热敷联合中频靶药导入治疗肾阳不足型糖尿病神经源性膀胱的疗效观察  

作　　者：傅玲玲 冯炯 

机构地区：[1]浙江中医药大学附属金华中医院,321017

出　　处：《浙江临床医学》2024年第6期894-896,共3页Zhejiang Clinical Medical Journal

基　　金：金华市科学技术研究计划项目(2021-4-290)。

摘　　要：目的观察热敷联合中频靶药导入治疗肾阳不足型糖尿病神经源性膀胱(DNB)的疗效。方法将符合入选标准的60例患者随机分为两组,对照组(30例)予基础治疗和口服甲钴胺片,观察组(30例)在对照组治疗基础上应用热敷联合中频靶药导入治疗,治疗时间1个月。治疗前后分别监测血糖、膀胱残余尿量,并评定临床症状体征、中医证候积分、生活质量评分,比较两组疗效。结果观察组总有效率83.3%,优于对照组53.3%(P<0.05);两组治疗后中医证候积分、膀胱残余尿量较治疗前均有改善(P<0.05),观察组改善程度优于对照组(P<0.01)。观察组干预后生活质量问卷评分、总评分均高于对照组(P<0.05)。结论热敷联合中频靶药导入能改善DNB患者的临床症状,提高患者的生活质量和治疗有效率,值得推广应用。Objective To observe the clinical effect of hot compress combined with medium frequency target drug introduction in the treatment of diabetic patients with neurogenic bladder and kidney Yang deficiency.Methods 60 patients with diabetic neurogenic bladder who met the inclusion criteria were randomly divided into two groups.The control group received basic treatment+oral mecobalamin tablet 0.5 mg,three times a day(30 cases),and the treatment group received basic treatment+oral mecobalamin tablet+hot pack combined with medium frequency target drug injection(30 cases),the treatment time was 1 month.Blood glucose levels were measured,clinical symptoms and signs were assessed,TCM syndrome score was assessed,and quality of life score was evaluated.Residual urine volume of bladder was detected by ultrasound,and efficacy was compared between groups.Results The total effective rate of the treatment group was 83.3%,which was better than that of the control group(53.3%,P<0.05).After the treatment,TCM syndrome score and bladder residual urine volume were improved in both groups(P<0.05),but the improvement of TCM syndrome score and bladder residual urine volume in the treatment group was significantly better than another group(P<0.01).The three-dimension score and total score of the quality-of-life questionnaire in the treatment group after intervention were higher than those in the control group,with statistical significance(P<0.05).Conclusion Hot compress combined with intermediate frequency target drug delivery can significantly improve the clinical symptoms of patients with diabetic neurogenic bladder,significantly reduce the bladder residual urine volume,and improve the quality of life of patients,improve the overall effectiveness of clinical treatment,which is worthy of promotion.

关 键 词：热敷 中频靶药导入 糖尿病神经源性膀胱 

分 类 号：R259[医药卫生—中西医结合] R277.5[医药卫生—中医内科学]