运用“一气周流”理论治疗中老年女性下尿路症状的疗效观察

The therapeutic effect of Circular Flow of Qi theory on lower urinary tract symptoms in middle-aged and elderly women

目的:观察"一气周流"理论用于治疗中老年女性下尿路症状的疗效。方法:选择符合下尿路症状诊断标准的中老年女性患者共60例,采用随机数字表法分为试验组和对照组各30例。试验组采用自拟调气固脬汤,对照组单纯用中成药托特罗定加补中益气丸,比较两组治疗前后女性下尿路症状评分、生活质量(Quality of Life,QOL)评分的变化。结果:两组治疗后下尿路症状评分、生活质量(QOL)评分与治疗前比较均有明显改善,差异有统计学意义(P <0.05),治疗后两组间比较,试验组改善更明显,差异有统计学意义(P <0.05)。结论:运用"一气周流"理论侧重调节气机的方法,治疗中老年女性下尿路症状具有临床价值,值得推广。

Objective: To evaluate the theory of Circular Flow of Qi in the treatment of middle-aged and elderly women with lower urinary tract symptoms. Methods: Clinical data of 60 middle-aged and elderly women with lower urinary tract symptoms were collected from June 2018 to April 2019. 30 Patients of them as the experimental group were treated with Tiaoqi Gupao Decoction(调气固脬汤) and another 30 as the control group received tolterodine 2 mg twice a day and Buzhong Yiqi Pill(补中益气丸), 9 g twice a day. The Female Lower Urinary Tract Symptom Score(FLUTSSS) and Quality Of Life(QOL) Scores were assessed. After 4 weeks of treatment, changes were compared. Results: After treatment, the lower urinary tract symptom score(FLUTSSS) and quality of life(QOL) score of the two groups were significantly improved compared with those before treatment, and the difference was statistically significant(P<0.05). After treatment, the improvement of the experimental group was more obvious than that of the control group, and the difference was statistically significant(P<0.05). Conclusion: The application of the theory of Circular Flow of Qi has clinical value and is worth promoting in the treatment of lower urinary tract symptoms in middle-aged and elderly women.