穴位注射用于糖尿病神经原性膀胱患者的临床研究  

Clinical observation on the treatment of 69 patients with diabetic neurogenic bladder with acupoint injection therapy

作　　者：任红[1] 袁军[2] 郭淑芹[1] 

机构地区：[1]河北保定市第一中心医院针灸科内分泌科,071000 [2]河北省中医院针灸科,石家庄050002

出　　处：《国际中医中药杂志》2013年第6期501-503,共3页International Journal of Traditional Chinese Medicine

基　　金：河北省中医药管理局2012年基金资助课题（项目编号：2012063）

摘　　要：目的探讨穴位注射对糖尿病神经原性膀胱的有效性。方法采用多中心、随机、对照、单盲临床试验，将三个中心的138例糖尿病神经原性膀胱患者分为治疗组、对照组各69例，治疗组采用黄芪注射液穴位注射疗法，对照组常规西医基础治疗。观察一个月后统计疗效。结果治疗后，治疗组、对照组的中医症状积分分别为（18．47±1．67）分、（23．19±2．82）分，均较治疗前[（29．25±2．12）分、（29．13±1．69）分]降低；两组治疗后比较，差异有统计学意义（P〈0．05）；治疗组、对照组的膀胱残余尿量分别为（88．47±16．7）ml、（143．19±28．2）ml，均较同组治疗前[（308．90±22．6）ml、（305．90±20．8）ml]减少，两组治疗后比较，差异有统计学意义∽〈0．05）；治疗组总有效率为85．5％（59／69）、对照组为78．3％（54／69），两组比较差异有统计学意义（P〈O．05）。结论黄芪注射液穴位注射疗法治疗本病疗效确切。Objective To investigate an effective therapy to cure Diabetic Neurogenic Bladder （DNB）. Methods By adopting multi-center, random, comparative and single-blind clinical experiments, 138 patients with DNB from three centers were divided equally ~to two groups, namely a control group and a therapy group. Patients in the therapy group were treated with acupoint injection therapy with Astragalus injection, while others were treated by western medical based therapy. After four weeks, the effectiveness was collected. Results After the treatment, the TCM syndrome integral of the treatment group and the control group was （18.47±1.67） and （23.19±2.82） respectively, both reduced than that before the treatment[ （29.25±2.12） and （29.13±1.69） respectively]; the difference between the two groups after treatment was statistically significant （P〈0.05） ; bladder residual urine volume in the treatment group and the control group was （88.47±16.7） ml and （143.19±28.2）ml respectively, both reduced than that before the therapy [ （308.90±22.6）ml and （305.90±20.8）ml respectively], the difference between the two groups after treatment was statistically significant （P〈0.05） ;The total effective rate was 88.4% and 72.5% in the treatment group and the control group respectively, showing statistical difference（P〈0.05）. Conclusion It is confirmed that acupoint injection therapy with Astragalus injection is an effective curative method for DNB.

关 键 词：糖尿病神经原性膀胱 黄芪注射液 穴位注射 多中心随机对照 

分 类 号：R246.1[医药卫生—针灸推拿学]