补中益气汤在前列腺电切术后排尿无力治疗中的应用效果

摘要/Abstract

摘要： 目的探讨补中益气汤在良性前列腺增生症（BPH）患者行前列腺电切术后排尿无力治疗中的应用效果。方法选取2019年10月~2021年9月日照市中医医院收治的108例经前列腺电切术治疗后排尿无力的BPH患者作为研究对象,采取随机数表法将其均分成甲乙两组,每组54例,分别给予常规治疗与补中益气治疗,对比分析两组患者治疗效果、前列腺症状与生活质量改善情况。结果经过对应治疗,甲组治疗总有效率显著低于乙组,两组比较,差异有统计学意义（P<0.05）,且治疗前,两组患者的最大尿流率（Qmax）、膀胱残余尿量（RUV）评分、国际前列腺症状（IPSS）评分、生活质量评分对比,差异无统计学意义（P>0.05）,而治疗后,乙组的Qmax与生活质量评分均显著高于甲组,而RUV与IPSS评分则显著低于甲组,差异有统计学意义（P<0.05）。结论针对临床行前列腺电切术后排尿无力的BPH患者,给予其补中益气汤治疗,不仅可以改善患者尿流动力学,还可改善其症状,提高生活质量,整体效果显著。

关键词: BPH, 电切术, 排尿无力, 补中益气汤

Abstract: Objective To explore the application and effect of Buzhong Yiqi Decoction in the treatment of dysuria after prostatectomy in patients with clinical benign prostatic hyperplasia （BPH）. Methods A digital randomization method was used to divide the 108 patients into two groups, with BPH who were unable to urinate after treatment with electrosurgical prostatectomy in Rizhao Hospital of Traditional Chinese Medicine from October 2019 to September 2021. Each group included 54 patients. They were given routine treatment and Buzhong Yiqi treatment respectively. The treatment effects of the two groups were compared and analyzed. Results After corresponding treatment, the total effective rate of treatment in group A was significantly lower than the group B’s. There was a significant difference between the two groups （P<0.05）. Before treatment, the maximum urine flow (Qmax) of the two groups was comparative, and the analysis of Residual Urinary Volume of Bladder (RUV) and International Prostate Symptoms (IPSS) scores and quality of life showed no significant difference （P>0.05）. After treatment, the Qmax and quality of life scores of group B were both significant higher than that of group A, while the scores of RUV and IPSS were significantly lower than that of group A （P<0.05）. Conclusion According to the situation of BPH patients with weak micturition after prostatectomy, the application of Buzhong Yiqi Decoction can significantly improve the urodynamics of patients, the symptoms of weak micturition, and the quality of life of patients. The overall effect is remarkable, which is worthy of application in clinic.

Key words: BPH, electrotomy, weak urination, Buzhong Yiqi Decoction

中图分类号:

R588.1

李文林, 任东. 补中益气汤在前列腺电切术后排尿无力治疗中的应用效果[J]. 中华养生保健, 2022, 40(5): 7-10.

LI Wen-lin, REN Dong. Clinical Effect of Buzhong Yiqi Decoction on Micturition Weakness after Prostatectomy[J]. ZHONGHUA YANGSHENG BAOJIAN, 2022, 40(5): 7-10.

参考文献

[1] 黄辉虎,黄卫,邢益涛,等.补中益气汤加味对老年前列腺增生术后并发症及性激素水平的影响[J].中国老年学杂志,2021,41(18):4017-4020.
[2] 彭玉平,黄卫,黄辉虎,等.缩泉丸合补中益气汤加减对良性前列腺增生术后尿失禁患者尿流动力学的影响[J].中药新药与临床药理, 2021,32(3):428-434.
[3] 中国抗癌协会泌尿男生殖系肿瘤专业委员会微创学组.中国泌尿男生殖系肿瘤手术后随访方案专家共识[J].现代泌尿外科杂志,2021, 26(5):369-375.
[4] 何海填,罗菁,张新明,等.补中益气汤治疗前列腺电切术后排尿无力临床观察[J].河南中医,2017,37(3):483-485.
[5] 颜学槐. 补肾益气通淋方联合神阙穴隔盐灸对良性前列腺增生症术后排尿功能障碍患者逼尿肌功能及尿动力学的影响[J].现代中西医结合杂志,2021,30(6):650-653.
[6] 兰红梅,杨桂莲,梁桂红,等.前列腺剜除术后排尿功能恢复的相关因素及快速康复干预分析[J].中华腔镜泌尿外科杂志(电子版),2020,14(4):292-295.
[7] 叶和松,陈佳佳,朱红,等.针灸联合生物反馈对压力性尿失禁患者尿流动力学的影响的观察[J].中国中西医结合外科杂志,2020, 26(1):89-93.
[8] 杨玉华,杨阳,曾成惠,等.中医适宜技术治疗经尿道前列腺切除术后下尿路症候群疗效及对患者排尿功能的影响[J].陕西中医,2021, 42(4):489-492.
[9] 葛婷,周建伟,潘龙赐,等.补中益气汤治疗气虚发热型肿瘤性发热的临床疗效评价研究[J].浙江临床医学,2018,20(4):650-652.
[10] 乔光华,焦建伟,张永灿.经直肠超声电导和中药联合治疗对慢性非细菌性前列腺炎患者排尿功能及生活质量的影响[J].新乡医学院学报,2020,37(4):367-369,373.
[11] 陈超. 加味滋阴通闭汤联合金匮肾气丸治疗良性前列腺增生症临床研究[J].亚太传统医药,2018,14(2):199-200.
[12] 李国敏,刘昌明,张英娜.经尿道前列腺等离子双极电切术对80岁以上高危前列腺增生症患者排尿功能的影响[J].深圳中西医结合杂志,2020,30(22):28-30.
[13] 赵鑫,刘莉君.加味补中益气汤配合盆底肌训练治疗中老年女性压力性尿失禁疗效及对阴道压力和尿动力学参数的影响[J].现代中西医结合杂志,2018,27(23):2559-2562.
[14] 孙洁,李滢,彭彦霞,等.艾灸结合功能性电刺激治疗良性前列腺增生症排尿功能障碍的临床疗效评价[J].北京中医药,2017,36(3):261-265.
[15] 丁毅,赵建华,翟新宇.补中益气汤联合酒石酸托特罗定治疗女性压力性尿失禁的疗效观察[J].世界中医药,2017,12(4):783-785.