温肾益气、缩尿止遗法在前列腺增生术后改善尿控中的效果

Effect of Warming Kidney and Tonifying Qi,Reducing Urination for Preventing Enuresis on Improving Urinary Control After Benign Prostatic Hyperplasia Surgery

目的研究温肾益气、缩尿止遗法在前列腺增生术后改善尿控的临床疗效。方法选取2018年3月-2022年12月在我院行手术治疗的84例前列腺增生患者为研究对象,采用随机数字表法分为对照组(41例)和观察组(43例)。对照组采用温肾益气法治疗,观察组采用温肾益气、缩尿止遗法治疗,比较两组尿控恢复率、尿控恢复时间、尿控恢复指标(膀胱残余尿量、漏尿次数、漏尿量)、尿失禁发生情况、尿动力学指标及生活质量。结果观察组尿控恢复率高于对照组,尿控恢复时间短于对照组(P<0.05);观察组膀胱残余尿量、漏尿次数、漏尿量均小于对照组(P<0.05);观察组尿失禁(Ⅰ级、Ⅱ级)发生率低于对照组(P<0.05);治疗后观察组最大尿流率(Qmax)、最大尿道闭合压(MUCP)均大于对照组(P<0.05);两组治疗后生活质量水平均高于治疗前,且观察组高于对照组(P<0.05)。结论温肾益气、缩尿止遗法在前列腺增生术后改善尿控中具有良好的疗效,可提高尿控恢复率,缩短尿控恢复时间,减少膀胱残余尿量、漏尿次数和漏尿量,降低尿失禁发生率,改善尿动力学指标,提高患者术后生活质量。

Objective To study the clinical effect of warming kidney and tonifying qi,reducing urination for preventing enuresis on improving urinary control after benign prostatic hyperplasia.Methods A total of 84 patients with benign prostatic hyperplasia who underwent surgical treatment in our hospital from March 2018 to December 2022 were selected as the research objects.They were divided into control group(41 patients)and observation group(43 patients)by random number table method.The control group was treated with warming kidney and tonifying qi method,and the observation group was treated with warming kidney and tonifying qi,reducing urination for preventing enuresis method.The recovery rate of urinary control,recovery time of urinary control,recovery index of urinary control(residual urine volume of bladder,frequency of urine leakage,urine leakage),occurrence of urinary incontinence,urodynamic index and quality of life were compared between the two groups.Results The recovery rate of urinary control in the observation group was higher than that in the control group,and the recovery time of urinary control was shorter than that in the control group(P<0.05).The bladder residual urine volume,urine leakage times and urine leakage volume in the observation group were lower than those in the control group(P<0.05).The incidence of urinary incontinence(gradeⅠand gradeⅡ)in the observation group was lower than that in the control group(P<0.05).After treatment,the maximum urinary flow rate(Qmax)and maximum urethral closure pressure(MUCP)in the observation group were higher than those in the control group(P<0.05).The quality of life of the two groups after treatment was higher than that before treatment,and that of the observation group was higher than that of the control group(P<0.05).Conclusion The method of warming kidney and tonifying qi,reducing urination for preventing enuresis has a good effect on improving urinary control after benign prostatic hyperplasia,which can improve the recovery rate of urinary control,shorten the recovery time of urinary control,reduce the residual urine volume of bladder,the number of urine leakage and the amount of urine leakage,reduce the incidence of urinary incontinence,improve the urodynamic index and the quality of life of patients after operation.