首页|期刊导航|中国当代医药|甲钴胺联合依帕司他治疗糖尿病周围神经病变的效果

甲钴胺联合依帕司他治疗糖尿病周围神经病变的效果OA

Effect of Mecobalamin and Epalrestat in the treatment of diabetic pe-ripheral neuropathy

中文摘要英文摘要

目的 研究甲钴胺联合依帕司他在治疗糖尿病周围神经病变患者的临床效果.方法 选择 2024 年 4 月至2025 年4 月上饶市中心医院收治的 100 例糖尿病周围神经病变患者作为研究对象,按照随机数字表法分为试验组(50 例)与对照组(50 例).对照组采用常规的甲钴胺治疗方法,试验组采用甲钴胺联合依帕司他治疗.比较分析两组的疗效、患者神经传导速度(NCU)和不良反应情况.结果 试验组治疗后的有效率高于对照组,差异有统计学意义(P<0.05).试验组治疗后的胫神经 NCV、腓总神经 NCV和足底神经 NCV均高于对照组,差异有统计学意义(P<0.05);试验组的不良反应总发生率低于对照组,差异有统计学意义(P<0.05).结论 对糖尿病周围神经病变患者展开治疗采用甲钴胺疗效显著,此过程联合使用依帕司他,可进一步增强疗效,促进患者神经传导速度的增加,保证患者恢复效果,值得临床推广宣传.

Objective To study the clinical effect of Mecobalamin combined with Epalrestat in the treatment of patients with diabetes peripheral neuropathy.Methods A total of 100 patients with diabetic peripheral neuropathy admitted to Shangrao Central Hospital from April 2024 to April 2025 were selected as the study subjects.They were divided into the experimental group(50 cases)and the control group(50 cases)according to random number table method.The control group received conventional Mecobalamin treatment,while the experimental group received Mecobalamin combined with Epalrestat treatment.The efficacy,nerve conduction velocity(NCV),and adverse reactions of the two groups were compared and analyzed.Results The effective rate of the experimental group after treatment was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the NCV of the tibial nerve,common peroneal nerve,and plantar nerve in the experimental group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse reactions in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion Mecobalamin is effective in the treatment of patients with diabetes peripheral neuropathy.The combined use of Epalrestat in this process can further enhance the efficacy,promote the increase of patients'nerve conduction velocity,and ensure the recovery effect of patients,which is worthy of clinical promotion.

杨克华;泮华;李巧巧

江西省上饶市中心医院内分泌科,江西 上饶 334000江西省上饶市中心医院内分泌科,江西 上饶 334000江西省上饶市中心医院内分泌科,江西 上饶 334000

医药卫生

甲钴胺依帕司他糖尿病周围神经病变神经传导速度

MecobalaminEpalrestatDiabetic peripheral neuropathyNerve conduction velocity

《中国当代医药》 2026 (15)

53-56,4

江西省卫生健康委科技计划项目(SKJP220211187)江西省上饶市科技计划项目(20241CZDX61).

10.3969/j.issn.1674-4721.2026.15.11

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