摘要
目的:观察用坦索罗辛联合索利那新治疗经尿道前列腺电切术(TURP)后不稳定膀胱的效果。方法:选取2015年1月至2017年1月期间在南充市东方医院进行TURP后发生不稳定膀胱的81例前列腺增生(BPH)患者作为研究对象。根据治疗方法的不同将其分为对照组(39例)和研究组(42例)。为对照组患者单用索利那新进行治疗,为研究组患者联用索利那新和坦索罗辛进行治疗。然后对比两组患者治疗的效果、留置导尿管的时间、膀胱痉挛症状消失的时间、发生膀胱痉挛的频率、VAS评分、IPSS评分和QOL评分。结果:研究组患者治疗的有效率高于对照组患者,P<0.05。治疗后,研究组患者留置导尿管的时间、膀胱痉挛症状消失的时间均短于对照组患者,其发生膀胱痉挛的频率、VAS评分、IPSS评分、QOL评分均低于对照组患者,P<0.05。结论:用坦索罗辛联合索利那新治疗TURP后不稳定膀胱的效果良好。
objective: to observe the effect of tansoloxin combined with sorina on unstable bladder after transurethral prostatectomy(TURP). Methods: 81 patients with prostate hyperplasia(BPH) who developed unstable bladder after TURP at dongfang hospital of nanchong city from January 2015 to January 2017 were selected as the study subjects. It was divided into a control group(39 cases) and a research group(42 cases) according to the different treatment methods. Patients in the control group were treated with sorethoxin alone and patients in the study group were treated with sorethoxin and tamsolosin in combination. The effects of treatment, time of indwelling urethral catheter, time of disappearance of bladder spasm, frequency of bladder spasm, VAS score, IPSS score and QOL score were compared between the two groups. Results: the effective rate of the study group was higher than that of the control group, P 〈 0.05. After treatment, the team time period of detaining urethral catheter, bladder spasm in patients with symptoms disappear time is shorter than the control group, the frequency of the occurrence of bladder spasm, VAS score, IPSS score, QOL scores are lower than the control group patients, P 〈 0.05). Conclusion: tansoloxin combined with solina is effective in the treatment of unstable bladder after TURP.
作者
雍竞
Yong Jing(Department of urology, dongfang hospital, nanchong city, sichuan 63700)