前列舒通胶囊联合盐酸坦索罗辛缓释胶囊治疗前列腺增生术后临床研究
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R277.5

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河南省中医药科学研究专项课题(20-21ZY2278)


Clinical Study on Qianlie Shutong Capsules Combined with Tamsulosin Hydrochloride Sustained-Release Capsules for Patients After Surgery for Prostatic Hyperplasia
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    摘要:

    目的:观察前列舒通胶囊联合盐酸坦索罗辛缓释胶囊治疗前列腺增生(BPH) 经尿道前列腺等离 子电切术(TURP) 后患者的临床效果。方法:选择98 例BPH TURP 术后湿热瘀阻证患者,按随机数字表法 分为治疗组50 例与对照组48 例,2 组均给予TURP 治疗,术后对照组予盐酸坦索罗辛缓释胶囊治疗,治疗组 予前列舒通胶囊与盐酸坦索罗辛缓释胶囊治疗,2 组均治疗1 个月。于治疗前、治疗1 个月后评估国际前列腺 症状评分(IPSS),检测血清睾酮(T)、雌二醇(E2) 水平,采用B 型超声波检查前列腺大小,计算前列腺体 积(PV),测定膀胱残余尿量(RV) 及最大尿流量(Qmax)。比较2 组临床疗效。结果:治疗后,治疗组临床疗 效总有效率高于对照组(P<0.05)。2 组IPSS 均较治疗前下降(P<0.05),治疗组IPSS 低于对照组(P< 0.05)。2 组血清T 水平与治疗前比较,差异均无统计学意义(P>0.05);2 组血清E2 水平均较治疗前上 升(P<0.05)。治疗组E2 水平高于对照组(P<0.05)。2 组PV、RV 值均较治疗前下降,Qmax 值均较治疗前上 升,差异均有统计学意义(P<0.05)。治疗组PV、RV 值均低于对照组,Qmax 值高于对照组,差异均有统计学 意义(P<0.05)。结论:前列舒通胶囊联合盐酸坦索罗辛缓释胶囊治疗BPH TURP 术后湿热瘀阻证患者可提 高临床疗效,调节性激素水平,有效改善临床症状。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Qianlie Shutong Capsules combined with Tamsulosin Hydrochloride Sustained-Release Capsules for patients with benign prostatic hyperplasia(BPH) after transurethral plasma resection of prostate(TURP). Methods:A total of 98 cases of patients with dampheat obstruction syndrome after TURP for BPH were selected and divided into the treatment group and the control group according to the random number table method , with 50 and 48 cases in each group respectively. Both groups were treated with TURP. After surgery, the control group was treated with Tamsulosin Hydrochloride Sustained-Release Capsules,and the treatment group was treated with Qianlie Shutong Capsules combined with Tamsulosin Hydrochloride Sustained- Release Capsules. Both groups were treated for one month. Before treatment and after one-month treatment,the International Prostate Symptom score(IPSS) were evaluated; the levels of testosterone(T) and estradiol(E2) in serum were detected; B- ultrasound was used to examine the size of prostate, calculate prostate volume(PV), and measure the bladder residual urine volume(RV) and maximum urinary flow(Qmax). The clinical effects in the two groups were compared. Results:After treatment,the total effective rate in the treatment group was higher than that in the control group(P<0.05). IPSS scores in the two groups were decreased when compared with those before treatment(P<0.05), and IPSS score in the treatment group was lower than that in the control group(P<0.05). There was no significant difference being found in the comparison of serum T levels before and after treatment in the two groups(P>0.05), and serum E2 levels in the two groups were increased when compared with those before treatment(P<0.05). The E2 level in the treatment group was higher than that in the control group(P<0.05). Compared with those before treatment,values of PV and RV in the two groups were decreased, and Qmax values were increased, differences being significant(P<0.05). The values of PV and RV in the treatment group were lower than those in the control group, and the Qmax value was higher than that in the control group, differences being significant(P< 0.05). Conclusion: The application of Qianlie Shutong Capsules combined with Tamsulosin Hydrochloride Sustained- Release Capsules for BPH patients with damp- heat obstruction syndrome after TURP can enhance the clinical effect, regulate the levels of sex hormones, and effectively improve the clinical symptoms.

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周树明,郭青良,秦奋.前列舒通胶囊联合盐酸坦索罗辛缓释胶囊治疗前列腺增生术后临床研究[J].新中医,2023,55(2):95-99

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  • 在线发布日期: 2023-01-29
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