廖浩峰 廖铁军 李洪昌

[摘要] 目的：探讨综合康复训练联合弥可保对糖尿病膀胱病变的疗效。方法：将我院糖尿病膀胱病变的94例患者随机分为2组。Ⅰ组患者采用弥可保治疗，Ⅱ组患者在Ⅰ组患者的基础上辅助膀胱功能训练和针灸，两组患者均给予糖尿病治疗，积极控制患者血糖。比较两组患者的血糖情况和膀胱功能。结果：两组患者血糖指标均得到有效控制，Ⅱ组患者平均尿流率[（11.99±2.46）ml/s]、高峰尿流率[（19.03±4.52）ml/s]和膀胱残余量[（80.18±27.83）ml]均优于Ⅰ组患者的[（9.88±2.51）、（13.57±2.69）ml/s、（126.82±41.54）ml]，经统计学分析，差异均有统计学意义（t=4.114、7.078、5.685，均P＜0.05）。结论：采用膀胱功能训练、针灸联合弥可保综合治疗糖尿病膀胱病变可取得较好的疗效，能够控制疾病的恶化，促进患者康复。

[关键词] 膀胱功能训练；针灸；弥可保；糖尿病膀胱病变

[中图分类号] R587.2[文献标识码]A [文章编号]1673-7210（2011）11（c）-074-02

Research on comprehensive rehabilitation combined with Methycobal in the treatment of diabetic bladder disease

LIAO Haofeng, LIAO Tiejun, LI Hongchang

Department of Digestive Endocrine, Sanshui Hospital Affilicated to Guangdong Medical College, Guangdong Province, Foshan 528100, China

[Abstract] Objective: To discuss the efficacy of comprehensive rehabilitation combined with Methycobal in the treatment of diabetic bladder disease. Methods: 94 patients with diabetic bladder disease in our hospital were randomly divided into 2 groups. Group Ⅰ was treated with Methycobal, group Ⅱ was given bladder training and acupuncture based on group Ⅰ. Both groups were given the treatment of diabetes, active control of blood glucose. Blood glucose and bladder function were compared between the two groups. Results: The blood sugar in both groups were controlled effectively. The average flow rate [(11.99±2.46) ml/s], peak urinary flow rate [(19.03±4.52) ml/s] and bladder residual volume [(80.18±27.83) ml] of group Ⅱ were better than those of group Ⅰ [(9.88±2.51), (13.57±2.69) ml/s, (126.82±41.54) ml], by statistical analysis, the differences were statistically significant (t=4.114, 7.078, 5.685, all P＜0.05). Conclusion: The comprehensive treatment of bladder training combined acupuncture together with Methycobal in diabetic bladder disease can get better effect, which will control the deterioration of the disease and promote the rehabilitation of patients.

[Key words] Bladder training; Acupuncture; Methycobal; Diabetic bladder disease

糖尿病膀胱病变是一种由于糖尿病而继发的泌尿系统疾病，在临床较为多见。此病的发病原因尚不清楚，临床治疗多从控制患者血糖值和改善患者微循环入手[1]，并采用一定的神经营养手段。但是，这些方法治疗后，效果并不满意。我院在糖尿病膀胱病变采用膀胱功能训练、针灸联合弥可保治疗，效果较好。现报道如下：

1 资料与方法

1.1 一般资料

94例患者为我院2008年1月～2010年5月收治的糖尿病膀胱病变患者。所有患者均符合诊断标准。排除有其他泌尿系统疾病导致的尿道梗阻。将患者按照治疗的先后顺序分为两组。Ⅰ组患者46例，其中，男25例，女21例；年龄47～68岁，平均（53.41±4.62）岁；病程1~15年，平均（8.11±6.02）年。Ⅱ组患者48例，其中，男26例，女22例；……