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目的:观察温肾健脾推拿法治疗肾气不足小儿遗尿症的临床疗效。方法:选取本院收治的95例肾气不足小儿遗尿患儿为研究对象,按随机数字表法分为对照组47例和观察组48例。对照组给予缩泉胶囊治疗,观察组施行温肾健脾推拿法治疗。观察2组治疗前后遗尿次数及膀胱功能的变化。结果:治疗总有效率观察组为93.75%,高于对照组的72.34%,差异有统计学意义(P<0.05)。治疗前,2组遗尿次数比较,差异无统计学意义(P>0.05)。治疗后,2组遗尿次数均较治疗前减少(P<0.05,P<0.01),观察组的遗尿次数少于对照组(P<0.01)。治疗前,2组膀胱容量、最大尿流率、逼尿肌压力等指标比较,差异均无统计学意义(P>0.05)。治疗后,2组3项膀胱功能指标均优于同组治疗前(P<0.05),观察组膀胱容量、最大尿流率指标均优于对照组(P<0.05)。结论:温肾健脾推拿法治疗肾气不足小儿遗尿症临床疗效满意,可有效改善患儿的膀胱功能,减少遗尿次数。
Objective: To observe the clinical effect of warming kidney invigorating the spleen and nourishing therapy in treating children with enuresis deficient enuresis. Methods: A total of 95 cases of infantile enuresis in children with hypogonadism were selected as study subjects, and divided into control group (n = 47) and observation group (n = 48) by random number table. The control group was given Quan Capsule therapy, and the observation group was treated with Wenshen Jianpi Tuina method. The changes of enuresis and bladder function before and after treatment in two groups were observed. Results: The total effective rate of the observation group was 93.75%, which was higher than that of the control group (72.34%), the difference was statistically significant (P <0.05). Before treatment, there was no significant difference in the number of enuresis between the two groups (P> 0.05). After treatment, the number of enuresis in both groups decreased compared with that before treatment (P <0.05, P <0.01), and the number of enuresis in the observation group was less than that of the control group (P <0.01). Before treatment, there were no significant differences between the two groups in bladder volume, maximal uroflow rate and detrusor pressure (P> 0.05). After treatment, the indexes of bladder function in the two groups were better than those in the same group before treatment (P <0.05). The bladder volume and the maximum urinary flow rate in the observation group were better than those in the control group (P <0.05). Conclusion: Wenshen Jianpi Tuina treatment of renal insufficiency pediatric enuresis clinical efficacy is satisfactory, can effectively improve children’s bladder function, reduce the number of enuresis.