, China; 2.Department of Traditional Chinese Medicine, Yi County Hospital Hebei
    Province, Yixian 074200, China; 3.Department of Obstetrics and Gynecology, Maternal and Child
    Health Care Hospital of Feng Feng Mining Area, Handan 056200, China; 4.Department of
    Rehabitation Division, General Hospital of Hebei Central Energy Group, Handan
    056200, China; 5.Department of Cardiology, General Hospital of Hebei
    Central Energy Group, Handan 056200, China
  • Online:2016-11-25 Published:2016-12-14

摘要: [摘要] 目的 观察高压氧联合普瑞巴林治疗痛性糖尿病周围神经病变的效果。方法 选取糖尿病周围神经
病变患者 106 例随机分为 3 组:高压氧组( A 组) 35 例,普瑞巴林组( B 组) 35 例,高压氧联合普瑞巴林组( C 组) 36
例。治疗 5 周后比较临床疗效及治疗前后肌电图监测正中神经及腓总神经神经传导速度。结果 治疗后 C 组临床
有效率(
83.3% )显著高于 A 组( 57.1% ),差异有统计学意义( P <0.05 ); C 组正中神经及腓总神经传导速度均高于
A 、 B 组,差异有统计学意义( P <0.05 )。结论 高压氧联合普瑞巴林治疗痛性糖尿病周围神经病疗效确切,安全性
高,可为临床治疗糖尿病神经病变提供一个有效的新方法。

关键词: 糖尿病神经病变, 高压氧, 普瑞巴林

Abstract: [
Abstract ] Objective Toobservethetherapeuticeffectofhyperbaricoxygencombinedwith
pregabalininthetreatmentofpainfuldiabeticperipheralneuropathy.Methods Onehundredand
sixpatients withdiabeticperipheralneuropathy weredividedintothreegroups : hyperbaric
oxygengroup ( Agroup ), pregabalin (
Bgroup ), hyperbaricoxygencombinedwithpregabalin (
C
group ), 35casesinAgroup , 35casesinBGroup , 36casesinC Group.Clinicaleffiencyand
electomyogram withcondutionvelocityofmedianandperoneuscommonnervewerecompared
after5 weeks.Results ClinnicaleffiencyingroupC was83.3% aftertreatment , which was
higherremarkablelythan group A ( 57.1% ) .There weresatisticaldifference ( P <0.05 ) .
CondutionvelocityofmedianandperoneuscommonnerveinCgroupwerehigherremarkablely thangroupAandB , thereweresatisticaldifference ( P <0.05 ) .Conclusion Hyperbaricoxygen
combinedwithpregabalinintreatingpainfuldiabeticperipheralneuropathy waseffectiveand
safety , whichprovidesaneweffectivemethodforthetreatmentofdiabeticneuropathy

Key words: diabeticneuropathies , hyperbaricoxygenation , painpregabalin