鱼腥草联合盐包外敷在前列腺增生患者术后恢复中的作用研究

发布时间：2018-12-24 10:26

【摘要】：目的探讨鱼腥草联合盐包对前列腺增生(Benign prostatic hyperplasia,BPH)伴逼尿肌乏力(Acontractile detrusor,ACD)患者术后功能锻炼依从性及下尿路症状(Low urinary tract symptoms,LUTS)的影响。方法选择2014年12月-2016年5月到我院泌尿外科首次施行TURP术的患者100例,采用随机分组法分为4组,对照组(I组),鱼腥草组(II组),盐包组(III组),联合组(IV组)。对照组患者采用泌尿外科常规护理;鱼腥草组在对照组基础上,每日两次用研磨好的鱼腥草外敷脐部20~30min;盐包组在对照组基础上每日用加热的盐包外敷患者下腹部20~30min;联合组在对照组基础上采用鱼腥草外敷脐部联合盐包热敷下腹部进行护理。对各组患者的可视前列腺症状评分(Visual prostate symptom score,VPSS)以及国际前列腺症状评分(International prostate symptom score,IPSS)和生活质量评分(Quality of Life score,QOL)进行比较。结果 (1)3个月后四组患者IPSS评分、VPSS评分和QOL比较,IV组的平均数低于其它三组(P0.05);四组患者的VPSS评分、IPSS评分、QOL差异有统计学意义(P0.05)。(2)鱼腥草外敷脐部与盐包热敷腹部是影响术后IPSS评分和VPSS评分的独立因素,鱼腥草与盐包的交互作用有统计学意义(P0.05)。结论采用鱼腥草外敷脐部联合盐包热敷腹部有助于改善BPH伴ACD患者术后LUTS并提高术后生活质量。
[Abstract]:Objective to investigate the effect of Houttuynia cordata combined with salt package on functional exercise compliance and lower urinary tract symptom (Low urinary tract symptoms,LUTS) in patients with benign prostatic hyperplasia (Benign prostatic hyperplasia,BPH) and detrusor asthenia (Acontractile detrusor,ACD). Methods from December 2014 to May 2016, 100 patients undergoing TURP were randomly divided into four groups: control group (group I), houttuynia group (II group), salt package group (III group) and combined group (IV group). The patients in the control group were given routine nursing care in urology, the houttuynia group was treated with houttuynia houttuyniae twice a day for 20 minutes and 30 minutes per day on the basis of the control group, and the salt bag group was coated with heated salt on the basis of the control group for 20 minutes for 30 minutes in the lower abdomen. In the combined group, on the basis of the control group, the external application of Houttuynia cordata and salt-wrapped hot compress on the lower abdomen were used for nursing. Visual prostate symptom score (Visual prostate symptom score,VPSS), international prostate symptom score (International prostate symptom score,IPSS) and quality of life score (Quality of Life score,QOL) were compared. Results (1) after 3 months, the IPSS scores, VPSS scores and QOL scores in the four groups were lower than those in the other three groups (P0.05). The VPSS scores, IPSS scores and QOL scores of the four groups were significantly different (P0.05). (2). The external application of Houttuynia cordata on the umbilical cord and the salt-wrapped hot compress abdomen were the independent factors affecting the postoperative IPSS score and VPSS score. The interaction between Houttuynia cordata and salt had statistical significance (P0.05). Conclusion the application of Houttuynia cordata to the umbilical cord and salt-wrapped hot compress can improve the postoperative LUTS and improve the quality of life of BPH patients with ACD.
【作者单位】：贵州医科大学护理学院;贵州医科大学附属医院;
【基金】：贵州省卫生厅基金项目(编号:G2009-9) 贵州省国际合作项目(黔科合外G字[2012]7039)
【分类号】：R473.6

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