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目的探索针灸理疗联合依帕司他治疗糖尿病神经源性膀胱的临床疗效。方法 108例糖尿病神经源性膀胱患者,随机分成对照组及观察组,各54例。对照组给予常规药物依帕司他进行治疗,观察组在对照组基础上联合针灸理疗进行治疗。对比两组患者的临床疗效。结果观察组临床控制10例(18.5%),显效28例(51.9%),有效15例(27.8%),无效1例(1.9%),总有效率为98.1%;对照组临床控制7例(13.0%),显效25例(46.3%),有效15例(27.8%),无效7例(13.0%),总有效率为87.0%;观察组总有效率高于对照组,差异有统计学意义(χ~2=4.86,P<0.05)。结论针灸理疗联合依帕司他治疗糖尿病神经源性膀胱疗效显著,可以有效的减少膀胱残余尿量并改善尿频等症状,值得推广。
Objective To explore the clinical efficacy of acupuncture combined with epalrestat in the treatment of diabetic neurogenic bladder. Methods 108 patients with diabetic neurogenic bladder were randomly divided into control group and observation group, 54 cases each. The control group was given conventional therapy of epalrestat, and the observation group was treated with acupuncture and moxibustion on the basis of the control group. Compare the clinical efficacy of two groups of patients. Results In the observation group, clinical control was observed in 10 cases (18.5%), markedly effective in 28 cases (51.9%), effective in 15 cases (27.8%) and ineffective in 1 case (1.9%), with a total effective rate of 98.1% 13.0%), markedly effective in 25 cases (46.3%), effective in 15 cases (27.8%), ineffective in 7 cases (13.0%), the total effective rate was 87.0%. The total effective rate in the observation group was higher than that in the control group (χ ~ 2 = 4.86, P <0.05). Conclusion Acupuncture and moxibustion combined with epalrestat treatment of diabetic neurogenic bladder significant effect, can effectively reduce the residual urine volume and improve urinary frequency and other symptoms, it is worth promoting.