Neuropathy around the painful diabetes without end

Neuropathy around the painful diabetes without end
Neuropathy around the painful diabetes without end
Staff reporter Zheng Ying 璠's investigation reveals, the ill rate of adult's diabetes is 9.7% over our country 20, among them the ill rate that neuropathy changes is up to 56.5% around diabetes. They but insomnia or anxiety, therapeutic effect of easing pain quite limited because of pain. To this current situation, long jade professor Pan of division of endocrinology of PLA general hospital has understood in detail. Complication reporter that half the number patient can happen: What disease is neuropathy around diabetes? How is the morbidity in our country patient? Pan ChangYu: Neuropathy is one of the diabetes and most common chronic complication around diabetes, it is a group of neuropathy around taking feeling with autonomic nerve symptom as main clinical manifestation. It will influence the patient's life quality seriously like diabetic nephropathy and diabetes and retinal pathological change,etc.. Report abroad 20%- 24% of the diabetics suffer from neuralgia around diabetes. As to neuropathy around diabetes, neuropathy around relevant diabetes that especially pain, return clear nationwide statistical data to none at home. Can only follow the research of the diabetic morbidity of our country at present, and diabetes and relevant nervous system complication seen on clinic are estimated, examined. Generally think, the ill rate that our country's aching diabetic neuropathy changes is about 40%- 50% of the diabetic at present, and lengthen, increase with the ill time of diabetes. Follow up a case by regular visits to the controlled study to reveal, aching neuropathy around is turned into the morbidity and risen to 20% 10 years later from 7% when base-line in 10 years when carry on in the 2 type diabetic. Patient the intersection of life and quality give a great discount reporter: In what respects does impact on patient of neuralgia mainly display around diabetes? Pan ChangYu: A large amount of foreign research prove, over 60% of the neuropathy reason pains the patient can influence sleeping, have a rest because of pain, and pain intensity and sleep disorder intensity become positive correlation. The patient is often spiritual weariness caused by pain, sleep disorder, absent-minded, and then it is disappointed to and treat to disease, psychonosema such as being agitated, anxious, depressed appears. So, neuropathy reason pains the patient often damages with the decline of life quality and various functions. One research of Switzerland indicate neuropathy reason pain the intersection of patient and their life quality grade (SF-36) It is only 50 fen, and the normal crowd's SF-36 grades on average is 90 fen. Still lack the standard and standardize a treatment means reporter: How is it to the therapeutic current situation of neuralgia around diabetes? Pan ChangYu: There are not neuropathy reason paining and national statistics data of neuralgia around diabetes in China at present, pay close attention to the fact mainly to its treatment that waits and has illness coming on originally in diabetes and herpes zoster. The mechanism of neuralgia is still indeterminate because of diabetes, in addition, not treated the standard yet, so a lot of clinicians, even if is endocrine expert or the department of anesthesia, pain managerial expert, still feel extremely thorny in the face of this kind of patient, are mostly experience treatment. This leads to the fact directly the clinical healing solution is varied, the therapeutic effect is different, the overall therapeutic effect is unsatisfactory. What carried on in the neuralgia patient around North American diabetes respectively in 2003 and 2007 eased pain and treated the satisfaction investigation to reveal, only 22% and 27% of the patients are satisfied with to easing pain. That is to say, quite a lot of neuralgia patients are bearing the physiologically or psychological enormous agony. The daily medicine that painful to neuropathy reason has opium medicine, some narcotic drug, body of non- steroid to resist inflammation medicine etc., because the mechanism of easing pain of most therapeutic medicines is not the morbidity mechanism which is for neuropathy and rational pain, so ease pain curative effect is still unsatisfied with, and all kinds of medicines have their own limitation, for instance the side effect is great, have addiction nature into, tolerance is bad,etc., have and still lack a really effective therapeutic medicine easy to use clinically. So, study the pathogenesis of this disease and research and develop the more ideal medicine, it will be our diligent direction of some time in the future to make the standardized healing solution.


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