益气养阴方治疗2型糖尿病压力性尿失禁的临床观察  

Clinical Observation of Yin-nourishing and Qi-tonifying Recipe Decoction in the Treatment of Type 2 Diabetic Stress Urinary Incontinence

作　　者：谢莲波[1] 冯英凯[2] 

机构地区：[1]重庆市中医院道门口院部内分泌科,重庆400011 [2]重庆市中医院道门口院部呼吸科,重庆400011

出　　处：《中国药房》2015年第26期3695-3697,共3页China Pharmacy

摘　　要：目的:观察益气养阴方治疗2型糖尿病患者压力性尿失禁的疗效及不良反应。方法:将2型糖尿病压力性尿失禁女性患者60例,按随机数字表法分为治疗组和对照组,各30例。对照组患者给予控制饮食、血糖、血压及盆底肌训练;治疗组患者在对照组基础上加用益气养阴汤,每日1剂(200 ml/剂),早晚分服。两组均4周为1个疗程。观察两组患者临床疗效与不良反应。结果:与对照组比较,治疗组中医证候疗效总有效率与临床疗效总有效率均显著增高,尿失禁评分显著降低,日平均漏尿次数显著减少,差异有统计学意义(P<0.05)。治疗组患者中有2例出现口渴咽干加重,调整药物剂量后症状消失。结论:益气养阴方联合盆底肌训练治疗糖尿病女性患者压力性尿失禁疗效确切。OBJECTIVE：To observe clinical efficacy and ADR of Yin-nourishing and qi-tonifying recipe in the treatment of type2 diabetic stress urinary incontinence. METHODS：Sixty female patients with stress urinary incontinence based on T2 DM were randomly divided into the treatment group（n=30）and the control group（n=30）. Control group received diet control,blood glucose control,blood pressure control,elvic muscles exercise. Based on control group,treatment group additionally received Yin-nourishing and qi-tonifying recipe decoction,one dose a day（200 ml/dose）,morning and night,for 4 weeks. Clinical efficacy and ADR of 2 groups were observed. RESULTS：Compared with control group,total effective rate of TCM syndrome efficacy and clinical efficacy both were increased significantly in treatment group,while urinary incontinence score and average leakage frequency of daily urine were decreased significantly;there was statistical significance（P0.05）. 2 patients in treatment group suffered from aggravated thirsty and dry pharynx,and those symptoms disappeared after adjusting the dose. CONCLUSIONS：Yin-nourishing and qi-tonifying recipe decoction combined with pelvic muscles exercise has definite clinical effect on female patients with type 2 diabetic stress urinary incontinence.

关 键 词：益气养阴方 2型糖尿病 压力性尿失禁 

分 类 号：R256.54[医药卫生—中医内科学] R287[医药卫生—中医学]