针灸、中药热敷辅助治疗糖尿病神经源性膀胱的临床效果观察

目的研究针灸、中药热敷辅助治疗糖尿病神经源性膀胱的疗效。方法：将糖尿病神经源性膀胱患者分为观察组和对照组，观察组使用前列地尔100 u g＋维生素B1 100 mg＋甲钻胺0．5 mg，1次／d滴入，加用中药热敷4 h／次，针灸内关30 min，1次／d．对照组用前列地尔100 u g＋维生素B1 100 mg＋甲钴胺0．5 mg，1次／d滴入，观察其7、14、30 d膀胱残余尿量、尿频等症状改善情况。结果：接受针灸中药热敷组共36例，治愈19例，显著有效5例，有效7例，无效5例，总有效率86．1％；对照组共22例，治愈4例，显著有效3例，有效7例，无效8例，总有效率63．6％。观察组总有效率高于对照组，P=0．038，其差异有统计学意义。结论：糖尿病神经源性膀胱加用针灸、中药热敷治疗能有效改善患者尿频等症状并减少膀胱残余尿。

Objective The aim of this study is to observe additionally using acupuncture, Chinese medicine and heat treat diabetic neurogenicbladder wheather it is efficacy.Methods： Diabetic neurogenie bladder patients according to whether the patient received the treatment oftraditional Chinese medicine were divided into two groups, the observation group using alprostadil 100 p,g＋ vitamin B1 100 mg of mecobalamin0.5 mg once daily instillation, plus hot compress with traditional Chinese medicine for 4 hours, acupuncture at Neiguan （PC6） 30 min once adaya; control group with alprostadil 100p, g ＋ vitamin B1 100 mg＋ Mecobalamin 0.5 mg once daily instillation observed the 7, 14, 30 d bladderresidual urine amount, frequency, and other symptoms.Results：The observation group of 36 cases,19 cases were cured, significantly effective in5 cases, effective in 7 cases,5 cases in the control group of 22 patients were cured, 4 cases significantly effective in 3 cases, effective in 7cases, 8 eases.observation group total effective rate was increased, P=0.038, between-group difference is observed. Conclusion： Addingacupuncture, traditional Chinese medicine,heat may be a clinically therapeutic strategy for diabetic neurogenie bladder in the future.