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我们应用多虑平治疗3例糖尿病性痛性神经病变,疗效满意,报告如下。(一)临床资料一般资料:男2例,女1例。年龄32～55岁。病程1～8年。入院测空腹血糖16～23.3mmol/L,其中1例血酮体988.63μmol/L。3例用胰岛素治疗3天至1周后出现全身酸软、麻木蚁走感甚至针刺样疼痛,且从下肢末端逐渐向上延伸,疼痛以四肢及胸背部最著,2例男性患者波及睾丸及阴囊。用各种消炎止痛药物未能奏效。治疗方法:多虑平25mg～50mg/次,口服2～4次/d,并辅以维生素B_1,B_6,B_(12)。结果:服药后3天一般上述症状缓解,10天至半月疼痛消失。1年后随访1例,未再复发。
We apply doxepin treatment of 3 cases of diabetic pain-induced neuropathy, with satisfactory results, the report is as follows. (A) of the general information on clinical data: 2 males and 1 female. Age 32 to 55 years old. Duration of 1 to 8 years. Admission of fasting blood glucose 16 ~ 23.3mmol / L, of which 1 blood ketone body 988.63μmol / L. 3 cases treated with insulin for 3 days to 1 week after emergence of body acid and soft, numbing ants walking and even acupuncture-like pain, and gradually extended upward from the distal end of the limbs, pain and limbs and chest and back the most, 2 cases of male patients spread testis and scrotum . With a variety of anti-inflammatory painkillers failed to work. Treatment: doxepin 25mg ~ 50mg / times, oral 2 ~ 4 times / d, supplemented with vitamin B_1, B_6, B_ (12). Results: 3 days after taking the above symptoms, the pain disappeared in 10 days to half a month. One year follow-up of 1 case, no recurrence.