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乙酰胆碱治疗男性下尿路症状。

Acetylcholine for male LUTS.

机构信息

James Buchanan Brady Department of Urology, Weill Cornell Medical College of Cornell University, New York, NY 10065, USA.

出版信息

Curr Urol Rep. 2012 Dec;13(6):413-9. doi: 10.1007/s11934-012-0276-7.

DOI:10.1007/s11934-012-0276-7
PMID:22923069
Abstract

In this review, we present the evidence on the safety and efficacy of anticholinergic therapy for men with lower urinary tract symptoms (LUTS) secondary to benign prostatic hyperplasia (BPH) and emphasize the data published over the past year. This review discusses two classes of medications whose mechanism of action attenuates the effect of acetylcholine on the LUT: anticholinergics and botulinum toxin. We review the randomized controlled trials that investigate the efficacy and side effects of anticholinergics when used in men with LUTS secondary to BPH. We emphasize new studies and developments that have been made in the past year.

摘要

在这篇综述中,我们介绍了抗胆碱能治疗对良性前列腺增生(BPH)引起的下尿路症状(LUTS)男性的安全性和有效性的证据,并强调了过去一年发表的数据。本文讨论了两类药物,其作用机制减弱了乙酰胆碱对 LUT 的作用:抗胆碱能药物和肉毒毒素。我们综述了调查抗胆碱能药物治疗 BPH 引起的 LUTS 男性的疗效和副作用的随机对照试验。我们强调了过去一年取得的新研究和进展。

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Acetylcholine for male LUTS.乙酰胆碱治疗男性下尿路症状。
Curr Urol Rep. 2012 Dec;13(6):413-9. doi: 10.1007/s11934-012-0276-7.
2
α-Blockers, 5-α-Reductase Inhibitors, Acetylcholine, β3 Agonists, and Phosphodiesterase-5s in Medical Management of Lower Urinary Tract Symptoms/Benign Prostatic Hyperplasia: How Much Do the Different Formulations Actually Matter in the Classes?α受体阻滞剂、5-α还原酶抑制剂、乙酰胆碱、β3激动剂和磷酸二酯酶-5抑制剂在治疗下尿路症状/良性前列腺增生中的应用:不同制剂在各类药物中实际作用有多大?
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3
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PLoS One. 2022 Sep 21;17(9):e0274399. doi: 10.1371/journal.pone.0274399. eCollection 2022.
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本文引用的文献

1
Randomized Controlled Trial to Treat Benign Prostatic Hyperplasia with Overactive Bladder Using an Alpha-blocker Combined with Anticholinergics.使用α受体阻滞剂联合抗胆碱能药物治疗伴有膀胱过度活动症的良性前列腺增生的随机对照试验
Low Urin Tract Symptoms. 2011 Apr;3(1):29-35. doi: 10.1111/j.1757-5672.2010.00081.x. Epub 2010 Sep 20.
2
Botulinum toxin injections for adults with overactive bladder syndrome.肉毒杆菌毒素注射治疗成人膀胱过度活动症
Cochrane Database Syst Rev. 2011 Dec 7(12):CD005493. doi: 10.1002/14651858.CD005493.pub3.
3
Effects of 100 and 300 units of onabotulinum toxin A on lower urinary tract symptoms of benign prostatic hyperplasia: a phase II randomized clinical trial.
良性前列腺增生的里程碑:从病因学到医学和手术治疗。
Nat Rev Urol. 2014 Feb;11(2):118-22. doi: 10.1038/nrurol.2013.318. Epub 2014 Jan 21.
100 和 300 单位肉毒毒素 A 对良性前列腺增生下尿路症状的影响:一项 II 期随机临床试验。
J Urol. 2011 Sep;186(3):965-70. doi: 10.1016/j.juro.2011.04.062. Epub 2011 Jul 24.
4
Initial combined treatment with anticholinergics and α-blockers for men with lower urinary tract symptoms related to BPH and overactive bladder: a prospective, randomized, multi-center, double-blind, placebo-controlled study.一项前瞻性、随机、多中心、双盲、安慰剂对照研究:对于伴有逼尿肌过度活动症的下尿路症状的良性前列腺增生症患者,初始联合应用抗胆碱能药物和 α 受体阻滞剂治疗。
Prostate Cancer Prostatic Dis. 2011 Dec;14(4):320-5. doi: 10.1038/pcan.2011.22. Epub 2011 Jul 26.
5
Efficacy and safety of low-dose propiverine in patients with lower urinary tract symptoms/benign prostatic hyperplasia with storage symptoms: a prospective, randomized, single-blinded and multicenter clinical trial.低剂量丙哌维林治疗下尿路症状/伴储尿期症状的良性前列腺增生患者的疗效和安全性:一项前瞻性、随机、单盲、多中心临床试验
Korean J Urol. 2011 Apr;52(4):274-8. doi: 10.4111/kju.2011.52.4.274. Epub 2011 Apr 22.
6
Update on AUA guideline on the management of benign prostatic hyperplasia.美国泌尿外科学会良性前列腺增生管理指南更新。
J Urol. 2011 May;185(5):1793-803. doi: 10.1016/j.juro.2011.01.074. Epub 2011 Mar 21.
7
Efficacy of propiverine ER with or without α-blockers related to maximum urinary flow rate in adult men with OAB: results of a 12-week, multicenter, non-interventional study.在伴有或不伴有 α 受体阻滞剂的情况下,盐酸丙哌维林缓释片治疗成年男性 OAB 的疗效与最大尿流率的相关性:一项为期 12 周、多中心、非干预性研究的结果。
World J Urol. 2011 Apr;29(2):217-23. doi: 10.1007/s00345-011-0654-7. Epub 2011 Feb 16.
8
Botulinum neurotoxin A for male lower urinary tract symptoms.A型肉毒毒素治疗男性下尿路症状。
Curr Opin Urol. 2011 Jan;21(1):13-21. doi: 10.1097/MOU.0b013e3283410117.
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Efficacy and safety of tolterodine extended release and dutasteride in male overactive bladder patients with prostates >30 grams.托特罗定缓释剂和度他雄胺治疗前列腺体积>30 克的男性膀胱过度活动症患者的疗效和安全性。
Urology. 2010 May;75(5):1144-8. doi: 10.1016/j.urology.2009.12.010. Epub 2010 Mar 5.
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Botulinum neurotoxin A for benign prostatic hyperplasia.肉毒杆菌神经毒素 A 治疗良性前列腺增生。
Curr Opin Urol. 2010 Jan;20(1):28-36. doi: 10.1097/MOU.0b013e328333ac01.