期刊文献+

α-硫辛酸治疗糖尿病神经病变对患者总症状评分的影响 被引量:2

Effect of alpha-lipoic acid on TSS in patients with diabetic peripheral neuropathy
原文传递
导出
摘要 目的:评价α-硫辛酸治疗2型糖尿病周围神经病变的有效性。方法:将2011年至2012年我院收治2型糖尿病周围神经病变患者共64例随机分为试验组(n=32)和对照组(n=32),其中试验组使用α-硫辛酸治疗,对照组使用谷胱甘肽治疗,治疗前后对其进行TSS。结果:试验组患者应用α-硫辛酸治疗后,TSS较治疗前改善4.37分(P<0.01),且未见明显不良反应。结论:α-硫辛酸相对于谷胱甘肽可明显改善2型糖尿病患者周围神经病变的症状,且无明显不良反应。 Objective: To evaluate the effect of alpha-lipoic acid on diabetic peripheral neuropathy. Methods: A lot of 64 diabetic peripheral neuropathy patients collected from 2011 to 2012 in our hospital were assigned to alpha-lipoic acid (n=32, experiment group) or glutathione(n=32, control group), for 14 days. The primary outcome measure was the change from baseline of the TSS, including stabbing pain, burning pain, paresthesia, and asleep numbness of the feet. Results: After use of alpha-lipoic acid, the TSS decreased significantly by 4.37 points, as compared with that at the baseline(P0.01). TSS was more significantly decreased in the experiment group than in the control group (P0.05). No adverse reactions occurred in both groups. Conclusions: As compared with glutathione, ALA could improved neuropathic symptoms effectively with no adverse reactions.
出处 《临床药物治疗杂志》 2013年第4期30-33,共4页 Clinical Medication Journal
关键词 Α-硫辛酸 2型糖尿病 周围神经病变 TSS Alpha-lipoic acid Type2 diabetes Peripheral neuropathy TSS
  • 相关文献

参考文献16

  • 1Tesfaye S, Selvarajah D. Advances in the epidemiology, pathogenesis and management of diabetic peripheral neuropathy[J]. Diabetes Metab Res Rev,2012,28(1):8-14. 被引量:1
  • 2Papanas N, Maltezos E. ex -Lipoic acid, diabetic neuropathy, and Nathan's prophecy[J]. Angiology, 2012, 63(2): 81-83. 被引量:1
  • 3Mijnhout GS, Alkhalaf A, Kleefstra N, et al. Alpha lipoic acid: a new treatment for neuropathic pain in patients with diabetes[J]. Neth J Med, 2010, 68(4): 158-162. 被引量:1
  • 4叶任高.内科学[M].北京:人民卫生出版社,2001.294-307. 被引量:474
  • 5Winkler G, Kempler P.Pathomechanism of diabetic neuropathy: background of the pathogenesis-oriented therapy[J], Orv Hetil, 2010, 151(24): 971-981. 被引量:1
  • 6Kovrazhkina EA. Demyelinating polyneuropathies in patients with diabetes mellitus and chronic alcoholic intoxication[J]. Zh N evrol Psikhiatr 1m S S Korsakova, 2012,112(5): 41-45. 被引量:1
  • 7Volchegorskil lA, Rassokhina LM, Miroshnichenko IIu, et al. An?tihypoxic effect of 3-hydroxypyridine and succinic acid deriva?tives and their nootropic action in alloxan diabetes[J]. Eksp Klin Farmakol, 2011, 74(12): 27-32. 被引量:1
  • 8Ziegler D, Low PA, Litchy WJ,et al. Efficacy and safety of an?tioxidant treatment with ex -lipoic acid over 4 years in diabetic polyneuropathy: the NATHAN 1 trial[J]. Diabetes Care, 2011, 34 (9): 2054-2060. 被引量:1
  • 9Kapoor S. Pain Management in patients with diabetic nephropa?thy: the emerging role of ex -lipoic acid[J]. Foot Ankle Spec, 2012, 5(4):228-229. 被引量:1
  • 10McIlduff CE, Rutkove SB. Critical appraisal of the use of alpha lipoic acid (thioctic acid) in the treatment of symptomatic dia?betic polyneuropathy[J].Ther Clin Risk Manag, 2011, 7:377-385. 被引量:1

