前列安丸联合针灸对良性前列腺增生症逼尿肌收缩功能减弱患者的疗效评价

发布时间：2018-05-31 07:59

本文选题：良性前列腺增生 + 逼尿肌　；参考：《河南中医药大学》2016年硕士论文

【摘要】：目的:观察前列安丸联合针灸治疗前列腺增生症膀胱逼尿肌功能减弱的临床疗效,旨在探寻一种既能改善临床症状,同时又能提高膀胱逼尿肌的治疗方案。方法:本课题共收集符合纳入标准患者135例,根据就诊时间次序,采用随机数字表法分为A(前列安丸加哈乐)45例、B(针灸加哈乐)45例、C(前列安丸联合针灸加哈乐)45例。哈乐:每次0.2mg,每晚一次。前列安丸:每次10g,每天3次。针灸每周6次。4周为一个疗程。一个疗程结束后,统计分析患者逼尿肌收缩力、前列腺症状评分(I-PSS)、残余尿量(RUV)、生活质量评分(QOL)及最大尿流率(Q_(max))的改善程度。结果:与同组治疗前比较,治疗结束后,A、B、C三组在逼尿肌收缩功能、I-PSS、RUV、QOL以及Q_(max)指标上均有统计学差异。其中C组在逼尿肌收缩功能、I-PSS、RUV、QOL以及Q_(max)上明显优于A与B组(P0.05),C与A、B组之间差异有统计学差异(P0.05)。C组综合疗效总有效率为84.09%;临床尿路症状的改善率为93.18%,逼尿肌收缩强度改善率为81.82%,RUV改善率为88.63%,疗效优于A B两组(P0.01)。结论:1.前列安丸、针灸治疗均能减少膀胱残余尿量、I-PSS及QOL评分,提高最大尿流率,二者之间疗效无显著性差异,联合使用治疗效果较单一疗法更好,有显著性差异。2.前列安丸、针灸治疗均能明显改善BPH逼尿肌收缩力,二者之间疗效无显著性差异,联合使用治疗效果较单一疗法更好,有显著性差异。
[Abstract]:Objective: to observe the clinical effect of Qianliean pill combined with acupuncture on detrusor dysfunction of bladder in benign prostatic hyperplasia (BPH), in order to find a therapeutic scheme that can not only improve clinical symptoms but also improve bladder detrusor at the same time. Methods: a total of 135 patients in accordance with the inclusion criteria were collected. According to the order of visiting time, the patients were randomly divided into A (Qianlian Maruli-Halozhang 45 cases (Acupuncture and Haloge 45 cases) (Qianlian Pill combined with Acupuncture and Haloidium 45 cases). Halle: 0.2 mg at a time, once a night. Qianlie an pills: 10 g each time, 3 times a day. Acupuncture and moxibustion 6 times a week for 4 weeks as a course of treatment. After a course of treatment, the improvement of detrusor contractility, prostatic symptom score (I-PSS), residual urine volume (RUV), quality of life score (QOLs) and maximum urine flow rate (QVO) were statistically analyzed. Results: compared with the same group before treatment, there were significant differences in detrusor contractile function (I-PSS), RUVAQOL and Q max between the three groups after the treatment. The total effective rate of group C was 84.09 in terms of detrusor contractile function (I-PSSRUVAL-QOL) and Q _ (+) _ max) than that of group A and B (P 0.05). The total effective rate of group C was 84.09, the improvement rate of clinical urinary tract symptoms was 93.18%, and the contractile intensity of detrusor was 93.18%. The improvement rate of RUV was 81.82 and the improvement rate was 88.63, which was better than that of group A and B (P 0.01). Conclusion 1. Qianlie an Pill and acupuncture can reduce the residual urinary volume of bladder and improve the score of I-PSS and QOL. There is no significant difference in the curative effect between the two groups. The effect of combined therapy is better than that of single therapy, and there is a significant difference between them. Qianlie an Pill and acupuncture can obviously improve the contractility of detrusor in BPH, there is no significant difference between them, and the effect of combined treatment is better than that of monotherapy, and there is significant difference.
【学位授予单位】：河南中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R277.5

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