1. 广州中医药大学第二临床医学院外三科
2. 广州中医药大学第二临床医学院外三科,广东,510120
纸质出版日期:2003,
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林兆丰, 任东林, 郑德全, 等. 耻骨上前列腺摘除术后四大并发症的中医辨证研究[J]. 北京中医药大学学报(中医临床版), 2003,0(2):17-19.
Lin Zhaofeng, Ren Donglin, Zheng Dequan, et al. Study by TCM Differentiation on Complications of 310 Cases After Suprapubic Prostatectomy[J]. Modern Chinese Clinical Medicine, 2003,0(2):17-19.
目的 研究耻骨上经膀胱前列腺摘除术后患者状态及并发症
确立中医辨证种类和证型分布规律。方法 回顾了耻骨上经膀胱前列腺摘除术病例 310例
依据术后患者状态
建立计算机数据库
经多元统计分析
聚类分析
按照《中医病证诊断疗效标准》及《中医症候规范》
结合专家辨证进行研究。结果 总结出六大症候群
经专家辨证为 :脾气虚、气虚下陷、气血两虚、肾阳虚、肾阴虚、湿热夹瘀。据此分析四大并发症的证型分布规律 :并发出血患者 14例
以虚证为主
兼有血瘀 ;并发尿失禁患者 37例
以气虚下陷和肾阳虚为主 ;并发尿路梗阻患者 12例
湿、热、瘀为主 ;并发附睾炎患者 14例
证型分布均为肾虚湿热型。结论 耻骨上经膀胱前列腺摘除术后可分为六类证型 :脾气虚、气虚下陷、气血两虚、肾阳虚、肾阴虚、湿热夹瘀。并发出血、尿失禁者以虚证为主
并发尿路梗阻、附睾炎患者多兼湿、热、瘀。
Objective The states and four complications of patients after suprapubic prostatectomy (SP) were studied. Their differentiation types and contribution law of syndromes were determined. Method 310 cases of SP were reviewed. According to their states and postoperative complications a questionnaire and computer base were established
and a study was conducted through multiple statistical analysis
referencing Curative Effect Standard of Syndrome Diagnosis of TCM and Criterion of TCM Syndromes
integrating the differentiation made by the experts. Result Six syndrome groups were summarized and they were syndromes of deficiency of spleen-qi
sinking of qi
deficiency of qi and blood
deficiency of kidney-yang
deficiency of kidney-ying and damp-heat combined with phlegm. Then 4 postoperative complications were analyzed and decided as follows: 14 cases complicated hemorrhage with efficiency syndrome accompanying blood stasis; 37 cases
urinary incontinence with sinking of qi and deficiency of kidney-yang; 12 cases
urethral stricture with damp-heat combined with phlegm; 14 cases
epididymitis with kidney deficiency and damp-heat. Conclusion Suprapubic prostatectomy included six syndromes according to TCM theory. They were syndromes of deficiency of spleen-qi
sinking of qi
deficiency of qi and blood
deficiency of kidney-yang
deficiency of kidney-ying and damp-heat combined with phlegm. The complications of hemorrhage and urinary incontinence were mostly efficiency syndromes
and urethral stricture and epididymitis were accompanied by dampness
heat and phlegm mainly.
前列腺摘除术证型辨证研究
suprapubic prostatectomysyndromestudy on differentiation
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