中西医结合治疗经尿道前列腺电切术后膀胱痉挛的临床研究

Clinical study on integrated Chinese-western therapy in cystospasm after transurethral prostatectomy

目的探讨中西医结合治疗经尿道前列腺电切术(TURP)后膀胱痉挛的效果。方法采用随机抽样法将102例TURP术后患者分为对照组47例和治疗组55例,对照组于术后留置硬膜外导管,连接镇痛泵止痛;治疗组在对照组治疗基础上加服改良芍药甘草汤治疗。观察2组患者膀胱痉挛的发生率。结果术后24 h内对照组膀胱痉挛发生率为38%,治疗组为22%,2组比较有显著性差异(P<0.05)。术后24～48 h膀胱痉挛发生率对照组为26%,治疗组为9%,2组比较有极显著性差异(P<0.01)。结论采用改良芍药甘草汤方等治疗能有效缓解TURP术后膀胱痉挛症状。

Objective It is to approach the curative effect of integrated Chinese-western therapy in cystospasm after tran- surethral prostateetomy（TURP）. Methods One hundred and two patients with cystospasm after TURP were divided into con- trol group （47 cases） and treatment group （55 cases） randomly. The cases in control group were treated by properly fixing postoperative indwelling epidural catheter and connecting with analgesia pump infused. The cases in treatment group were add- ed with oral improved paeonia veitchii and liquorice decoction （IPVLD） on the basis of control groupg therapy. The incidences of eystospasm in both groups were observed after treatment. Results The incidence of cystospasm in 24 - hour in control group was 38% and 22% in treatment group. There was significant difference between two groups （P 〈 0.05）. The incidence of cystospasm in 24 to 48 - hour in control group was 26% and 9% in the treatment group. There was significant difference be- tween two groups（ P 〈0.01 ）. Conclusion IPVLD can effectively reduce the symptoms of cystospasm after TURP.