综合康复治疗对女性糖尿病性膀胱合并尿潴留患者的临床观察

Effects of comprehensive rehabilitation treatment on female patients with urinary retention in diabetic cystopathy

目的：探讨综合康复治疗对女性糖尿病性膀胱合并尿潴留患者的临床应用效果。方法：共51例女性糖尿病性膀胱合并尿潴留患者，通过口服溴吡斯的明，控制血糖和尿路感染后，随机分实验组31例和对照组20例，实验组采取2周为1个疗程的综合康复治疗：肌注鼠神经生长因子、盆底膀胱锻炼计划及间歇夹管等治疗，拔除导尿管观察患者排尿情况，若患者不能自主排尿，再进行第2疗程治疗，观察患者能否拔导尿管恢复自主排尿。结果：实验组9例患者在第1疗程结束后，拔除导尿管恢复自主排尿，12例患者在第2疗程结束后拔除导尿管能自主排尿，拔管成功率为67．7％；对照组4周时间内仅8例拔除导尿管能自主排尿，拔管成功率为40％，统计2组疗效有显著差异（P〈0．05）。结论：综合康复治疗对女性糖尿病性膀胱合并尿潴留患者有较好的临床效果。

Objective： To observe the effects of comprehensive rehabilitation treatment on female patients with urinary retention in diabetic cystopathy. Methods ：51 female cases with urinary retention in diabetic cystopathy were divided into experimental group （31 cases） and control group（20 cases）, all cases received Oral administration of pyridostigmine bromide ,controlling blood sugar and urinary tract infection, In addition, 31 patients of experimental group were gave comprehensive rehabilitation treatment, which including intramuscular injection of mouse nerve growth factors,intermittent clamp catheters , bladder exercise plans and running bladder voiding function training, etc. Results： During the 4 - weeks of follow - up ： at the first 2 - weeks intervention,9 patiens restored automatic micturition, and 12 patiens restored automatic micturition after the second 2 -weeks intervention in experimental group, the total effective rate was 67.7%. 8 patiens restored automatic micturition in control group, the total effective rate was 40%. From the result of follow - up, the efficacy of two groups was significant （ p 〈 0.05 ）. Conclusion： The comprehensive rehabilitation treatment on female patients with urinary retention in DCP might be efective .