自拟前列癃闭通方联合非那雄胺治疗经尿道等离子前列腺剜除术后患者的临床观察(1)
【摘要】 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。
【关键词】 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
Clinical Curative Effect Observation of Self-made Qianlielongbitong Fang and Finasteride after PKEP/DENG Hai-bo，HUANG Zhen.//Medical Innovation of China，2015，12(18)：049-052
, 百拇医药
【Abstract】 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.
, 百拇医药
【Key words】 Self Qianlielongbitong Fang； Finasteride； Transurethral plasma enucleation of prostate； Clinical observation
First-author’s address：Lianzhou Longping Hospital，Lianzhou 513400，China
doi：10.3969/j.issn.1674-4985.2015.18.018
现阶段，我国前列腺增生症(BPH)的发病率在老龄化进程不断加快的情况下越来越高，已经成为我国老年男性的一种最常见的疾病，同时也成为我国泌尿外科的一种最常见的疾病。在BPH的治疗中，临床普遍认为，经尿道前列腺电切除术(TURP)可以作为金标准，其具有较小的创伤、较快的恢复速度、较为广泛的适应证等，具有无比的优越性。而我国刘春晓教授首创的经尿道前列腺剜除术更被全世界的泌尿外科专家称之为中国式前列腺电切术，其与传统TURP相比，更能有效地控制出血、缩短手术时间、降低手术风险、减少术后并发症。但手术并不能根治下尿路症候群的所有表现，良性前列腺增生症的一个极为常见的临床表现为下尿路症侯群(lower urinary tract symptoms，LUTS)，而贮尿期症状如尿频、尿急、急迫性尿失禁等和排尿其症状如射程短、排尿后滴沥等是其主要表现。一些症状比术前更为显著，对患者术后的生活质量造成了严重的不良影响。笔者在临床应用了中医药方药治疗，取得了令人满意的临床效果，现报告如下。, http://www.100md.com(邓海波 黄圳)
【关键词】 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
Clinical Curative Effect Observation of Self-made Qianlielongbitong Fang and Finasteride after PKEP/DENG Hai-bo，HUANG Zhen.//Medical Innovation of China，2015，12(18)：049-052
, 百拇医药
【Abstract】 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.
, 百拇医药
【Key words】 Self Qianlielongbitong Fang； Finasteride； Transurethral plasma enucleation of prostate； Clinical observation
First-author’s address：Lianzhou Longping Hospital，Lianzhou 513400，China
doi：10.3969/j.issn.1674-4985.2015.18.018
现阶段，我国前列腺增生症(BPH)的发病率在老龄化进程不断加快的情况下越来越高，已经成为我国老年男性的一种最常见的疾病，同时也成为我国泌尿外科的一种最常见的疾病。在BPH的治疗中，临床普遍认为，经尿道前列腺电切除术(TURP)可以作为金标准，其具有较小的创伤、较快的恢复速度、较为广泛的适应证等，具有无比的优越性。而我国刘春晓教授首创的经尿道前列腺剜除术更被全世界的泌尿外科专家称之为中国式前列腺电切术，其与传统TURP相比，更能有效地控制出血、缩短手术时间、降低手术风险、减少术后并发症。但手术并不能根治下尿路症候群的所有表现，良性前列腺增生症的一个极为常见的临床表现为下尿路症侯群(lower urinary tract symptoms，LUTS)，而贮尿期症状如尿频、尿急、急迫性尿失禁等和排尿其症状如射程短、排尿后滴沥等是其主要表现。一些症状比术前更为显著，对患者术后的生活质量造成了严重的不良影响。笔者在临床应用了中医药方药治疗，取得了令人满意的临床效果，现报告如下。, http://www.100md.com(邓海波 黄圳)