|本期目录/Table of Contents|

[1]张翔 梁晓春.补肾活血法治疗糖尿病周围神经病变的研究进展[J].环球中医药,2014,7(06):492-0.
 ZHANG Xiang,LIANG Xiao chun..Research progress in Bushen Huoxue treatment of diabetic peripheral neuropathies[J].,2014,7(06):492-0.
点击复制

补肾活血法治疗糖尿病周围神经病变的研究进展()
     
分享到:

《环球中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
第7卷
期数:
2014年06期
页码:
492-0
栏目:
综述
出版日期:
2014-06-06

文章信息/Info

Title:
Research progress in Bushen Huoxue treatment of diabetic peripheral neuropathies
作者:
张翔 梁晓春
Author(s):
ZHANG XiangLIANG Xiaochun.
Department of Traditional Chinese Medicine,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences,Beijing 100730,China
关键词:
糖尿病周围神经病变补肾活血中医中药综述
Keywords:
Diabetic peripheral neuropathyBushen HuoxueTraditional Chinese medicineReview
分类号:
R5872
DOI:
-
文献标志码:
A
摘要:
糖尿病周围神经病变是糖尿病所致神经病变中最常见的一种,影响患者的生活质量。中医药治疗糖尿病周围神经病变有一定的优势。其中补肾活血治疗糖尿病周围神经病变得到了一定程度的认可。在改善患者症状和中医证候积分,消除或减轻神经体征,促进神经运动传导速度及感觉传导速度的改善有明显的优势。近年来补肾活血治疗糖尿病周围神经变机制的研究热点在非酶促糖基化、氧化应激、神经损伤修复以及炎性反应,补肾活血法在上述机制中均有积极影响。但也存在临床研究范围局限、说服力不强、年龄对证型的影响、实验研究观察指标不全面、血清药理学方法制备含药血清的局限性等问题。
Abstract:
Diabetic peripheral neuropathy is one of the most common diabetesinduced neuropathies. It affects the quality of patients life. There are some certain advantages in the Chinese medicine treatment of diabetic peripheral neuropathy. The Bushen Huoxue treatment of diabetic peripheral neuropathy has received a certain degree of recognition by Chinese medicine. There are some obvious advantages in improving symptoms and TCM syndrome score, eliminating or reducing neurological signs, promoting the improvement of nerve conduction velocity and sensory conduction velocity. In recent years, the diabetic peripheral neuropathy treatment of Bushen Huoxue mechanisms focused on nonenzymatic glycosylation, oxidative stress, nerve repair and inflammatory reactions. Bushen Huoxue has a positive impact in these mechanisms. However, there are some problems such as limitations of the scope of clinical research,the impact of age on TCM syndromes, experimental study of simple observed indicators, limitations of serum pharmacological method for preparing drugcontaining serum.

参考文献/References:

