糖尿病性膀胱病变的中医辨证与尿流动力学关系之探讨

The study of relation of symptom-sign differentiation of bladder dysfunction with urine dynamics in 60 cases of diabetes demonstrated that classfication based on symptom-sign differentiation conformed to the laws of the development of bladder dysfunction.The severity of urination disturbance could be evaluated by symptom-sign differentiation,which,as a good example to show the importance of symptom-sign differentiation,was of clinical significance for diagnosis,treatment and prognosis of diabetes. Results suggested that the patients in the groups with deficiency of genuine Yin and insufficiency ofenergy of the lung and kidney were likely to have less residual urine,mostly<100 ml,the intravesical pressure pattern usually showed slightly sense-paralyzed neurogenic bladder,the functions of musculi detrusor urine and sphincter showed various degrees of dyssynergia,the sensation of bladder diminished;the urine flow rate was abnormal;in case the amount of urination was close to the normal,MVR was generally about 10 ml/s,VT lengthened,nephric function was almost normal and there was no evidence of kidney hydrops.Nearly all cases were in the early stage with mild pathogenic changes,and their prognosis would be better if the disease was promptly treated.Patients with undermined genuine Yin depleted kidney-Yang were in more severe condition.They were expected to have more residual urine,mostly>100 ml,intravesical pressure indicated the severely sense-paralyzed pattern or autonomic neurogenic pattern of the bladder.Their musculi detrusor urine and sphincter showed a more serious degree of dyssynergia.The sensation of the bladder mostly disappeared,MVR was usually below 10ml/s;the kidney function became poor,resulting in hydrops of this organ.Most of these cases were in advanced stage and their prognoses were poor unless the patients were actively treated.

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