摘要
目的 比较球部尿道悬吊术与益气摄尿方加减两种方法治疗前列腺增生电切术后尿失禁的效果.方法 选择朔州市第三人民医院2012年2月至2017年2月治疗的前列腺增生电切术后并发尿失禁患者60例,根据治疗方法不同分为两组.对照组30例采用球部尿道悬吊术治疗,观察组30例给予益气摄尿方加减治疗.观察两组治疗后尿失禁发生率及程度,比较两组尿失禁持续时间、国际前列腺症状评分、剩余尿量、最大尿流率以及患者生活质量评分.结果 治疗后,观察组尿失禁发生率为8.3％,显著低于对照组的23.3％（χ2=10.28,P〈0.05）;观察组尿失禁持续时间为（7.6±2.1）d、国际前列腺症状评分为（21.2±3.4）分、剩余尿量为（119.5±60.4）mL、最大尿流率为（4.1±1.3）mL/s,均优于对照组的（15.8±3.2）d、（5.6±1.5）分、（19.7±6.9）mL、（20.4±5.3）mL/s,两组差异均有统计学意义（t=11.73、22.99、8.99、16.36,均P〈0.05）;观察组生活质量各指标评分均优于对照组（均P〈0.05）.结论 益气摄尿方加减治疗良性前列腺增生电切术后并发尿失禁的效果优于球部尿道悬吊术,可减轻术后尿失禁程度,提高患者生活质量.
Objective To compare the effects of ball of urethra suspension with Yiqi perturbation urine and subtract two methods in the treatment of urinary incontinence after transurethral resection of prostate. Methods From February 2012 to February 2017,60 patients with urinary incontinence after transurethral resection of prostate in the Third People＇s Hospital of Shuozhou were selected. According to different therapeutic methods,the patients were divid-ed into two groups,with 30 cases in each group. The control group was treated with ball of urethra suspension,the observation group was given Yiqi perturbation for urine. The incidence of urinary incontinence and degree of the two groups after treatment were observed. The incontinence duration,international prostate symptom score,residual urine volume,maximum urine flow rate and patients＇ quality of life scores were compared between the two groups. Results After treatment,the incidence rate of urinary incontinence in the observation group was 8. 3％ ,which was significantly lower than 23. 3％ in the control group （χ2 = 10. 28,P 〈 0. 05）. The incontinence duration,international prostate symptom score,residual urine volume,maximum urinary flow rate in the observation group were （7. 6 ± 2. 1） d, （21. 2 ± 3. 4）points,（119. 5 ± 60. 4）mL,（4. 1 ± 1. 3）mL/ s,respectively,which were better than those in the control group [（15. 8 ± 3. 2）d,（5. 6 ± 1. 5）points,（19. 7 ± 6. 9）mL and （20. 4 ± 5. 3）mL/ s],the differences between the two groups were statistically significant （t = 11. 73,22. 99,8. 99,22. 99,all P 〈 0. 05）. The quality of life scores in the observation group were better than those in the control group （all P 〈 0. 05）. Conclusion Yiqi perturbation urine for urinary incontinence caused by transurethral resection of benign prostatic hyperplasia is better than the ball of urethra suspension,it can reduce the degree of postoperative incontinence,improve patients＇ quality of life.
作者
胡忠礼
Hu Zhongli(Department of Urology,the Third People＇s Hospital of Shuozhou,Shuozhou,Shanxi 036002,China)
出处
《中国基层医药》
CAS
2018年第22期2935-2938,共4页
Chinese Journal of Primary Medicine and Pharmacy
关键词
尿失禁
手术后并发症
经尿道前列腺切除术
尿道下悬吊术
益气摄尿方
医学
中国传统
临床对照试验
Urinary incontinence
Postoperative complications
Transurethral resection of prostate
Suburethral slings
Yiqi perturbation urine
Medicine
Chinese traditional
Controlled clinical trial
