北京中医医院怀柔医院,北京,101400
[ "郝志军,男,硕士,主治医师" ]
纸质出版日期:2020-12-08,
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郝志军, 王保平, 高勇. 温针灸辅助治疗前列腺增生电切术后膀胱痉挛的临床观察[J]. 现代中医临床, 2020,27(6):17-20.
郝志军, 王保平, 高勇. 温针灸辅助治疗前列腺增生电切术后膀胱痉挛的临床观察[J]. 现代中医临床, 2020,27(6):17-20. DOI: 10.3969/j.issn.2095-6606.2020.06.005.
目的 探讨温针灸辅助托特罗定治疗前列腺增生电切术后膀胱痉挛的临床疗效。方法 将80例行经尿道前列腺电切术患者随机分为治疗组40例、对照组40例。2组均采用传统逐步切除法。对照组术后予托特罗定片治疗。观察组在对照组基础上予温针灸辅助治疗。观察术后膀胱痉挛次数、痉挛持续时间、膀胱痉挛疼痛程度(采用视觉模拟量表评分)、冲洗液转清时间
术后拔管时间、每次排尿量、尿潴留发生率、尿失禁次数
膀胱状况感知量表评分(patient perception of bladder condition measure
PPBC)
膀胱过度活动症评分(overactive bladder symptom score
OABSS)。结果 治疗组术后膀胱痉挛发生次数较对照组减少
痉挛持续时间、冲洗液转清时间较对照组缩短
视觉模拟量表评分较对照组下降
差异均有统计学意义(P<0.05)。治疗组术后拔管时间较对照组缩短
每次排尿量较对照组增多
拔管后尿潴留、尿失禁发生率较对照组降低
差异均有统计学意义(P<0.05)。2组治疗后PPBC
OABSS较本组治疗前均降低
差异均有统计学意义(P<0.05)
治疗组较对照组降低明显
治疗前后差值比较
差异均有统计学意义(P<0.05)。结论 温针灸辅助托特罗定治疗前列腺增生电切术后膀胱痉挛具有较好的临床疗效。
Objective To investigate the clinical effect of warming acupuncture as an adjuvant therapy for bladder spasms after transurethral resection of the prostalt.Methods Eighty patients undergoing transurethral resection of prostate were randomly assigned to the treatment group and control group
with 40 cases in each group.Patients in both groups had traditional stepwise resection.The control group was treated with Toterodine tablets after operation.The observation group received additional warming acupuncture.The number of bladder spasms
duration of spasms
pain degree of bladder spasms
time of flushing fluid clearance
bladder condition perception scale score (patient perception of bladder condition measure
PPBC) and bladder hyperactivity score (overactive bladder symptom score
OABSS) were observed.Results The number of bladder spasms was significantly lower
the duration of spasms and the time of flushing fluid were significantly shorter and the VAS score was significantly lower in the treatment group than in the control group(P<0.05).The time of extubation was shorter in the treatment group than in the control group
the urine volume was increased
and the incidence of urinary retention and incontinence after extubation was lower in the treatment group than in the control group (P<0.05).The PPBC and OABSS after treatment were significantly lower than those before treatment in both groups(P<0.05)
and the before-after treatment differences in PPBC and OABSS were significantly lower in the treatment group than in the control group (P<0.05).Conclusions Warming acupuncture as an adjuvant therapy in the treatment of bladder spasms with toterodine after transurethral resection of the prostalt has a good clinical effect. Abstract
前列腺增生前列腺增生电切术膀胱痉挛温针灸托特罗定
benign prostatic hyperplasiatransurethral resection of the prostaltbladder spasmswarming acupuncturetoterodine
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