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[肉碱治疗糖尿病性多发性神经病]

[Cocarnit in the treatment of diabetic polyneuropathy].

作者信息

Devlikamova F I

机构信息

Kazan State Medical Academy, Kazan, Russia.

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2016;116(11):64-68. doi: 10.17116/jnevro201611611164-68.

Abstract

AIM

Study the effect of cocarnit on the peripheral nerve functions in patients with diabetic distal sensorimotor polyneuropathy (DDSP).

MATERIAL AND METHODS

Thirty patients with DDSP, aged from 27 to 65 years, mean 55.3±10.8 years, with diabetes mellitus duration from 2 to 20 years (mean 8.0±5.8 years) received cocarnit as monotherapy in dose of 2 ml daily during 9 days. The intensity and character of pain were assessed with PainDetect, ТSS and NSS inquirers, quality-of-life was measured with the Russian version of EuroQol-5D questionnarie. The state of the neuromotor apparatus was studied using stimulation electromyography with the analysis of conduction along motor fibers of peripheral nerves and evoked sympathetic skin responses (ESSR).

RESULTS

After treatment, there was the improvement of scores on PainDetect by 44.3% (p<0.05), NSS by 41.9% (p<0.05) and ТСС by 103.9% (p<0.05). An increase in the impulse conduction velocity, M- and S-response amplitudes and normalization of ESSR parameters were observed. In the first turn, the improvement was related to damaged nerves.

CONCLUSION

Cocarnit is an effective drug in the treatment of patients with DDSP.

摘要

目的

研究左卡尼汀对糖尿病远端感觉运动性多发性神经病(DDSP)患者周围神经功能的影响。

材料与方法

30例DDSP患者,年龄27至65岁,平均55.3±10.8岁,糖尿病病程2至20年(平均8.0±5.8年),接受左卡尼汀单一疗法,每日剂量2 ml,共9天。使用PainDetect、TSS和NSS问卷评估疼痛强度和特征,使用俄罗斯版EuroQol-5D问卷测量生活质量。采用刺激肌电图研究神经运动装置状态,分析周围神经运动纤维的传导及诱发交感神经皮肤反应(ESSR)。

结果

治疗后,PainDetect评分改善44.3%(p<0.05),NSS评分改善41.9%(p<0.05),TCC评分改善103.9%(p<0.05)。观察到冲动传导速度、M波和S波反应幅度增加,ESSR参数正常化。首先,改善与受损神经有关。

结论

左卡尼汀是治疗DDSP患者的有效药物。

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