温阳利水方治疗糖尿病神经源性膀胱临床研究

Clinical Observation of Treatment of Diabetic Neurogenic Bladder Ploblem with Warming Yang to Promote Diuresis Method

目的:观察温阳利水方治疗糖尿病神经源性膀胱的临床疗效。方法:选择70例糖尿病神经膀胱患者,随机分为对照组和观察组均35例。对照组应用前列地尔注射液、甲钴胺注射液及坦索罗辛胶囊治疗。观察组35例,在对照组治疗的基础上加用自拟温阳利水方加减治疗,治疗后观察两组最大尿流速、膀胱残余尿量及有效率。结果:两组治疗后的最大尿流速、残余尿量与治疗前组内相比较,差异均有统计学意义(P<0.05);两组治疗后的最大尿流速、残余尿量组间比较,观察组优于对照组(P<0.05)。对照组有效率68.6%,观察组有效率91.4%,两组有效率比较,观察组优于对照组(P<0.05)。结论:温阳利水方治疗糖尿病神经源性膀胱疗效显著。

Objective： To investigate the clinical curative effect of treatment of diabetic neurogenic bladder problem with warming yang to promote diuresis methood. Methods： 70 cases with diabetic neurogenic bladder problem were randomly divided into control group and observation group,with 35 cases in each group. The control group was treated with alprostadil,mecobalamin and tamsulosin treatment. The observation group was treated with warming Yang to promot diuretic therapy. After treatment,the maximum flow rate,residual urine volume and total effective rate of the two groups were observed. Results： The maximum urine flow rate and residual urine volume after treatment in the two groups were significantly improved compared with that before treatment（ P〈0. 05）. The maximum urine flow rate and residual urine volume after treatment of the observation group was significantly better than that in the control group（ P〈0. 05）. The overall effective rate was 68. 6% in control group and 91. 4% in observation group,which suggests that the total effective rate of observation groups was significantly better than that of the control group（ P〈0. 05）. Conclusion： Applying warming yang to promote diuresis method to treat for diabetic neurogenic bladder has significant curative effect.