针刺配合电刺激治疗糖尿病合并尿潴留的临床观察

Clinical Observation on Acupuncture Combined with Electrical Stimulation in the Treatment of Diabetes Mellitus Complicated with Urinary Retention

【目的】观察针刺配合电刺激治疗糖尿病合并尿潴留的临床疗效。【方法】将200例糖尿病合并尿潴留患者随机分为观察组和对照组,每组各100例,对照组给予给予弥可保肌肉注射,观察组给予针刺配合电刺激治疗。连续治疗4周。治疗4周后,评价2组的临床疗效,观察2组患者治疗前和治疗1、2、4周后日排尿次数、24 h单次最大排尿量以及膀胱残余尿量的变化情况,比较2组患者治疗前和治疗1、2、4周后排尿症状评分量表(USS)的变化情况。并评价2组不良反应的发生情况。【结果】(1)治疗1、2、4周后,2组患者的日排尿次数、24 h单次最大排尿量、膀胱残余尿量均较治疗前明显改善(P<0.05),且观察组在改善日排尿次数、24 h单次最大排尿量、膀胱残余尿量方面均明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗1、2、4周后,2组患者的USS评分均明显改善(P<0.05),且观察组在改善USS评分方面明显优于对照组,差异有统计学意义(P<0.05)。(3)观察组总有效率为97.00%(97/100),对照组为88.00%(88/100)。观察组疗效优于对照组,差异有统计学意义(P<0.05)。(4)2组患者治疗期间均未出现明显不良反应,2组患者的不良反应发生率比较,差异无统计学意义(P>0.05)。【结论】针刺配合电刺激治疗糖尿病合并尿潴留,能够较好地改善患者的临床症状,从而提高患者生活质量,疗效显著。

Objective To observe the clinical efficacy of acupuncture combined with electrical stimulation in treating diabetes mellitus complicated with urinary retention. Methods A total of 200 cases of diabetic patients with urinary retention were randomly divided into the observation group and the control group,100 cases in each group.The control group was given intramuscular injection of Mecobalamin, while the observation group was given acupuncture combined with electrical stimulation. The treatment lasted for 4 consecutive weeks. After 4 weeks of treatment,the clinical efficacy of two groups was evaluated,and the changes of daily urination frequency,single maximum urination volume at 24-hour and residual urine volume of bladder were observed before treatment and 1,2 and 4 weeks after treatment,and the changes of urination symptom score scale(USS)before treatment and 1,2 and 4 weeks after treatment between the two groups were compared. The incidence of adverse reactions in the two groups was evaluated. Results(1)At 1,2,4 weeks after treatment,daily urine,single biggest 24-hour urine output,bladder residual urine volume in the both groups of patients were significantly improved compared with those before treatment(P<0.05),and the observation group were significantly superior to the control group in improving the day micturition number,the single biggest 24-hour urine output,bladder residual urine volume,the difference being statistically significant(P < 0.05).(2)After 1,2 and 4 weeks of treatment,USS score in both groups was significantly improved(P<0.05),and the observation group was significantly superior to the control group in improving USS score, the difference being statistically significant(P<0.05).(3)The total effective rate was 97.00%(97/100)in the observation group and 88.00%(88/100)in the control group. The curative effect of observation group was superior to that of the control group,the difference being statistically significant(P<0.05).(4)There were no obvious adverse reactions in both groups during treatment, and there was no statistical significance in the incidence of adverse reactions between the two groups(P>0.05). Conclusion Acupuncture combined with electrical stimulation in treating diabetic patients with urinary retention is effective in improving urinary retention symptoms,so as to improve the quality of life with a significant effect.