CAJ | 학술논문

目的：观察自制中药马归液治疗腺性膀胱炎的尿动力学影响。方法将腺性膀胱炎患者60例随机分为3组，分别给予吡柔比星和马归液膀胱灌注治疗。观察各组的残余尿量（PVR）、最大膀胱测压容积、充盈期末膀胱顺应性、最大尿流率（Qmax）、平均尿流率（Qave）、最大尿流率时逼尿肌压力（Pdet@Qmax）等尿动力学指标。结果各组治疗后与治疗前相比，术后3月治疗1组和治疗2组与对照组比较，上述各尿动力学指标差异均有统计学意义（P＜0.05）。治疗1组与治疗2组相比较PVR、充盈期末膀胱顺应性、最大尿流率（Qmax）、平均尿流率（Qave）、最大尿流率时逼尿肌压力（Pdet@Qmax）等指标的差异有统计学意义（P＜0.05）。结论马归液膀胱灌注能改善腺性膀胱炎患者各尿动力学指数，且每周2次膀胱灌注治疗效果更佳。
목적：관찰자제중약마귀액치료선성방광염적뇨동역학영향。방법장선성방광염환자60례수궤분위3조，분별급여필유비성화마귀액방광관주치료。관찰각조적잔여뇨량（PVR）、최대방광측압용적、충영기말방광순응성、최대뇨류솔（Qmax）、평균뇨류솔（Qave）、최대뇨류솔시핍뇨기압력（Pdet@Qmax）등뇨동역학지표。결과각조치료후여치료전상비，술후3월치료1조화치료2조여대조조비교，상술각뇨동역학지표차이균유통계학의의（P＜0.05）。치료1조여치료2조상비교PVR、충영기말방광순응성、최대뇨류솔（Qmax）、평균뇨류솔（Qave）、최대뇨류솔시핍뇨기압력（Pdet@Qmax）등지표적차이유통계학의의（P＜0.05）。결론마귀액방광관주능개선선성방광염환자각뇨동역학지수，차매주2차방광관주치료효과경가。
Objective To observe the urinary dynamics influence of Ma-Gui Liguid in treating female glandular cystitis. Methods 60 cases of female glandular cystitis patients were randomly divided into three groups, and respectively treated by perarubicin or Ma-Gui liquid through bladder perfusion. We observed the urinary dynamics indexes, such as residual urine volume(PVR),maximum bladder pressure volume, the final bladder compliance, maximum urinary flow rate(Qmax)and average urinary flow rate (Qave), the detrusor pressure at maximum urinary flow rate(Pdet@Qmax). Results Posttreatment co mpared with prior treatment, treatment 1 and treatment 2 group compared with control group after 3 months of surgery, the above-mentioned urinary dynamics index difference had statistical signiifcance(P<0.05). Conclusion Ma-Gui Liguid can improve urine dynamics index of female glandular cystitis patients, and the effect of two times per week is much better than once a week.