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目的探讨中西医联合治疗手臂振动病的疗效。方法应用静脉输入16ml丹参类药物15d,甲钴胺(0.5mg,肌内注射,隔日1次,疗程15～30d后改用片剂0.5mg,口服,3次/d,疗程5个月)和维生素Bl(100mg,2次/d,疗程6个月)),同时用骨伤治疗仪给予双手理疗15d,1次/d,约30min/次。间断1个月后,再重复治疗,疗程8～24个月,平均为15个月。结果31例经随访6～18个月后临床症状明显好转。双手麻木减轻或消失,白指等体征改善。结论丹参等药物具有抑制血小板凝集,改善血液流变学作用,进而降低血液粘度,增加血液流量,弥可保等营养神经的药物再结合骨伤治疗仪给予双手理疗,促进神经增长因子增殖,减少Ca2+内流及其负面影响,提高雪旺氏细胞及髓鞘再生能力,增强再生细胞突破瘢痕的能力,使受损周围神经传导速度加快,有利于神经功能恢复。
Objective To investigate the curative effect of combined Chinese and Western medicine in the treatment of arm vibration disease. Methods Intravenous administration of 16ml salvia miltiorrhiza drugs for 15 days, mecobalamin (0.5mg, intramuscular injection every other day, 15 ~ 30d after the course of treatment to the tablet 0.5mg, orally, 3 times / d, treatment for 5 months) and Vitamin Bl (100mg, 2 times / d, course of treatment for 6 months)), at the same time using the bone treatment instrument to give both hands physical therapy 15d, 1 time / d, about 30min / times. Intermittent 1 month later, repeat treatment, treatment of 8 to 24 months, an average of 15 months. Results 31 cases were followed up for 6 to 18 months after clinical symptoms improved significantly. Numbness in both hands to reduce or disappear, white fingers and other signs of improvement. Conclusion Danshen and other drugs inhibit platelet aggregation and improve the role of hemorheology, and thus reduce blood viscosity, increase blood flow, miconutrition and other neurotrophic drugs combined with bone injury treatment instrument to give both physical therapy to promote the proliferation of nerve growth factor, reduce Ca2 + influx and its negative effects, improve the ability of Schwann cells and remyelination, enhance the ability of regenerative cells to break scar, accelerate the conduction of damaged peripheral nerves, which is good for nerve function recovery.