The Clinical Observation Of Overactive Bladder With Traditional Chinese And Western Medicine

Overactive bladder with urgency refers to a syndrome characterized by symptoms, often accompanied by frequent urination and nocturia symptoms, may be with or without urgency urinary incontinence. This disease is a Chinese medicine "hot shower, air shower, the labor pouring" category, mainly with kidney deficiency, heat and humidity related. Because of its cause is unknown, the pathogenesis of complex clinical practice is still a lack of effective treatment, usually a comprehensive treatment, but the effect is neither obvious nor lasting, for which we have designed a fixed combination of acupuncture and Western medicine treatment of bladder overactivityClinical observation of the program in order to search for a safe, effective, easy to master, you can promote the integration of Chinese and Western medicine treatment options data and methods.Materials and methods1. Observe the crowd:compliance with diagnostic criteria for overactive bladder in female patients 602. Observation Methods:A randomized double-blind grouping assigned to the A group (20 cases), B group (20 cases), C group (20 cases), after statistical analysis, the three groups in age, duration, symptom severity andurinary tract-related inspection, etc. There was no significant difference (P>0.05), comparable. A:(traditional Chinese medicine Acupuncture+ M-receptor antagonist); B:(Acupuncture+Chinese medicine); C:(Acupuncture+M-receptor antagonist); Medicine infirmity will shu; Western tolterodine. Acupuncture acupoints:Main points (in a very, Shenshu, bladder Yu, Sanyinjiao, Yin Ling Quan), with points (gas sea, Zusanli, Guan Yuan, between the lines);3. Efficacy indicators:â‘ 24h average frequency of urination and urineâ‘¡flow rate measurement4. Safety indicators:â‘ routine blood test, urine routine, stool,â‘¡liver and kidney function (ALT, BUN, Cr), ECG5. Efficacy determined criteria:Clinically effective:to free to control urination,perceived urgency, frequent urition symptoms disappered, each urine and flow rate inereat significanty.Clinically effective:perceived urgency, frequent urination symptoms of slight relief, each urine and maximum urinary flow rate increased.Clinical invalid:perceived urgency and urinary frequency symptoms without improvement in urine volume and maximum urinary flow rate for each no larger 6. Results:Clinical markedly effective:A group of 40%(8/20), B group 30%(6/20), C group 20%(4/20), The clinical efficiency:A group of 40%(8/20), B group 40%(8/20), C group 50%(10/20), Clinical inefficiency:A group of 20%(4/20), B group 30%(6 /20), C group 30%(6/20),The total effective rate:A group of 80%(16/20), B group 70% (14/20), C group 70%(14/20), A Clinical markedly effective, efficient, with a total effective rate was significantly higher than B, C groups, the difference was statistically significant (P<0.05). B, C clinical total effective rate of the two groups no statistically significant difference (P>0.05).7. Conclusion:Acupuncture, Chinese medicine, Western medicine combined the three clinical efficacy is superior to traditional Chinese medicine alone (retention of urine will shu) or the M receptor blocker (tolterodine).