摘要
目的:探讨补中益气法对前列腺癌根治术后尿失禁患者控尿、排尿功能及生活质量的影响。方法:将2013年5月—2018年1月本院60例前列腺癌根治术后尿失禁患者,随机分两组,各30例,对照组采用盆底肌锻炼治疗;观察组采用补中益气法治疗,每日1剂,嘱上方药持续服用2个月。比较两组患者临床疗效、最大尿流速(Qmax)、残余尿量(PRV)、最大膀胱容量(MCC)、最大逼尿肌压(Pdet)及尿失禁生活质量问卷(I-QOL)、纽芬兰纪念大学幸福度量表(MUNSH),记录不良反应。结果:对照组有效率80.00%低于观察组96.67%,差异具有统计学意义(P<0.05)。治疗前两组患者Qmax、PRV、MCC、Pdet及I-QOL问卷、MUNSH量表比较,差异无统计学意义(P>0.05)。治疗对照组和观察组Qmax为(15.67±1.46)m L/s、(17.23±1.29)m L/s,PRV为(27.10±5.34)m L、(31.16±5.69)m L,MCC为(374.61±31.53)m L、(398.61±32.16)m L,Pdet为(40.34±2.51)cm H2O、(43.12±2.68)cm H2O,I-QOL问卷为70.06±12.69、81.36±14.51,MUNSH量表为14.26±3.81、17.64±3.92,对照组和观察组上述指标比较,差异具有统计学意义(P<0.05)。对照组不良率16.67%与观察组不良率20.00%比较,差异无统计学意义(P>0.05)。结论:补中益气法对前列腺癌根治术后尿失禁患者的疗效确切,可改善控尿、排尿功能,提高生活质量,且安全性高。
Objective:To investigate the effect of tonifying the middle and benefiting Qi method on urinary control,urinary function and quality of life in patients with urinary incontinence after radical prostatectomy.Methods:Sixty patients with urinary incontinence after radical prostatectomy in our hospital from May 2013 to January 2018 were randomly divided into two groups,30 in each group.And the control group was treated with pelvic floor muscle exercise and the observation group was treatedwith the method of tonifying the middle and benefiting Qi,one dose a day,and the upper medicine was ordered to continue for 2 months.The clinical efficacy,maximum urinary flow rate(Qmax),residual urine volume(PRV),maximum bladder capacity(MCC),maximum detrusor pressure(Pdet)and quality of life questionnaire for urinary incontinence(I-QOL)were compared between the two groups.New Finland Memorial University Happiness Scale(MUNSH)and adverse reactions were recorded.Results:The effective rate of the control group(80.00%)was lower than the observation group’s(96.67%)(P<0.05).There was no significant difference in Qmax,PRV,MCC,Pdet,I-QOL or MUNSH between the two groups before treatment(P>0.05).The Qmax of the treatment control group and observation group were(15.67±1.46)m L/s and(17.23±1.29)m L/s.PRV values were(27.10±5.34)m L and(31.16±5.69)m L.MCC values were(374.61±31.53)m L and(398.61±32.16)m L.Pdet values were(40.34±2.51)cm H2 O and(43.12±2.68)cm H2 O.I-QOL scores were 70.06±12.69 and 81.36±14.51.MUNSH scores were4.26±3.81 and 17.64±3.92.All indexes in two groups had significant differences(P<0.05).There was no significant difference in the adverse rate between the control group and the observation group(16.67%vs 20.00%,P>0.05).Conclusion:Tonifying the middle and benefiting Qi method has definite effect on urinary incontinence after radical prostatectomy.It can improve the function of urinary control and urination,improve the quality of life and has high safety.
作者
唐荣志
赖海标
钟亮
黄智峰
吴松
TANG Rongzhi;LAI Haibiao;ZHONG Liang;HUANG Zhifeng;WU Song(Zhongshan Hospital of TCM,Zhongshan 528400,Guangdong,China)
出处
《辽宁中医杂志》
CAS
2019年第12期2599-2602,共4页
Liaoning Journal of Traditional Chinese Medicine
基金
中山市科技局科研立项(2014A1FC171)
广东省中医药局科研立项(20181170).
关键词
补中益气法
前列腺癌根治术
尿失禁
控尿、排尿功能
生活质量
tonifying the middle and benefiting Qi method
radical prostatectomy
urinary incontinence
urinary control and micturition function
quality of life