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目的:观察加味补中益气汤联合盐酸奥昔布宁治疗老年尿失禁的临床疗效,探讨其临床应用价值。方法:选取尿失禁老年患者68例,采用随机分组法将其分为对照组与观察组各34例,两组患者在年龄、性别、病情及病程等方面比较无显著性差异(P>0.05),对照组患者单纯服用盐酸奥昔布宁片5mg,2次/d,口服,观察组患者在服用盐酸奥昔布宁片的同时配合应用加味补中益气汤,1剂/d,水煎服,10d为1个疗程,3个疗程后统计临床效果,比较两组患者总有效率。结果:加味补中益气汤联合盐酸奥昔布宁治疗老年尿失禁总有效率为97.06%,明显高于对照组的73.53%,两者比较具有显著性差异(P<0.05)。结论:加味补中益气汤联合盐酸奥昔布宁可明显改善患者尿失禁症状,减少患者排尿次数及排尿量,疗效显著,适合临床推广应用。
Objective: To observe the clinical efficacy of Jia Bu Bu Zhong Yi Qi Decoction combined with oxybutynin hydrochloride in the treatment of senile urinary incontinence, and to explore its clinical value. Methods: Sixty-eight elderly patients with urinary incontinence were selected and randomly divided into control group and observation group, with 34 cases in each group. There was no significant difference in age, sex, illness and course of disease among the two groups (P> 0.05) , The control group patients taking oxybutynin hydrochloride tablets 5mg, 2 times / d, orally, the observation group patients taking oxybutynin hydrochloride tablets at the same time with Jia Bu Bu Zhong Yi Qi Tang, 1 / d, decoction Clothes, 10d for a course of treatment, three clinical statistics after treatment, the total effective rate of the two groups were compared. Results: The total effective rate of Jia Bu Bu Zhong Yi Qi Decoction combined with oxybutynin hydrochloride in elderly patients with urinary incontinence was 97.06%, which was significantly higher than that of control group (73.53%). There was a significant difference between the two groups (P <0.05). Conclusion: Modified Bu Zhong Yi Qi Tang combined with oxybutynin hydrochloride can significantly improve the symptoms of patients with urinary incontinence, reduce the frequency of urination and urination, the effect is significant, suitable for clinical application.