益气温阳方穴位贴敷治疗肾阳亏虚型糖尿病神经源性膀胱的效果

Acupoint application effect of Yiqi Wenyang formula on diabetic neurogenic bladder with deficiency of kidney yang

目的探讨糖尿病神经源性膀胱(肾阳亏虚型)患者行中药贴敷治疗的临床疗效。方法选取2016年7月～2018年7月在我院接受治疗的糖尿病神经源性膀胱(肾阳亏虚型)患者60例,以随机数字表法进行分组,对照组与观察组各30例。对照组行常规治疗,观察组基于常规治疗行中药益气温阳方穴位贴敷治疗,比较两组患者临床疗效、中医证候积分及治疗前后膀胱残余尿量。结果治疗前两组膀胱残余尿量数据经统计学比较分析,差异无统计学意义(P> 0.05);治疗后观察组患者临床治疗总有效率93.33%相比对照组73.33%显著更高,中医证候积分以及患者膀胱残余尿量相比对照组明显更低,组间数据差异有统计学意义(P <0.05)。结论肾阳亏虚型糖尿病神经源性膀胱行益气温阳方穴位贴敷治疗效果确切,可有效减少膀胱残余尿量,因此值得推广。

Objective To explore the clinical efficacy of traditional Chinese acupoint application in the treatment of diabetic neurogenic bladder (kidney-yang deficiency type). Methods 60 patients with diabetic neurogenic bladder (kidney-yang deficiency type) who admitted to our hospital from July 2016 to July 2018 were randomly divided into an observation group and a control group by digital table, with 30 patients in each group. The control group received routine treatment, and the observation group was treated with traditional Chinese medicine Yiqi Wenyang acupoint application. The clinical efficacy, TCM syndrome scores and bladder residual urine volume before and after treatment were compared between the two groups. Results Bladder residual urine volume data of the two groups before treatment were statistically similar, with no statistically significant (P>0.05). After treatment, the total effective rate of clinical treatment was 93.33%, which was significantly higher than that of the control group (73.33%). The TCM syndrome scores and residual bladder urine volume of patients were significantly lower than those of the control group. The data between the groups were significantly different, which was statistically significant (P<0.05). Conclusion The kidney-yang deficiency type of diabetes-derived neurogenic bladder has a clear effect on the treatment of acupoints with temperature and temperature, which can effectively reduce the residual urine volume of the bladder, and is worth promoting.