中药坐浴对良性前列腺增生患者治疗效果及生活质量的影响

Study on the quality of life and therapeutic effect with benign prostatic hyperplasia by hip bathing with traditional Chinese medicine

目的探讨中药坐浴对良性前列腺增生患者生活质量及临床疗效的影响。方法选择80例良性前列腺增生患者，随机分为干预组和对照组各40例。对照组予以常规护理、健康宣教，坦索罗辛缓释胶囊0．2mg口服，每天1次，连续2个月。干预组在此基础上予以中药坐浴配合盆底肌肉收缩锻炼。比较干预前后患者的生活质量评分、国际IPSS症状评分、最大尿流率及残余尿量。结果干预2个月后，干预组患者生活质量各维度得分较对照组高，以满意度为例，干预后干预组满意度为（62．35±10．14）分，对照组为（41．20±7．16）分，两组比较差异有统计学意义（t=3．930，P〈0．01）；干预后干预组最大尿流率（16．15±2．47）彬s，对照组（13．15±1．97）ml／s，两组比较差异有统计学意义（t=6．014，19〈0．01）；干预后干预组IPSS得分为（9．70±2．86）分，对照组为（13．33±3．19）分，两组比较差异有统计学意义（t=-5．354，P〈0．01）。结论中药坐浴配合盆底肌肉收缩锻炼是治疗良性前列腺增生患者的一种简单、经济、有效的防治方法，值得临床和社区推广。

Objective To explore the quality of life and therapeutic effect in men with benign prostatic hyperplasia by hip bathing traditional Chinese medicine, Methods 80 patients with benign prostatic hyperplasia from Xiangya hospital were selected as research subjects and divided into the ＂experimental group＂ and the ＂control group＂ with 40 cases in each group. The ＂control group＂ of patients, in accordance with the regular nursing program, requires regular health education; Tamsulosin release capsules 0.2 mg per day. And the ＂experimental group＂ will take a hip bathing with traditional Chinese medicine and pelvic floor training, once a day, one month as a course of treatment. The change of IPSS, QOL, PVR, Qmax and so on were observed after two months. Results After the intervention, the disease dimensions, physical dimensions, psychological dimensions, social dimensions and satisfaction scores of intervention group was higher than before the intervention, for exampl,there were significantly between two groups of satisfaction scores [ （62.35 ± 10. 34） vs （41.20 ±7.16） ;t = 3. 930, P 〈 0. 01 ] ; After the intervention, the maximum flow rate, residual urine volume and international IPSS symptoms scores of the intervention group significantly improved compared with before intervention, the maximum flow rate [ （ 16. 15 ± 2.47） vs （ 13.15± 1.97） ], and IPSS [ （9.70± 2.86） vs （13.33±3.19）] were different （t = 6. 014, -5. 354; P 〈 0. 01 ）. Conclusions The hip bathing with traditional Chinese medicine with pelvic floor training is a simple, effective, economy method of prevention and treatment of the benign prostatic hyperplasia. It is worth promoting in the clinical and community.