Sühler K, Parhofer K, Richter W O, Witt T N, Schwandt P
II. Medizinische Klinik, Klinikum Grosshadern, Universität München.
Dtsch Med Wochenschr. 1990 Nov 2;115(44):1665-9. doi: 10.1055/s-2008-1065207.
Four patients (two men and two women, aged between 54 and 75 years), known to have type II diabetes since two to twenty years, had for several months been suffering from segmental pain of thoracoabdominal or lumbosacral distribution. Diabetic radiculopathy was confirmed by paravertebral electromyography. Analgesics having brought insufficient relief, treatment with an insulin infusion pump was commenced. The pains disappeared within 2-14 days. Even when the infusion treatment was no longer used, pains did not recur under an euglycaemic regimen. These results suggest that the transitory use of insulin infusion by pump can be a worthwhile therapeutic alternative in diabetic radiculopathy.
四名患者（两男两女，年龄在54至75岁之间），患II型糖尿病已有2至20年，数月来一直遭受胸腹段或腰骶段分布的节段性疼痛。经椎旁肌电图检查确诊为糖尿病性神经根病。由于镇痛药缓解效果不佳，开始使用胰岛素输注泵进行治疗。疼痛在2至14天内消失。即使不再使用输注治疗，在血糖正常的情况下疼痛也未复发。这些结果表明，短期使用胰岛素输注泵可能是糖尿病性神经根病一种值得尝试的治疗选择。
