CAJ | 학술논문

目的：观察小蓟饮子加海金沙配合经尿道2μm激光汽化切除术治疗腺性膀胱炎的临床疗效。方法：回顾性分析我院2010年1月至2013年6月采用2μm激光汽化切除术治疗腺性膀胱炎患者61例，术后随机分为2组，治疗组术后加用小蓟饮子加味口服，对照组术后常规治疗。观察2组患者相应临床指标，并进行对比、分析。结果：手术时间、术中出血量2组间比较差异无统计学意义(P＞0.05)；术后膀胱痉挛并发症的发生、术后膀胱冲洗时间、留置尿管时间、术后住院时间2组间比较差异有统计学意义(P＜0.05)；术后随访3个月,2组患者血尿、膀胱刺激症状较术前明显改善(P＜0.05),但2组间比较差异无统计学意义(P＞0.05)；随访：治愈率、好转率2组比较差异有统计学意义(P＜0.05)。结论：小蓟饮子加味配合经尿道2μm激光汽化切除术治疗腺性膀胱炎,能明显改善腺行膀胱炎患者的血尿、下尿路膀胱刺激症状，而且术后膀胱痉挛的发生率治疗组低于对照组；长期治愈率、好转率治疗组高于对照组。
목적：관찰소계음자가해금사배합경뇨도2μm격광기화절제술치료선성방광염적림상료효。방법：회고성분석아원2010년1월지2013년6월채용2μm격광기화절제술치료선성방광염환자61례，술후수궤분위2조，치료조술후가용소계음자가미구복，대조조술후상규치료。관찰2조환자상응림상지표，병진행대비、분석。결과：수술시간、술중출혈량2조간비교차이무통계학의의(P＞0.05)；술후방광경련병발증적발생、술후방광충세시간、류치뇨관시간、술후주원시간2조간비교차이유통계학의의(P＜0.05)；술후수방3개월,2조환자혈뇨、방광자격증상교술전명현개선(P＜0.05),단2조간비교차이무통계학의의(P＞0.05)；수방：치유솔、호전솔2조비교차이유통계학의의(P＜0.05)。결론：소계음자가미배합경뇨도2μm격광기화절제술치료선성방광염,능명현개선선행방광염환자적혈뇨、하뇨로방광자격증상，이차술후방광경련적발생솔치료조저우대조조；장기치유솔、호전솔치료조고우대조조。
Objective: To observe curative effects of modified XiaoJi YinZi combined with 2 μm laser transurethral electrovaporization in treating cystitis glandularis. Methods:The conditions of 61 patients admitted to our hospital from January, 2010 to June, 2013 were analyzed retrospectively, they received 2μm laser transurethral electrovaporization, and allocated to two groups after the operation, the treatment group took modified XiaoJi YinZi by mouth, and the control group routine treatment after the operation. Corresponding clinical indexes of both groups were observed, compared and analyzed. Results:The comparison between both groups had no statistical meaning in surgical time and bleeding amount during the operation (P>0.05). The difference had statistical meaning between both groups in the incidence of postoperative cystospasm complications, bladder washing time after the operation, indwelling catheter time and postoperative hospitalization time (P<0.05). Blood urine and bladder irritation signs of both groups were improved significantly in three months of the follow-ups compared with before the surgery (P<0.05), but the difference between both groups demonstrated no statistical meaning(P>0.05). Follow-up:the difference had statistical meaning in cure rate and improvement rate between both groups (P<0.05). Conclusion:Modified XiaoJi YinZi combined with 2 μm laser transurethral electrovaporization in treating cystitis glandularis could obviously relieve blood urine and bladder irritation sign of lower urinary tract in the patients, cystospasm incidence of the treatment group is lower than that of the control group after the surgery;long-term cure rate and improvement rate of the treatment group are higher than these of the control group.