电生理适宜技术联合中药治疗肝肾亏虚型糖尿病神经源性膀胱临床观察

Electrophysiological Appropriate Technology Combined with Chinese Medicine in the Treatment of Diabetic Neurogenic Bladder of Deficiency of Liver and Kidney Type

目的观察电生理适宜技术联合中药治疗肝肾亏虚型糖尿病神经源性膀胱的临床效果。方法回顾性选取2022年6月—2023年1月高安市中医院肝肾亏虚型糖尿病神经源性膀胱患者80例,依据治疗方法分为电生理适宜技术联合中药治疗组(观察组)、控制血糖和营养神经组(对照组),各40例。统计分析两组中医证候积分、血糖、尿动力学参数、临床疗效、不良反应发生情况、复发或加重情况。结果观察组患者治疗后的中医证候积分、膀胱最初尿意容量、膀胱最大尿意容量、膀胱残余尿量均低于对照组(P<0.05)。观察组总有效率95.00%(38/40)高于对照组的60.00%(24/40)(P<0.05)。但两组患者治疗前后的血糖比较,差异均无统计学意义(P>0.05)。两组患者的不良反应发生率分别是0、5.00%(2/40),差异无统计学意义(P>0.05)。观察组患者的复发或加重率5.00%(2/40)低于对照组的50.00%(20/40)(P<0.05)。结论肝肾亏虚型糖尿病神经源性膀胱患者应用电生理适宜技术联合中药治疗的临床效果较控制血糖和营养神经治疗更显著。

Objective To observe the clinical efficacy of electrophysiological appropriate technology combined with Chinese medicine in the treatment of diabetic neurogenic bladder of deficiency of liver and kidney type.Methods From June 2022 to January 2023,80 patients with diabetic neurogenic bladder of deficiency of liver and kidney type in Gao’an Hospital of Traditional Chinese Medicine were retrospectively selected.According to the treatment method,they were divided into observation group received electrophysiologi-cal appropriate technology combined with Chinese medicine treatment and control group received the blood glucose control group and the nutrition nerve group,with 40 cases in each group.The TCM syndrome score,blood glucose,urodynamic parameters,clinical effi-cacy,occurrence of adverse reactions,recurrence or aggravation of the two groups was statistically analyzed.Results After treatment,the TCM syndrome score,bladder initial urine volume,bladder maximum urine volume and bladder residual urine volume in observa-tion group were lower than those in control group(P<0.05).The total effective rate of the observation group was 95.00%(38/40),which was higher than that of the control group(60.00%,24/40)(P<0.05).However,there was no significant difference in blood glucose in-dexes between the two groups before and after treatment(P>0.05).The incidence of adverse reactions in 2 groups was 0 and 5.00%(2/40),respectively,and there had no statistical significance(P>0.05).The recurrence or aggravation rate of observation group was 5.00%(2/40),which was lower than that of control group(50.00%,20/40)(P<0.05).Conclusion The clinical efficacy of the combination of ap-propriate techniques of neurogenic bladder electrophysiology with Chinese medicine in the treatment of diabetic neurogenic bladder of deficiency of liver and kidney type is better than that of controlling blood sugar and nourishing nerves.