中西医结合治疗围术期合并糖尿病的良性前列腺增生52例临床观察

Integrated therapy of traditional Chinese and Western medicine for BPH with diabetes mellitus: Clinical observation of 52 cases

目的：观察中西医结合疗法治疗围术期合并糖尿病的BPH的临床疗效。方法：将52例BPH合并糖尿病患者随机分为治疗组26例与对照组26例,空腹血糖控制在6.0~8.0 mmol/L之间时行经尿道等离子切除术。术后治疗组与对照组均常规使用抗感染、补液及对症支持治疗。治疗组术前术后均服用中药治疗。结果：两组病例术中术后均未出现电解质紊乱、酮症酸中毒、低血糖等合并症。治疗组术后便秘、膀胱痉挛、泌尿道感染发生率明显低于对照组,两组有显著差异（P〈0.05）。结论：合并糖尿病的BPH患者接受中西药并治后,不仅能平稳度过围术期,还能减少术后便秘、膀胱痉挛、泌尿道感染发生,提高术后生活质量。

Objective： To investigate the effect of the integrated therapy of traditional Chinese and Western medicine in the treatment of BPH complicated by diabetes mellitus.Methods： Fifty-two cases of BPH complicated by diabetes mellitus were equally randomized to a treatment group and a control group,and both underwent transurethral plasmakentic vaporization when fasting glucose was kept at 6.0-8.0 mmol/L,followed by anti-infection,rehydration and semeiologically supportive therapies.And both of the two groups received Chinese medicinal herbal treatment before and after surgery.Results： Neither of the two groups showed postoperative electrolyte disturbance,ketone acidosis,or hypoglycemia.The incidences of postoperative constipation,bladder convulsion and urinary tract infection were significantly lower in the treatment group than in the control group（P0.05）.Conclusion： The integrated therapy of traditional Chinese and Western medicine for BPH with diabetes mellitus can not only smoothly tide the patients over the perioperative period,but also improve their quality of life by reducing postoperative constipation,bladder convulsion and urinary tract infection.