[1]庞国明,闫镛.糖尿病周围神经病变中医诊疗规范初稿[J].中华中医药杂志,2010,25(2):260.
[2]梁晓春,郭赛珊.治疗糖尿病神经病变的思路与方法[J].中医杂志,1999,40(1):5253.
[3]杨晓晖,邓媛媛.续断通络片对糖尿病大鼠坐骨神经传导速度影响的实验研究[J].中国药物警戒,2010,7(10):577579.
[4]许传华,彭万年.彭万年教授糖尿病周围神经病变阳虚学说浅议[J].深圳中西医结合杂志,2011,21(5):286288.
[5]陈惠,刘苇苇,黄静,等.益气温阳通络法治疗糖尿病周围神经病变探讨[J]. 环球中医药,2012,5(9):686688.
[6]陈军,刘圳奋.补肾活血通痹汤治疗糖尿病周围神经病变88例疗效观察[J].中国社区医师,2012,14(314):222.
[7]张惠鸣,杨如意.补肾活血法配合甲钴胺片治疗糖尿病周围神经病变38例[J].山东中医药大学学报,2009,33(2):139140.
[8]李春桂,苗桂珍,朱学敏.益气养阴温阳活血法佐治糖尿病周围神经病变疗效观察[J].疑难病杂志,2009,8(8):489490.
[9]吴群励,梁晓春,姜楠,等.中药筋脉通胶囊治疗糖尿病周围神经病变的临床疗效观察[J].世界中西医结合杂志,2012,7(10):860865.
[10]曹雯,王小超,刘克冕.消渴通络汤治疗糖尿病周围神经病变30例疗效观察[J].实用中西医结合临床,2010,10(2):2425.
[11]张涛静,高彦彬,周晖,等.糖络宁对STZ诱导糖尿病大鼠坐骨神经传导速度及病理学的影响[J].中华中医药杂志,2009,24(8):10101013.
[12]杨蕙,王宇红,莫韦皓,等.降糖通络方对2型糖尿病大鼠外周神经病变的保护作用及其机制[J].中华中医药学刊,2013,31(9):19791981.
[13]钱秋海,孙英新,苏勋庄,等.糖周宁胶囊对糖尿病大鼠血糖、山梨醇和神经传导速度的影响[J].山东中医药大学学报,2006,30(2):165166.
[14]郝伟欣,贾力,徐惠媛,等.筋脉通对大鼠坐骨神经传导速度及红细胞抗氧化作用的影响[J].中国新药杂志,2003,12(5):343345.
[15]屈岭,梁晓春,吴群励,等.筋脉通对糖尿病大鼠周围神经组织神经生长因子表达的影响[J].中国中药杂志,2008,33(21):25392544.
[16]王普艳,梁晓春,张宏,等.筋脉通胶囊对高糖培养雪旺细胞睫状体神经营养因子表达的影响[J].中医杂志,2010,51(8):736739.
[17]吴群励,梁晓春,高云周,等.筋脉通胶囊对糖尿病大鼠坐骨神经神经生长因子受体p75NTR及TrkA表达的影响[J]. 北京中医药,2013,32(7):548552.
[18]Wang PY, Liang XC, Zhang H,et al. Effect of Serum Containing Jinmaitong Capsule(筋脉通胶囊) on Rats Schwann Cell Apoptosis Induced by High Glucose Concentration[J]. Chinese Journal of Integrative Medicine,2013,19(7):517523.
[19]孙连庆,梁晓春,张宏,等.中药筋脉通对高糖培养雪旺细胞增殖及NGF表达的影响[J].中华中医药杂志,2009,24(8):10191022.
[20]李伯武,梁晓春,王普艳,等.筋脉通对糖尿病大鼠坐骨神经NADPH氧化酶p22 phox亚基表达的影响[J].医学研究杂志,2011,40(5):4346.
[21]孙青,梁晓春,王普艳,等.筋脉通对糖尿病大鼠周围神经组织诱导型一氧化氮合酶和确基酪氨酸表达的影响[J].中国中药杂志,2012,37(3):348352.
[22]赵丽,梁晓春,张宏,等.筋脉通含药血清对高糖培养的Schwann细胞诱导型一氧化氮合酶和NADPH氧化酶p22phox亚基表达的影响[J].中西医结合学报,2011,3(9):299305.
[23]朴元林,梁晓春,赵丽,等.筋脉通含药血清对高糖培养施万细胞8羟基脱氧鸟苷和活化的caspase3表达的影响[J].医学研究杂志,2011,40(10):3539.
[24]孙青,梁晓春,张宏,等.筋脉通含药血清对高糖培养背根神经节神经元氧化应激及细胞凋亡的影响[J].中成药,2013,35(7):13901448.
[25]周微雅,李妮,陈晖.糖尿病周围神经病变IL1β,TNFα的介导作用[J].中国免疫学杂志,2003,19(9),658.
[26]杨俊,余磊,邱小忠,等.白介素1β诱导和激活许旺细胞的实验研究[J].中华显微外科杂志,2005,28(2):142144.
[27]Bierhaus A,Haslbeck KM,Humpert PM,et al. Loss of pain perception in diabetes is dependent on a receptor of the immunoglobulin superfamily[J].J Clin Invest,2004,114(12):17411751.
[28]吴群励,梁晓春,张宏,等.中药筋脉通含药血清对高糖培养雪旺细胞NFκB 表达的影响[J]. 世界中西医结合杂志,2011,6(6):478481.
[29]姜楠,梁晓春,屈岭,等.筋脉通胶囊对糖尿病大鼠坐骨神经形态测量学及核转录因子κB蛋白表达的影响[J].环球中医药,2012,5(2):100104.

