中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2015年
18期
49-51,52
,共4页
自拟前列癃闭通方%非那雄胺%经尿道等离子前列腺剜除术%临床观察
自擬前列癃閉通方%非那雄胺%經尿道等離子前列腺剜除術%臨床觀察
자의전렬륭폐통방%비나웅알%경뇨도등리자전렬선완제술%림상관찰
Self Qianlielongbitong Fang%Finasteride%Transurethral plasma enucleation of prostate%Clinical observation
目的：观察中西医结合治疗经尿道等离子前列腺剜除术后患者相关症状的临床应用效果。方法：选择2014年1-12月在本院行经尿道等离子前列腺剜除术的肾虚瘀阻型患者60例，随机分为治疗组（n=30）和对照组（n=30）。治疗组围手术期口服自拟前列癃闭通方联合非那雄胺，对照组仅口服非那雄胺。比较两组术前、术后1周、2周国际前列腺症状（IPSS）、生活质量（QOL）评分及最大尿流率（Qmax）、血尿转阴情况。结果：两组术后l、2周前列腺症状评分、生活质量评分、尿流率均比术前有显著改善（P<0.05）；术后第2周，两组前列腺症状评分比较差异具有统计学意义（P<0.05）；而两组术后第1、2周血尿转阴情况无明显差异。结论：在经尿道等离子前列腺剜除术围手术期辅助辨证使用中药治疗，可明显改善术后下尿路症候群症状，且不增加术后迟发性出血的风险。
目的：觀察中西醫結閤治療經尿道等離子前列腺剜除術後患者相關癥狀的臨床應用效果。方法：選擇2014年1-12月在本院行經尿道等離子前列腺剜除術的腎虛瘀阻型患者60例，隨機分為治療組（n=30）和對照組（n=30）。治療組圍手術期口服自擬前列癃閉通方聯閤非那雄胺，對照組僅口服非那雄胺。比較兩組術前、術後1週、2週國際前列腺癥狀（IPSS）、生活質量（QOL）評分及最大尿流率（Qmax）、血尿轉陰情況。結果：兩組術後l、2週前列腺癥狀評分、生活質量評分、尿流率均比術前有顯著改善（P<0.05）；術後第2週，兩組前列腺癥狀評分比較差異具有統計學意義（P<0.05）；而兩組術後第1、2週血尿轉陰情況無明顯差異。結論：在經尿道等離子前列腺剜除術圍手術期輔助辨證使用中藥治療，可明顯改善術後下尿路癥候群癥狀，且不增加術後遲髮性齣血的風險。
목적：관찰중서의결합치료경뇨도등리자전렬선완제술후환자상관증상적림상응용효과。방법：선택2014년1-12월재본원행경뇨도등리자전렬선완제술적신허어조형환자60례，수궤분위치료조（n=30）화대조조（n=30）。치료조위수술기구복자의전렬륭폐통방연합비나웅알，대조조부구복비나웅알。비교량조술전、술후1주、2주국제전렬선증상（IPSS）、생활질량（QOL）평분급최대뇨류솔（Qmax）、혈뇨전음정황。결과：량조술후l、2주전렬선증상평분、생활질량평분、뇨류솔균비술전유현저개선（P<0.05）；술후제2주，량조전렬선증상평분비교차이구유통계학의의（P<0.05）；이량조술후제1、2주혈뇨전음정황무명현차이。결론：재경뇨도등리자전렬선완제술위수술기보조변증사용중약치료，가명현개선술후하뇨로증후군증상，차불증가술후지발성출혈적풍험。
Objective:To observe the curative effect of combine traditional Chinese and Western medicine treatment on patients after PKRP.Method:60 suitable patients with kidney deficiency and blood stasis who were after PKRP operations from January 2014 to December 2014 were randomly divided into the treatment group(n=30)and the control group(n=30). All patients were given corresponding treatment in perioperation period.Parameters included international prostate symptom score (IPSS),quality of life score(QOL),maximum urinary flow rates(Qmax),and hematuria were observed before the operation and 1 week,2 weeks after the surgery.Result:Compared with the preoperative,IPSS,QOL,Qmax of two groups were significantly improved,the differences were statistically significant(P<0.05).But 2 weeks after the surgery,IPSS,QOL between the two groups had significant difference(P<0.05);however,hematuria,after operation there was no significant difference in both groups.Conclusion:In the perioperative auxiliary treatment using traditional Chinese medicine can not only significantly improve lowerurinary tract symptom (LUTS)after surgery,but also do not increase the risk of postoperative delayed hemorrhages.
