培元止遗汤联合耳穴压豆、推拿治疗儿童夜遗尿

目的 观察培元止遗汤联合耳穴压豆及推拿疗法治疗夜遗尿患儿的临床效果.方法 将100例夜遗尿患儿随机分为对照组与观察组,各50例,对照组予去氨加压素治疗,观察组予培元止遗汤联合耳穴压豆、推拿治疗,记录尿比重、膀胱容量等相关指标,对比治疗前后两组患儿尿流动力学变化情况,观察临床疗效及复发情况.结果 治疗后,观察组最大尿流率...

Clinical effect of Peiyuan Zhiyi Decoction combined with the ear point pressing and massage therapies in the treatment of children with nocturnal enuresis

Objective To observe the clinical effect of Peiyuan Zhiyi Decoction combined with the ear point pressing and massage therapies in the treatment of children with nocturnal enuresis.Methods A total of 100 children with nocturnal enuresis were randomly divided into a control group and an observation group,with 50 cases in each group.The control group was treated with desmopressin,while the observation group was treated with Peiyuan Zhiyi Decoction combined with the therapies of ear point pressing and massage.The relevant indexes such as urine specific gravity and bladder volume were recorded,and the changes of urodynamics before and after treatment were compared between the two groups,and the clinical efficacy and recurrence were observed.Results After treatment,the detrusor pressure (Pdet) at the maximum urine flow rate of the observation group was significantly lower than that of the control group (P<0.05),while the maximum urine flow rate (MFR) and the first sensation of bladder filling (FS) were significantly higher than those of the control group (P<0.05).Urine specific gravity,bladder volume and bed wetting times in the observation group were significantly better than those in the control group (P<0.05),while the scores of four TCM symptoms of nocturnal enuresis,excessive urine clearance,deep sleep and cold limbs in the observation group were significantly lower than those in the control group (P<0.05).The infantile subjective life quality questionnaire (ISLQ) score of the observation group was significantly higher than that of the control group (P<0.05).The total effective rate of the observation group (96%) was higher than that of the control group (82%) (P<0.05).After 6 months of follow-up,the recurrence rate of nocturnal enuresis in the observation group (10%) was significantly lower than that in the control group (26%) (P<0.05).Conclusion Peiyuan Zhiyi Decoction combined with the ear point pressing and massage therapies can significantly improve the urodynamics and clinical symptoms of children with nocturnal enuresis,improve the clinical efficacy,restore their quality of life,with a lower recurrence rate.