CAJ | 학술논문

目的探讨中药坐浴对良性前列腺增生患者生活质量及临床疗效的影响.方法选择80例良性前列腺增生患者,随机分为干预组和对照组各40例.对照组予以常规护理、健康宣教,坦索罗辛缓释胶囊0.2mg口服,每天1次,连续2个月.干预组在此基础上予以中药坐浴配合盆底肌肉收缩锻炼.比较干预前后患者的生活质量评分、国际IPSS症状评分、最大尿流率及残余尿量.结果干预2个月后,干预组患者生活质量各维度得分较对照组高,以满意度为例,干预后干预组满意度为(62.35±10.14)分,对照组为(41.20±7.16)分,两组比较差异有统计学意义(t=3.930,P＜0.01)；干预后干预组最大尿流率(16.15±2.47) ml/s,对照组(13.15±1.97) ml/s,两组比较差异有统计学意义(t=6.014,P＜0.01)；干预后干预组IPSS得分为(9.70±2.86)分,对照组为(13.33±3.19)分,两组比较差异有统计学意义(t=-5.354,P＜0.01).结论中药坐浴配合盆底肌肉收缩锻炼是治疗良性前列腺增生患者的一种简单、经济、有效的防治方法,值得临床和社区推广.
목적 탐토중약좌욕대량성전렬선증생환자생활질량급림상료효적영향.방법 선택80례량성전렬선증생환자,수궤분위간예조화대조조각40례.대조조여이상규호리、건강선교,탄색라신완석효낭0.2mg구복,매천1차,련속2개월.간예조재차기출상여이중약좌욕배합분저기육수축단련.비교간예전후환자적생활질량평분、국제IPSS증상평분、최대뇨류솔급잔여뇨량.결과 간예2개월후,간예조환자생활질량각유도득분교대조조고,이만의도위례,간예후간예조만의도위(62.35±10.14)분,대조조위(41.20±7.16)분,량조비교차이유통계학의의(t=3.930,P＜0.01)；간예후간예조최대뇨류솔(16.15±2.47) ml/s,대조조(13.15±1.97) ml/s,량조비교차이유통계학의의(t=6.014,P＜0.01)；간예후간예조IPSS득분위(9.70±2.86)분,대조조위(13.33±3.19)분,량조비교차이유통계학의의(t=-5.354,P＜0.01).결론 중약좌욕배합분저기육수축단련시치료량성전렬선증생환자적일충간단、경제、유효적방치방법,치득림상화사구추엄.
Objective To explore the quality of life and therapeutic effect in men with benign prostatic hyperplasia by hip bathing traditional Chinese medicine.Methods 80 patients with benign prostatic hyperplasia from Xiangya hospital were selected as research subjects and divided into the “experimental group” and the “control group” with 40 cases in each group.The “control group” of patients,in accordance with the regular nursing program,requires regular health education; Tamsulosin release capsules 0.2 mg per day.And the “experimental group” will take a hip bathing with traditional Chinese medicine and pelvic floor training,once a day,one month as a course of treatment.The change of IPSS,QOL,PVR,Qmax and so on were observed after two months.Results After the intervention,the disease dimensions,physical dimensions,psychological dimensions,social dimensions and satisfaction scores of intervention group was higher than before the intervention,for exampl,there were significantly between two groups of satisfaction scores[ (62.35 ± 10.34) vs (41.20 ±7.16) ;t =3.930,P ＜ 0.01 ] ; After the intervention,the maximum flow rate,residual urine volume and international IPSS symptoms scores of the intervention group significantly improved compared with before intervention,the maximum flow rate [(16.15 ±2.47) vs (13.15 ± 1.97)],and IPSS [(9.70±2.86) vs ( 13.33 ± 3.19) ] were different ( t =6.014,- 5.354; P ＜ 0.01 ).Conclusions The hip bathing with traditional Chinese medicine with pelvic floor training is a simple,effective,economy method of prevention and treatment of the benign prostatic hyperplasia.It is worth promoting in the clinical and community.