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| Clinical effect of Bushen Tongguan Decoction combined with moxibustion in the treatment of diabetic neurogenic bladder |
| LUAN Zhongqiu1 JIN Lixia1 ZHAO Dapeng1 WANG Jing1 FAN Zhenliang2 |
1.Department of Nephrology, the First Affiliated Hospital, Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150040, China;
2.Graduate School, Heilongjiang University of Chinese Medicine, Heilongjiang Province, Harbin 150040, China
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Abstract Objective To explore the effect of Bushen Tongguan Decoction combined with mild moxibustion on urinary dysfunction in diabetic neurogenic bladder patients. Methods A total of 43 diabetic neurogenic bladder patients admitted to Department of Nephrology of the First Affiliated Hospital of Heilongjiang University of Chinese Medicine from March to August 2018 and depended on catheterization in varying degrees were divided into routine treatment group (20 cases) and combined treatment group (23 cases) by using random number table method. Routine treatment group received 4 weeks bladder voiding rehabilitation training (Crede oppression method) on the basis of strict control of blood sugar, and combined treatment group received oral Bushen Tongguan Decoction and Zhongji, Guanyuan and Qihai points mild moxibustion for 4 weeks on the basis of voiding rehabilitation training. The bladder residual urine volume, urodynamic parameters, AUA-SI score before and after treatment, and the situation of getting rid of catheter and clinical effect after treatment of 4 weeks were compared between two groups. Results After treatment, the residual urine volume of bladder in both groups was significantly less than that before treatment (P < 0.05), and the reduction of residual urine volume of bladder in combined treatment group was greater than that in routine treatment group (P < 0.05). The maximum urinary flow rate and average urinary flow rate after treatment in both groups were significantly higher than those before treatment (P < 0.05), and the increase of maximum urinary flow rate and average urinary flow rate in combined treatment group was greater than that in routine treatment group (P < 0.05). After treatment, AUA-SI scores in both groups were significantly lower than those before treatment (P < 0.05), and the reduction of AUA-SI scores in combined treatment group was greater than that in routine treatment group (P < 0.05). After treatment of 4 weeks, there was a significant difference between two groups in getting rid of the catheter (P < 0.05). After treatment of 4 weeks, the curative effect of combined treatment group was significantly better than that of routine treatment group (P < 0.05). Conclusion Rehabilitation training of bladder voiding alone or combined with Bushen Tongguan Decoction and mild moxibustion can significantly improve the voiding function of diabetic neurogenic bladder patients, and the combined treatment is better than the simple voiding rehabilitation training.
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