中西医结合治疗良性前列腺增生症的临床观察

发布时间：2018-04-23 13:31

  本文选题：良性前列腺增生症 + 中药　； 参考：《中华中医药学刊》2017年08期

【摘要】：目的:观察中药坐浴联合中药内服治疗良性前列腺增生症的临床疗效。方法:将106例良性前列腺增生症患者随机分为治疗组和对照组各53例,两组患者均给予西药非那雄胺片,5 mg/次,1次/d,对照组在西药治疗基础上予热水坐浴熏洗,每次30 min,2次/d;治疗组在西药治疗基础上加用自拟前列舒利方,1剂/d,200mL/次,早晚分服,中药坐浴熏洗,每次30 min,每日2次。两组均治疗12周,比较两组国际前列腺症状评分(IPSS)改善情况及临床疗效,对比两组治疗前后残余尿量(PVR)、最大尿流率(Qmax)、平均尿流率(Qave)和前列腺体积指标水平,并观察患者不良反应情况。结果:治疗组的国际前列腺症状评分(IPSS)降低优于对照组(P0.05),治疗组临床疗效优于对照组(P0.05),治疗组患者残余尿量(PVR)、最大尿流率(Qmax)、平均尿流率(Qave)和前列腺体积改善较对照组更明显(P0.05),且两组均无不良反应发生。结论:中药坐浴联合中药内服治疗良性前列腺增生症,临床疗效确切,症状改善明显,不良反应较轻,值得临床推广。
[Abstract]:Objective: to observe the clinical efficacy of traditional Chinese medicine (TCM) in the treatment of benign prostatic hyperplasia (BPH). Methods: 106 patients with benign prostatic hyperplasia were randomly divided into treatment group (n = 53) and control group (n = 53). The patients in both groups were treated with fenasteride tablets for 5 mg/ / d. The control group was treated with hot water and sitting bath fumigation on the basis of western medicine. In the treatment group, on the basis of the western medicine treatment, the treatment group was given 200 mL / L / L / L / L / L of 1 / d / d / L / L / L / L / L / L / L / L / L / L / L / L / L / L / L / L / L / L / L / L / L / L / L for 30 minutes / day, respectively. The two groups were treated for 12 weeks. The improvement and clinical efficacy of IPSS were compared. The residual urine volume (PVRV), the maximum flow rate (Qmax), the mean flow rate (Qavee) and the prostatic volume index were compared between the two groups before and after treatment. Adverse reactions were observed. Results: the IPSS of the treatment group was lower than that of the control group (P 0.05). The clinical efficacy of the treatment group was better than that of the control group (P 0.05). The residual urine volume (PVR), the maximum urinary flow rate (Qmax), the average urine flow rate (Qave) and the prostatic volume in the treatment group were better than those in the control group. P 0.05 was more obvious in the radiation group, and no adverse reactions occurred in both groups. Conclusion: the treatment of benign prostatic hyperplasia with traditional Chinese medicine sitting bath and internal administration of traditional Chinese medicine has definite clinical effect, obvious improvement of symptoms and mild adverse reaction, so it is worth popularizing in clinic.
【作者单位】： 瑞安市人民医院温州医学院附属第三医院;
【分类号】：R697.3
，

本文编号：1792172