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 ((=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 con -trol the deterioration of the disease and promote the rehabilitation of patients.%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.
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