二级参考文献6

  • 1张惠芬 迟家敏 等.实用糖尿病学[M].北京:人民卫生出版社,2001.293. 被引量:25
  • 2Park JY, Takahara N, Gabriele A, et al. Induction of endothelin-1 expression by glucose:an effect of protein kinase C activation. Diabetes, 2000,49 : 1239-1248. 被引量:1
  • 3Brownlee M. Biochemistry and molecular cell biology of diabetic complications. Nature, 2001,414:813-820. . 被引量:1
  • 4Ametov AS,Barinov A, Peter J, et al. The sensory symptoms of diabetic polynuropathy are improved with α-lipoic acid. Diabetes Care, 2003, 26:770-776. 被引量:1
  • 5Stevens MJ, Obrosova I, Cao X, et al. Effects of DL-alpha-lipoic acid on peripheral nerve conduction, blood flow, energy metabolism, and oxidative stress in experimental diabetic neuropathy. Diabetes, 2000, 49:1006-1015. 被引量:1
  • 6Sekido-H, Suzuki T, Jomori T, et al. Reduced cell replication and induction of apoptosis by advanced glycation end products in rat Schwann cells. Biochem Biophys Res Commun, 2004 ,320:24.1-248. 被引量:1

共引文献563

同被引文献31

  • 1Vfleikyte L, Peyrot M, Gonzalez JS, et al. Predictors of depressive symptoms in persons with diabetic peripheral ne urepathy : a longi- tudinal study[J]. Diabetologia,2009,52(7) :1265-1273. 被引量:1
  • 2Mijnhout GS, Alkhalaf A, Kleefstra N, et al. Alpha lipoie acid : a new treatment for neuropathic pain in patients with diabetes [ J ]. Neth J Med ,2010,68 ( 4 ) : 158-162. 被引量:1
  • 3Ziegler D, Movsesyan L, Mankovsky B, et al. Treatment of symp- tomatic polyneurpathy with actovegin in type 2 diabetic patients [ J ]. Diabetes Care ,2009,32 ( 8 ) : 1479-1484. 被引量:1
  • 4Cohen JA, Jefers BW, Stabler S, et al. Increasing homocysteine levels and diabetic autonomic neuropathy [ J 1. Auton Neurosci, 2009,87 ( 2-3 ) :268-273. 被引量:1
  • 5Jin L, Caldwell RB, L-Masters T, et al. Homocysteine induces en- dothelial dysfunction via inhibition of arginine transport [ J ]. J Physiol Pharmacol,2007,58(2) :191-206. 被引量:1
  • 6Mater JM, Seifert W, HIhher G, et al. Homocysteine induces cell death of rat astrocytes in vitro [ J ]. Neurosci Lett,2003,347 ( 2 ) : 85-88. 被引量:1
  • 7Ozkul Ayca,Ayhan Mediha,Yenisey Cigdem,Akyol Ali,Guney Engin,Ergin Filiz Abacigil.The role of oxidative stress and endothelial injury in diabetic neuropathy and neuropathic pain. Neuro endocrinology letters . 2010 被引量:1
  • 8Anderson NJ,King MR,Delbruck L,et al.Role of insulin signaling impairment,adiponectin and dyslipidemia in peripheral and central neuropathy in mice. Dis Model Mech . 2014 被引量:1
  • 9施晓红,陈英辉,周连华.高同型半胱氨酸血症与糖尿病周围神经病变的关系[J].中国糖尿病杂志,2008,16(6):331-333. 被引量:35
  • 10熊丽丽,杜万红.脑源性的神经营养因子与糖尿病及并发症的关系[J].实用预防医学,2009,16(5):1687-1690. 被引量:3

二级引证文献6

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部