中药足浴对肾气亏虚型膀胱过度活动症女性患者的临床疗效评价  

Clinical efficacy evaluation of traditional Chinese medicine foot bath on female patients with over-active bladder deficiency of Kidney qi deficiency type

作　　者：王伟[1] 来光华[1] 杨梅[1] WANG Wei;LAI Guanghua;YANG Mei(Department of Urology, Hangzhou Hospital of Traditional Chinese Medicine, Hanghzou 310007, China)

机构地区：[1]杭州市中医院泌尿外科,浙江杭州310007

出　　处：《中国现代医生》2019年第3期131-134,137,共5页China Modern Doctor

基　　金：浙江省中医药科技计划项目(2014ZB099)

摘　　要：目的探讨中药足浴对肾气亏虚型膀胱过度活动症女性患者的临床疗效。方法选择2014年1月～2017年12月膀胱过度活动症女性患者100例为研究对象,随机分为治疗组与对照组,每组50例。治疗组采用自拟补肾通淋方足浴联合酒石酸托特罗定口服治疗,对照组采用温水足浴联合酒石酸托特罗定口服治疗。比较两组临床疗效、OABSS、Qmax、HAMA、尿急次数、急迫性尿失禁次数。结果治疗组总有效率显著高于对照组,差异有统计学意义(χ~2=9.470,P<0.05)。治疗后12周,治疗组Qmax显著高于对照组,差异有统计学意义(P<0.05)。治疗后4周、8周、12周,治疗组急迫性尿失禁次数显著低于对照组(P<0.05);治疗后8周、12周治疗组尿急次数显著低于对照组(P<0.05)。两组治疗后4周,OABSS评分均较治疗前显著下降(P<0.05)。治疗后8周、12周,治疗组OABSS评分显著低于对照组,差异有统计学意义(P<0.05)。治疗后8周、治疗后12周治疗组在HAMA评分显著低于对照组(P<0.05)。结论中药足浴治疗女性肾气亏虚型膀胱过度活动症具有较好的临床疗效,能快速改善临床症状。Objective To investigate the clinical effect of traditional Chinese medicine foot bath on female patients with over-active bladder syndrome of Kidney qi deficiency type. Methods A total of 100 female patients with overactive bladder from January 2014 to December 2017 were enrolled in the study. They were randomly divided into treatment group and control group, with 50 cases in each group. The treatment group was treated with self-made Bushen Tonglin foot bath combined with tolterodine tartrate orally. The control group was treated with warm water foot bath and tolterodine tartrate orally. The clinical efficacy, OABSS, Qmax, HAMA, urinary urgency, and urge urinary incontinence were compared between the two groups. Results The total effective rate of the treatment group was significantly higher than that of the control group, and the difference was statistically significant(χ2=9.470, P<0.05). At 12 weeks after treatment, the Qmax of the treatment group was significantly higher than that of the control group, and the difference was statistically significant(P<0.05). At 4 weeks, 8 weeks, and 12 weeks after treatment, the number of urge urinary incontinence in the treatment group was significantly lower than that in the control group(P<0.05). The number of urinary urgency in the treatment group was significantly lower than that in the control group at 8 and 12 weeks after treatment(P<0.05). At 4 weeks after treatment, the OABSS scores in two groups were significantly lower than those before treatment(P<0.05). At 8 weeks and 12 weeks after treatment,the OABSS score of the treatment group was significantly lower than that of the control group, and the difference was statistically significant(P<0.05). The HAMA score in the treatment group was significantly lower than that of the control group at 8 weeks after treatment and 12 weeks after treatment(P<0.05). Conclusion Chinese medicine foot bath has a good clinical effect on the treatment of female overactive bladder over-activity with kidney qi deficiency type, which can

关 键 词：中药 足浴 肾气亏虚型 膀胱过度活动症 女性 

分 类 号：R694[医药卫生—泌尿科学]