本文選題：良性前列腺增生 + 逼尿肌�。� 參考：《河南中醫(yī)藥大學(xué)》2016年碩士論文

【摘要】：目的:觀察前列安丸聯(lián)合針灸治療前列腺增生癥膀胱逼尿肌功能減弱的臨床療效,旨在探尋一種既能改善臨床癥狀,同時又能提高膀胱逼尿肌的治療方案。方法:本課題共收集符合納入標(biāo)準(zhǔn)患者135例,根據(jù)就診時間次序,采用隨機(jī)數(shù)字表法分為A(前列安丸加哈樂)45例、B(針灸加哈樂)45例、C(前列安丸聯(lián)合針灸加哈樂)45例。哈樂:每次0.2mg,每晚一次。前列安丸:每次10g,每天3次。針灸每周6次。4周為一個療程。一個療程結(jié)束后,統(tǒng)計分析患者逼尿肌收縮力、前列腺癥狀評分(I-PSS)、殘余尿量(RUV)、生活質(zhì)量評分(QOL)及最大尿流率(Q_(max))的改善程度。結(jié)果:與同組治療前比較,治療結(jié)束后,A、B、C三組在逼尿肌收縮功能、I-PSS、RUV、QOL以及Q_(max)指標(biāo)上均有統(tǒng)計學(xué)差異。其中C組在逼尿肌收縮功能、I-PSS、RUV、QOL以及Q_(max)上明顯優(yōu)于A與B組(P0.05),C與A、B組之間差異有統(tǒng)計學(xué)差異(P0.05)。C組綜合療效總有效率為84.09%;臨床尿路癥狀的改善率為93.18%,逼尿肌收縮強(qiáng)度改善率為81.82%,RUV改善率為88.63%,療效優(yōu)于A B兩組(P0.01)。結(jié)論:1.前列安丸、針灸治療均能減少膀胱殘余尿量、I-PSS及QOL評分,提高最大尿流率,二者之間療效無顯著性差異,聯(lián)合使用治療效果較單一療法更好,有顯著性差異。2.前列安丸、針灸治療均能明顯改善BPH逼尿肌收縮力,二者之間療效無顯著性差異,聯(lián)合使用治療效果較單一療法更好,有顯著性差異。
[Abstract]:Objective: to observe the clinical effect of Qianliean pill combined with acupuncture on detrusor dysfunction of bladder in benign prostatic hyperplasia (BPH), in order to find a therapeutic scheme that can not only improve clinical symptoms but also improve bladder detrusor at the same time. Methods: a total of 135 patients in accordance with the inclusion criteria were collected. According to the order of visiting time, the patients were randomly divided into A (Qianlian Maruli-Halozhang 45 cases (Acupuncture and Haloge 45 cases) (Qianlian Pill combined with Acupuncture and Haloidium 45 cases). Halle: 0.2 mg at a time, once a night. Qianlie an pills: 10 g each time, 3 times a day. Acupuncture and moxibustion 6 times a week for 4 weeks as a course of treatment. After a course of treatment, the improvement of detrusor contractility, prostatic symptom score (I-PSS), residual urine volume (RUV), quality of life score (QOLs) and maximum urine flow rate (QVO) were statistically analyzed. Results: compared with the same group before treatment, there were significant differences in detrusor contractile function (I-PSS), RUVAQOL and Q max between the three groups after the treatment. The total effective rate of group C was 84.09 in terms of detrusor contractile function (I-PSSRUVAL-QOL) and Q _ (+) _ max) than that of group A and B (P 0.05). The total effective rate of group C was 84.09, the improvement rate of clinical urinary tract symptoms was 93.18%, and the contractile intensity of detrusor was 93.18%. The improvement rate of RUV was 81.82 and the improvement rate was 88.63, which was better than that of group A and B (P 0.01). Conclusion 1. Qianlie an Pill and acupuncture can reduce the residual urinary volume of bladder and improve the score of I-PSS and QOL. There is no significant difference in the curative effect between the two groups. The effect of combined therapy is better than that of single therapy, and there is a significant difference between them. Qianlie an Pill and acupuncture can obviously improve the contractility of detrusor in BPH, there is no significant difference between them, and the effect of combined treatment is better than that of monotherapy, and there is significant difference.
【學(xué)位授予單位】：河南中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R277.5

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