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[α1-肾上腺素受体阻滞剂治疗后仍有持续症状的良性前列腺增生患者补充使用爱普列特的评估]

[Evaluation of supplemental administration of Eviprostat in patients with benign prostatic hyperplasia with persistent symptoms following treatment with alpha1-adrenoceptor blocker].

作者信息

Naruoka Takehito, Suzuki Yasuyuki, Furuta Akira, Endo Katsuhisa, Sugaya Shingo, Egawa Shin

机构信息

Department of Urology, JR Tokyo General Hospital.

出版信息

Hinyokika Kiyo. 2008 May;54(5):341-4.

Abstract

We examined the effectiveness of supplemental administration of Eviprostat in patients with benign prostatic hyperplasia (BPH) whose lower urinary tract symptoms (LUTS) caused by BPH were not adequately relieved by an alpha1-adrenoceptor blocker. Twenty-nine patients with insufficient improvement in the International Prostate Symptom Score (IPSS) and quality of life (QOL) score after administration of 50 mg naftopidil for 4 weeks or more received 6 tablets of Eviprostat in addition to naftopidil for another 2 weeks or more. With supplemental administration of Eviprostat, significant improvement was observed in the symptoms of incomplete emptying, daytime frequency, intermittency, weak stream, total IPSS, sum of the IPSS subscores for voiding symptoms (intermittency, weak stream and straining), sum of the IPSS subscores for storage symptoms (daytime frequency, urgency and nocturia), and QOL score. Supplemental administration of Eviprostat is therefore effective for the improvement of LUTS and QOL in BPH patients resistant to an alpha1-adrenoceptor blocker.

摘要

我们研究了爱普列特补充给药对良性前列腺增生(BPH)患者的有效性,这些患者由BPH引起的下尿路症状(LUTS)未通过α1-肾上腺素能受体阻滞剂得到充分缓解。29例在服用50mg萘哌地尔4周或更长时间后国际前列腺症状评分(IPSS)和生活质量(QOL)评分改善不足的患者,除萘哌地尔外,再服用6片爱普列特2周或更长时间。通过补充爱普列特给药,观察到排尿不尽、日间尿频、尿线间断、尿流无力、总IPSS、排尿症状(尿线间断、尿流无力和排尿费力)的IPSS子评分总和、储尿症状(日间尿频、尿急和夜尿)的IPSS子评分总和以及QOL评分有显著改善。因此,补充爱普列特给药对改善对α1-肾上腺素能受体阻滞剂耐药的BPH患者的LUTS和QOL有效。

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