中西医结合围手术期治疗对经尿道前列腺电切术术后参数的影响

[Effects of perioperative treatment by integrated traditional Chinese and Western medicine on postoperative parameters of TURP].

作者信息

Xiang Song-Tao, Chen Zhi-Qiang, Wang Shu-Sheng, Chen Rong, Gu Chi-Ming, Wang Zhao-Hui

机构信息

Department of Urology, Guangdong Provincial Hospital of TCM Affiliated to Guangzhou University of TCM, Guangzhou, Guangdong 510120, China.

出版信息

Zhonghua Nan Ke Xue. 2007 Oct;13(10):876-8.

PMID:17977316

Abstract

OBJECTIVE

To study the clinical effects of perioperative treatment by integrated traditional Chinese and Western medicine on postoperative parameters of TURP.

METHODS

From Jun. 2002 to Oct. 2006, 238 cases of TURP were performed in our hospital, of whom, 179 (Group A) were treated by integrated traditional Chinese and Western medicine, and the other 59 (Group B) by Western medicine. The postoperative parameters of the 2 groups were recorded and compared.

RESULTS

Postoperative catheter indwelling, hospital stay, Q(max) 4 w after TURP and incidence of bacteriuria (> 5 d) showed no significant difference (P > 0.05), while the incidence rates of overactive bladder and urgent urinary incontinence, hematuria time, dysuria time, IPSS score and QOL score 4 w after TURP were statistically different between the 2 groups (P < 0.05).

CONCLUSION

For TURP patients, perioperative treatment by integrated traditional Chinese and Western medicine can reduce postoperative complications, increase the success rate of surgery and improve QOL score.

摘要

目的

探讨中西医结合围手术期治疗对经尿道前列腺电切术（TURP）术后相关指标的临床影响。

方法

2002年6月至2006年10月，我院共施行TURP 238例，其中179例（A组）采用中西医结合治疗，另外59例（B组）采用西医治疗。记录并比较两组术后相关指标。

结果

两组术后导尿管留置时间、住院时间、TURP术后4周的最大尿流率（Qmax）及菌尿症发生率（>5天）比较，差异无统计学意义（P>0.05）；而两组TURP术后4周膀胱过度活动症及急迫性尿失禁发生率、血尿持续时间、排尿困难持续时间、国际前列腺症状评分（IPSS）及生活质量评分（QOL）比较，差异有统计学意义（P<0.05）。