针刺联合济生肾气丸治疗糖尿病神经源性膀胱疗效观察

Observations on the Efficacy of Acupuncture plus Jisheng Shenqi Pills in Treating Diabetic Neurogenic Bladder

目的观察针刺联合济生肾气丸治疗糖尿病神经源性膀胱的临床疗效。方法将符合诊断标准的糖尿病神经源性膀胱患者按照随机数字表法分为治疗组和对照组。治疗组给予针刺联合济生肾气丸治疗,对照组给予口服西药治疗,两组患者均治疗4星期为1个疗程。比较治疗后两组临床总有效率,治疗前后膀胱残余尿量以及治疗期间不良反应发生情况。结果治疗组总有效率(93.8%)高于对照组(68.8%)(P<0.05)。治疗后两组患者膀胱残余尿量较治疗前均有明显改善(P<0.05);治疗组残余尿量低于对照组(P<0.05);治疗组不良反应发生率低于对照组(P<0.05)。结论针刺联合济生肾气丸治疗糖尿病神经源性膀胱疗效显著,可有效降低患者膀胱残余尿量,且安全性较高。

Objective To investigate the clinical efficacy of acupuncture plus Jisheng Shenqi pills in treating patients with diabetic neurogenic bladder.Method Patients with diabetic neurogenic bladder were allocated,using a random number table,to treatment and control groups.The treatment group received acupuncture plus Jisheng Shenqi pills and the control group,oral administration of Western medicine.Both groups of patients were treated for four weeks as a course.Post-treatment clinical total efficacy rates,pre-treatment and post-treatment postvoid residual urine volumes,and adverse reactions during treatment were compared between the two groups.Result The total efficacy rate was higher in the treatment group（93.8%） than in the control group（68.8%）（P〈0.05）.The postvoid residual urine volume decreased significantly in both groups of patients after treatment compared with before（P〈0.05）.Post-treatment postvoid residual urine volume was lower in the treatment group than in the control group（P〈0.05）.The adverse reaction rate was lower in the treatment group than in the control group（P〈0.05）.Conclusion Acupuncture plus Jisheng Shenqi pills is remarkably effective in treating patients with diabetic neurogenic bladder.It can effectively decrease postvoid residual urine volume in the patients,has higher safety and is worthy of clinical popularization.