中西医结合治疗糖尿病神经源性膀胱观察和护理

目的：探讨中西医结合治疗糖尿病神经源性膀胱的疗效。方法将2011年1月-2013年5月本院收治的54例糖尿病神经膀胱患者随机分为观察组28例，对照组26例。对照组给予膀胱冲洗的护理和控制血糖、营养神经、控制感染的治疗。观察组在对照组的基础上增加膀胱功能训练、中药热敷、红外线照射和间歇导尿护理。比较2组治疗前及治疗后的尿流动力学检查结果和治疗效果。结果治疗后观察组尿频尿急症状少于对照组（P〈0.05），排小便顺畅率高于对照组（P〈0.05），最大尿流率时的压力高于对照组（P〈0.05）。结论在传统常规西医治疗的基础上增加膀胱功能肌肉训练、中药热敷护理、红外线照射并加强心理辅导和间歇导尿等综合护理措施，可以提高糖尿病神经源性膀胱的治疗疗效。

Observation and nursing on integrated traditional Chinese and western medicine in treatment of diabetic neurogenic bladder

Objective To explore the efficacy of integrative medicine to patients with diabetic neurogenic bladder. Methods 54 patients with diabetic neurogenic bladder were randomly divided into 2 groups. The patients in control group （n =26） received nursing with bladder irrigation and routine treatment including blood sugar control,neurotrophic treatment and infection control. The patients in experimental group（n =28）received bladder functional training,traditional Chinese medicine hot compress,infrared radiation and intermittent urethral catheter care in addition to what the control group received. The clinical symtoms and urodynamics studys were compared between 2 groups. Results Clinical symptoms and urodynamics studys of the experimental group were better than the control group（P 〈 0. 05）. Conclusion The traditional regular medical treatment combined with bladder functional training,traditional Chinese hot compress,infrared radiation and intermittent catheterization can largely improve the efficacy of patients of diabetic neurogenic bladder.