相似文献/References:

[1]王涵 周强 仝小林.仝小林治疗糖尿病并发症应用黄芪经验[J].环球中医药,2013,6(04):272.
[2]孙朦朦,刘苇苇,倪青,等.单味中药治疗糖尿病周围神经病变研究进展[J].环球中医药,2013,6(02):143.
 SUN Meng meng,LIU Wei wei,NI Qing..Research of single herbs in the treatment of Diabetic Peripheral Neuropathy[J].,2013,6(06):143.
[3]杨慧.补肾活血中药治疗肾亏血瘀型多囊卵巢综合征35例[J].环球中医药,2014,7(05):382.
[4]陈惠,刘苇苇,黄静,等.益气温阳通络法治疗糖尿病周围神经病变探讨[J].环球中医药,2012,5(09):686.
[5]姜楠,梁晓春,屈岭,等.筋脉通胶囊对糖尿病大鼠坐骨神经形态测量学及核转录因子κB蛋白表达的影响[J].环球中医药,2012,5(02):100.
 JIANG Nan,LIANG Xiao-chun,QU Ling,et al.Effects of Jinmaitong Capsule on morphology and expression of nuclear factor kappa B of sciatic nerve in diabetic rats[J].,2012,5(06):100.
[6]孙青,梁晓春,张倩,等.糖尿病周围神经病变中医证型分析及其与交感神经皮肤反应的关系[J].环球中医药,2012,5(05):337.
 SUN Qing,LIANG Xiao chun,ZHANG Qian,et al.Clinical study on relationship between syndrome of traditional Chinese medicine and sympathetic skin response in diabetic peripheral neuropathy[J].,2012,5(06):337.
[7]钟柳娜.栗德林教授治疗糖尿病周围神经病变经验[J].环球中医药,2015,8(06):737.[doi:A doi:10.3969/j.issn.1674-1749.2015.06.029]
[8]熊广华,李怡.中药腿足浴治疗糖尿病周围神经病变研究概况[J].环球中医药,2015,8(05):609.[doi:10.3969/j.issn.16741749.2015.05.031]
 XIONG Guang hua,LI Yi..Research situation of treating diabetic peripheral neuropathy with traditional Chinese medicine leg and foot bathing therapy[J].,2015,8(06):609.[doi:10.3969/j.issn.16741749.2015.05.031]
[9]张岩,穆晓红,孙文,等.糖痹康对糖尿病大鼠坐骨神经II相代谢酶GCLc和GST pi蛋白与mRNA的影响[J].环球中医药,2016,9(03):283.[doi:10.3969/j.issn.1674-1749.2016.03.007]
 ZHANG Yan,MU Xiao hong,SU Wen,et al.Effect of Tangbikang on the protein and mRNA of Phase II metabolizing enzymes of GCLc and GST pi of sciatic nerve in diabetic rats[J].,2016,9(06):283.[doi:10.3969/j.issn.1674-1749.2016.03.007]
[10]杨丹,梁晓春,屈岭,等.中药筋脉通对糖尿病大鼠背根神经节神经元超微结构影响的研究[J].环球中医药,2016,9(06):654.[doi:10.3969/j.issn.1674-1749.2016.06.003]
 YANG Dan,LIANG Xiao-chun,QU Ling,et al.Effects of Jinmaitong on ultrastructure of DRG neurons in STZ-DM rats[J].,2016,9(06):654.[doi:10.3969/j.issn.1674-1749.2016.06.003]

备注/Memo

备注/Memo:

作者单位:100730 北京,中国医学科学院北京协和医学院中医科[张翔(硕士研究生)、梁晓春]
作者简介:张翔(1989 ),2007级七年制硕士研究生。研究方向:中西医结合防治糖尿病并发症。Email: 286772928@qq.com
通讯作者:梁晓春(1956 ),女,硕士,主任医师,博士生导师。中国中西医结合学会常务理事,中国中西医结合学会内分泌代谢病专业委员会副主任委员,北京中西医结合学会糖尿病专业委员会主任委员。研究方向:中西医结合防治糖尿病慢性并发症。Email: xcliang@vip.sina.com
更新日期/Last Update: 1900-01-01