围手术期中西医结合治疗对TURP术后影响的临床观察

Effects of Perioperative Treatment by Integrated Traditional Chinese and Western Medicine on Postoperative Parameters of TURP

目的:探讨中西医结合治疗对经尿道前列腺电切术(TURP)后相关指标的影响。方法:分析2002年6月～2005年10月238例TURP患者围手术期的临床资料,其中中西医结合治疗组(A)179例,西医治疗组(B)59例。结果:两组术后拔尿管时间、住院天数、术后4周最大尿流率、术后1周持续菌尿>5d的发生率差异无显著性(P>0.05)。尿初、尿末疼痛持续时间,A组明显低于B组,差异具有极显著性(P<0.01),尿液转清时间、术后1周急迫性尿失禁及不稳定膀胱的发生率、术后4周IPSS、生活质量评分(QOL),A组均低于B组,差异有显著性(P<0.05)。结论:中西医结合治疗可降低TURP术后相应并发症的发生率,提高手术疗效,改善术后生活质量。

Objective： To study the clinical effects of perioperative treatment by integrated traditional Chinese and Western medicine on postoperative parameters of TURP. Methods ： From Jun. 2002 to Oct. 2006, 238 cases of TURP were performed in our hospital, of whom, 179 （Group A） were treated by integrated traditional Chinese and Western medicine, and the other 59 （Group B） by West- ern medicine. The postoperative parameters of the 2 groups were recorded and compared. Results. Postoperative catheter indwelling, hospital stay, Qmax 4 w after TURP and incidence of bacteriuria （ 〉 5 d） showed no significant difference （ P 〉 0.05）, while the incidence rates of overactive bladder and urgent urinary incontinence, hematuria time, disuria time, IPSS score and QOL score 4 w after TURP were statistically different between the 2 groups （ P 〈 0. 05 ）. Conclusion ： For TURP patients, perioperative treatment by integrated traditional Chinese and Western medicine can reduce postoperative complications, increase the success rate of surgery and improve QOL score.