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综述了近5年来中西医结合治疗糖尿病神经源性膀胱的临床研究概况。文献表明:基础治疗非常重要,它是中西医结合治疗的前提,内容包括健康教育、控制饮食、适当运动、排尿训练等;西医治疗是必不可少的,但应当合理规范,大致有控制血糖和修复神经2个方面;中医治疗方法较多,主要是中药内服和针灸治疗2大类别,但都离不开辨证施治这一特色精髓,临床多从肾、脾、肺三脏进行治疗,其中肾脏是关键,还应考虑气、阴、阳虚以及血瘀等因素。结合的模式是在基础治疗的前提下,同时采用中西医两种方法进行治疗,其具体方案虽然繁多各异,但其效果优于单纯的西医或单纯的中医治疗。
This review summarizes the clinical research of the treatment of diabetic neurogenic bladder with integration of traditional Chinese and western medicine in the past five years. The literature shows that basic treatment is very important. It is the prerequisite for the integration of traditional Chinese and western medicine, which includes health education, diet control, appropriate exercise and urinary training. Western medicine treatment is essential, but it should be properly regulated and generally controlled blood sugar and Repair nerve 2 aspects; Chinese medicine treatment more, mainly Chinese medicine oral administration and acupuncture treatment of 2 categories, but are inseparable from the characteristics of syndrome differentiation and treatment of the essence of clinical more from the kidney, spleen and lungs of the three organs for treatment, including Kidney is the key, should also consider the gas, yin, yang and blood stasis and other factors. The combination mode is based on the premise of basic treatment, while using both traditional Chinese and Western methods of treatment, although the specific programs vary but its effect is better than simple Western medicine or simple Chinese medicine treatment.