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探讨甲钴胺结合光子治疗仪及护理治疗2型糖尿病周围神经病变的临床效果。选择106例2型糖尿病周围神经病变患者,随机分为对照组及治疗组,每组53例。两组均严格控制血糖,对照组采取甲钴胺肌注和常规护理,治疗组在对照组治疗的基础上采用光子治疗及护理干预,连续治疗3周。观察两组患者临床疗效。治疗组的显效率、总有效率明显优于对照组(P_均<0.05)。治疗后两组感觉功能、神经症状、神经反射及TCSS总分各项评分均明显降低,感觉神经传导速度及运动神经传导速度均升高,与治疗前相比其差异均有统计学意义(P_均<0.05),治疗组与对照组比较差异均有统计学意义(P_均<0.05)。采取甲钴胺结合光子治疗仪及护理治疗2型糖尿病周围神经病变可显著提高临床疗效,值得临床推广。
To investigate the clinical effect of mecobalamin combined photon therapy apparatus and nursing on type 2 diabetic peripheral neuropathy. 106 patients with type 2 diabetic peripheral neuropathy were randomly divided into control group and treatment group, with 53 cases in each group. The two groups were strictly controlled blood glucose, the control group to take intramuscular mecobalamin and conventional care, the treatment group in the control group based on the use of photon therapy and nursing intervention, continuous treatment for 3 weeks. The clinical efficacy of the two groups was observed. Significantly effective rate of the treatment group, the total effective rate was significantly better than the control group (P_0.05). After treatment, sensory function, neurological symptoms, neurological reflexes and TCSS scores were significantly reduced in both groups, sensory nerve conduction velocity and motor nerve conduction velocity were elevated, compared with before treatment, the difference was statistically significant (P _ All <0.05), the difference between the treatment group and the control group was statistically significant (P_0.05). Taking mecobalamin combined with photon therapy apparatus and nursing treatment of type 2 diabetic peripheral neuropathy can significantly improve clinical efficacy, it is worth clinical promotion.