Your browser doesn't support javascript.
loading
Electrophysiological changes in diabetic peripheral neuropathy patients of different Chinese medicine syndrome types intervened by naoxintong and mecobalamin / 中国中西医结合杂志
Zhongguo Zhong Xi Yi Jie He Za Zhi ; (12): 1051-1056, 2011.
Article in Zh | WPRIM | ID: wpr-299074
Responsible library: WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the intervention of Naoxintong and mecobalamin on electrophysiological changes in diabetic peripheral neuropathy (DPN) of different Chinese medicine (CM) syndrome types.</p><p><b>METHODS</b>According to syndrome differentiation, 180 patients with DPN were classified as five syndrome types. And they were treated with Naoxintong (Group A), mecobalamin (Group B), and Naoxintong + mecobalamin (Group C). Four weeks was taken as one therapeutic course, and totally three courses. Their efficacies were assessed using clinical scoring, electrophysiological examinations, and ultrasonic examinations of the blood vessel inner diameter.</p><p><b>RESULTS</b>(1) The motor nerve conduction velocity was obviously slowed down in the Gan-Shen deficiency syndrome (P<0.01). F-wave latency was obviously prolonged in the Gan-Shen deficiency syndrome and yang deficiency blood stasis syndrome (P<0.01). The skin sympathetic reflex latency was obviously prolonged in the qi deficiency blood stasis syndrome and phlegm stagnation collateral obstruction syndrome (P<0.01). (2) Statistical difference existed in the three groups of qi deficiency blood stasis syndrome (chi2 = 7.112, P<0.05) and Gan-Shen deficiency syndrome (chi2 =6.667, P<0.05). Of them, the total effective rate of qi deficiency blood stasis syndrome was 87.5% and the markedly effective rate 43.8% in Group A (P<0.05). The total effective rate of Gan-Shen deficiency syndrome was 100.0% and the markedly effective rate 50.0% in Group B (P<0.05). The total effective rate of qi deficiency blood stasis syndrome, yin deficiency blood stasis syndrome, phlegm stagnation collateral obstruction syndrome, yang deficiency blood stasis syndrome, and Gan-Shen deficiency syndrome was respectively 92.9%, 83.3%, 81.8%, 81.8%, and 75.0% in Group C. (3) Naoxintong and mecobalamin had some improvement of motor and sensory conduction of each CM syndrome type (P<0.05). Mecobalamin showed obvious effect on the skin sympathetic reflection (P<0.05). The nerve electrophysiological index of each syndrome types as well as the diameter of arteriae tibialis anterior could be improved in Group C (P<0.05).</p><p><b>CONCLUSIONS</b>Naoxintong gained better effect in treatment of DPN patients of qi deficiency blood stasis syndrome by syndrome typing. Naoxintong combined with mecobalamin could be helpful for ameliorating DPN patients of each syndrome.</p>
Subject(s)
Full text: 1 Index: WPRIM Main subject: Vitamin B 12 / Drugs, Chinese Herbal / Peripheral Nervous System Diseases / Therapeutic Uses / Diabetic Neuropathies / Diagnosis / Diagnosis, Differential / Drug Therapy / Electrophysiological Phenomena / Medicine, Chinese Traditional Type of study: Diagnostic_studies Limits: Adult / Female / Humans / Male Language: Zh Journal: Zhongguo Zhong Xi Yi Jie He Za Zhi Year: 2011 Type: Article
Full text: 1 Index: WPRIM Main subject: Vitamin B 12 / Drugs, Chinese Herbal / Peripheral Nervous System Diseases / Therapeutic Uses / Diabetic Neuropathies / Diagnosis / Diagnosis, Differential / Drug Therapy / Electrophysiological Phenomena / Medicine, Chinese Traditional Type of study: Diagnostic_studies Limits: Adult / Female / Humans / Male Language: Zh Journal: Zhongguo Zhong Xi Yi Jie He Za Zhi Year: 2011 Type: Article