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Master the use of peripheral neuropathy and make diabetic patients “feet” down

The terrible thing about diabetes is that it has caused a variety of chronic complications. Among them, diabetic feet causes its high incidence, amputation rate, and mortality, which has attracted widespread attention. The case of amputation and death due to diabetic foot disease was shocking, bringing a huge spirit and economic burden to patients. In this context, strengthening the prevention and treatment of such diseases is particularly important.

Diabetes peripheral neuropathy (DPN) is a very important risk factor for diabetic foot disease. According to the different nerve positions and function, it is divided into three types: motor nerve, sensory nerve and autonomic neuropathy. Among them, motor neuropathy can lead to the occurrence of foot deformed; sensory neuropathy can reduce the reactivity and resistance of the human body to external pressure, foreign body or hot and cold, making the human body easily injured and easy to form foot ulcers; autonomous neuropathy will reduce human skin secretion Khan function increases the chance of bacterial infection. The above factors have an impact on the development of the disease. Therefore, intervention therapy against DPN is of great significance.

Among the relevant guidelines for diabetic football feet released in the past, the content of the medication plan for DPN treatment is very limited, and the latest release of the “China Diabetes Foot Prevention Guide (2019 Edition)” is more detailed description of this part. Xiaobian Organized.

What are the manifestations of diabetic peripheral neuropathy?

Common symptoms of DPN patients are: numbness and pain in the proximal end of the unilateral lower limbs; bilateral limbs numbness, tingling, burning sensation, electric shock pain and abnormal sensation; severe pain on one side of the lower limb Involved, rapid progress is muscle weakness and muscle atrophy; upper eyelid drooping, facial paralysis, eye fixation, facial pain and hearing damage; accumulate numbness or pain of multiple single nerves; Reaction, extension of hypoglycemia recovery process and neurological endocrine disorders; cardiovascular, digestion, and abnormal functional function of urogenital systems.

All type 2 diabetic patients should conduct DPN screening 5 years after diagnosis and type 1 diabetes, and then screened at least once a year. In clinical work, medical workers can cooperate with 5 inspections including ankle reflection, acupuncture pain, vibration, pressure, and temperature perception.

DPN treatment

Actively and strictly controlling high blood sugar and maintaining blood glucose levels are the most important measures to prevent and treat DPN. The earlier, the more obvious the treatment effect. The treatment of DPN includes the following aspects.

Basic treatment: Copy metabolic management of patients, including controlling blood glucose, blood pressure, and blood lipids. In addition, patients should be required to quit smoking, and appropriate exercise (such as skin damage and/or ulcers of the foot, which should be braked by accumulated limbs).

Drug treatment for DPN pathogenesis: Nutrition and repair of neuropharmaceuticals (active vitamin B12), antioxidant stimulant drugs (α-sulfuric acid), improvement of microcirculation drugs (prostaglandin E1 and antipromine sodium sodium, pancreatic tone peptide original Enzyme), improve metabolic disorder drugs (Epa Tis), see Table 1 in detail.

Drug treatment for DPN pain symptoms: Pain is one of the main symptoms of DPN, so drug relieving pain is a very important part of DPN treatment. Commonly used drugs include antidepressant drugs (Amidin, duolistein), anticidine (Priibarin, Gaba Tading), opioid analgesic drugs (Qumaro), and local analgesic drugs (peppercock stickers) Essence

Diabetic and sufficient disease, more critical to prevent prevention

<!-2586: Diabetic terminal page

With the rapid development of my country’s economy, the number of patients with diabetes increased year by year. In recent years, the cure rate of diabetic foot disease has increased, and the amputation rate has decreased significantly. The management of high -risk of diabetes should be strengthened as soon as possible to achieve early and early diagnosis and early treatment. This can effectively reduce the incidence of diabetic foot disease.

The preventive methods that can be adopted include health education for patients, controlling metabolic indicators, requiring smoking cessation, moderate exercise, and good foot management. To do a good job of health management, people with diabetes can also be “foot”.

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