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本病特征为膀胱感觉丧失,不可避免的引起膀胱扩张,尿潴留。膀胱持久过渡膨胀,势必削弱逼尿肌收缩力,从而也将阻碍膀胱颈形成适当的漏斗形。排尿须靠腹肌用力收缩,由于膀胱颈开放不良,逼尿力需要增加。治疗膀胱机能不全,首要目的在于补偿膀胱感觉的缺陷。 1.保守治疗糖尿病人没有或只有中度膀胱征者,其保守治疗原则如下: ①训练:白天培养病人按每三小时排尿一次,以补偿缺乏尿意,②接二连三的反复排尿,有可能使无力的逼尿肌得到恢复。使病人能将膀胱滞留尿几乎全部排空。③对不能保持膀胱紧张度的糖尿病人,建议采用Crédé手法施压帮助排尿,此情况最多见于盆
The disease is characterized by loss of bladder sensation, inevitably caused by bladder expansion, urinary retention. Sustained bladder transitional expansion will inevitably weaken the detrusor contractility, which will also hinder the formation of the bladder neck appropriate funnel-shaped. Urination forced abdominal contraction, due to poor open bladder neck, detritus need to increase. Treatment of bladder insufficiency, the primary purpose is to compensate for bladder defects. 1. Conservative treatment of diabetes without or only moderate bladder symptoms, the conservative treatment of the principles are as follows: ① training: daytime training patients urinate once every three hours to compensate for lack of urinary intention, ② one after another repeated urination, may make the weak Detrusor to be restored. So that patients can almost all bladder emptying urine. ③ can not maintain bladder tension in diabetic patients, it is recommended to use Crédé techniques to help urinate, the most common in the basin