1.Therapeutic effect of femoral artery infusion therapy on diabetic peripheral neuropathy
Zhuqing ZENG ; Xiaobo LI ; Xiaohui FAN
China Modern Doctor 2024;62(16):9-11
Objective To investigate the efficacy of femoral artery infusion therapy in treatment of diabetic peripheral neuropathy(DPN).Methods A total of 86 DPN patients hospitalized in Department of Endocrinology of the Fourth Affiliated Hospital of Nanchang University from October 2021 to June 2022 were selected and divided into observation group and control group according to random number table method,with 43 cases in each group.The patients of control group was given conventional treatment,and the patients of observation group was given microarterial infusion of alprostadil and mecobalamin.Fasting blood glucose,scores of self-made questionnaire and vibrating perception threshold(VPT)of two groups were compared before and after treatment.Results There was no significant difference in fasting blood glucose between two groups before and after treatment(P>0.05).Before treatment,there were no significant differences in scores of self-made questionnaire and VPT between two groups(P>0.05).After treatment,scores of self-made questionnaire and VPT of patients in observation group were significantly lower than those in control group(P<0.05).Conclusion Femoral artery infusion therapy can obviously improve the symptoms and signs of DPN patients,and the recent effect is good,and it is a safe and effective method,which can be popularized in clinical practice.
2.Explore on optimum pathway of community based management for dia-betes
China Modern Doctor 2014;(30):91-93,97
Objective To investigate optimum pathway of community based management for diabetes. Methods The optimum pathway was based on service of health examination, clinical follow-up, and health education. Between A and B community based management,we compared the difference in frequency of doctors' office visiting in one year, fasting blood glucose and blood fat, the diabetes knowledge, improvement of life style and patient's willingness. Results ①The frequency of doctors' office visiting in one year in observation group were significantly higher than that of the control group, but were lower than control group in over Second-class Hospital and high-risk patients. ②The fasting blood glucose and blood fat in observation group were significantly lower than that of the control group(P<0.05). ③The awareness rate about the blood glucose level, diabetes diet,chronic complications and blood sugar monitoring in in ob-servation group were significantly higher than control group(P<0.05);In improvement of life style and patient's willing-ness,the observation group was better than control group of blood checks,diet control and medication(P<0.05). Conclu-sion Because of the optimum pathway of community based management for diabetes,the diabetes patient has more knowledge in diabetes , positive attitude and healthy behavior,so at last, it is good for treatment.

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