中西医结合治疗糖尿病神经源性膀胱临床研究近况

综述了近5年来中西医结合治疗糖尿病神经源性膀胱的临床研究概况。文献表明:基础治疗非常重要,它是中西医结合治疗的前提,内容包括健康教育、控制饮食、适当运动、排尿训练等;西医治疗是必不可少的,但应当合理规范,大致有控制血糖和修复神经2个方面;中医治疗方法较多,主要是中药内服和针灸治疗2大类别,但都离不开辨证施治这一特色精髓,临床多从肾、脾、肺三脏进行治疗,其中肾脏是关键,还应考虑气、阴、阳虚以及血瘀等因素。结合的模式是在基础治疗的前提下,同时采用中西医两种方法进行治疗,其具体方案虽然繁多各异,但其效果优于单纯的西医或单纯的中医治疗。

Current Researches on Treatment of Neurogenic Bladder of Diabetes by Integrated Traditional Chinese Medicine with Western Medicine

Objective: This article summarized the clinical research situation in the recent five years in treating neurogenic bladder of diabetes with by integrated therapy of traditional Chinese medicine (TCM) with western medicine. The literature indicated: The primary treatment is important, and it is the prerequisite of combination of TCM and western medicine. The content includes health education, diet control, suitable sports, the urination training and so on; The practice of western medicine treatment is essential,but it must be reasonable and standard, Generally there are two aspects, the control of blood glucose and the repair of nerves. TCM has many approaches, mainly two aspects: orally applied herbal decoctions and acupuncture. However, the treatment can not leave the basis of symptom-complex differentiation, the characteristic essence of TCM, neurogenic bladder of diabetes can be treated from the kidney, the spleen and the lung, The kidney is the key, it is should also consider that qi deficiency factor, yin deficiency factor, yang deficiency factor and blood stasis factor. The pattern of integrated TCM with western medicine utilizes simultaneously two approaches, the Chinese and the western, and based on the primary treatment. The integrated pattern is better than that of either the Chinese only and that of the western only. The article also put forward the existing problems and the prospect of the future development. Nationwide researches with large samples are expected.