温肾健脾方治疗糖尿病神经源性膀胱的临床探究.pdfVIP

提 要 目的：观察温肾健脾方对糖尿病神经源性膀胱患者证属脾肾亏虚的疗效。 方法：选择60例糖尿病神经源性膀胱中医辨证为脾肾亏虚证的患者，随机分为两 组，将对照组30例给予基础治疗，即着重控制血糖，并给予弥可保治疗，治疗组30 例在基础治疗基础上给予温肾健脾方，分别对两组进行系统临床研究，着重观察治疗 前后患者的主要临床症状、膀胱残余尿量、血糖控制情况，疗程为两个月。 结果：经临床观察，治疗组总有效率为90.0%，对照组总有效率为63.3%，两组临 床总疗效差异有显著统计学意义（P0.01）；治疗组在改善症状、减少残余尿量方面 明显优于对照组（P0.05或P0.01）。 结论：温肾健脾方对脾肾亏虚型糖尿病神经源性膀胱患者有良好的治疗效果。 关键词 温肾健脾方；糖尿病神经源性膀胱；临床研究 Clinical Research on WEN-SHEN-JIAN-PI Recipe in Treating Diabetic Neurogenic Bladder Speciality: Internal medicine of TCM Author: Zhang Jinzhi Tutor: Professor Zhao Quanlin Abstract Objective: to observe the clinical effectiveness of Wen shen Jian pi Recipe on spleen and kidney deficiency diabetic neurogenic bladder patients. Methods: select 60 cases of TCM Syndromes of diabetes mellitus patients with spleen and kidney deficiency syndrome, randomly divided into two groups, 30 cases in control group were given the basic treatment, control blood sugar, and given the Mecobalamin treatment, 30 cases in the treatment group was given based on foundation treatment of Wen shen Jian pi recipe, separately carries on the system of clinical research, focus on before and after treatment in patients with clinical symptoms, bladder residual urine volume, blood sugar control, treatment for two months. Results: The total efficiency of treatment group was 90.0% and the control group was 63.3%, two groups of the total efficiency differences are statistically significant (P 0.01); the treatment group in improving symptoms, reducing the residual urine volume obviously superior to the control group (P 0.05 or P 0.01). Conclusions: Effects of Wen shen Jian pi Recipe on spleen and ki